Android | Smart Phone Health Care

mHealth App Created to Help Combat Chronic Migraines

An app created to combat migraines was launched May 18th, according to a press release. “Migraine Meter,” developed by Health Union, LLC, has recent migraine news, tips from Migraine.com, and a journal to record when, where, and possible triggers for the migraines. The information can be uploaded to the Migraine Meter’s website and reports can be generated.

When I’m having a migraine, I think the last thing I want to do is to mess around with electronics, however, according to Dr. Susan Hutchinson of the Hoag Neurosciences Institute, keeping track of migraine episodes is very important.

Keep an accurate diary of migraine episodes is an important part of managing migraine diseases, tracking a patient’s history can help me identify potential patterns and migraine triggers to develop a more comprehensive treatment program. I recommend that all my patients keep an accurate journal.

If a journal needs to be kept, as I mentioned in a post about food journals, it is far more convenient to do it on my phone rather than on a piece of paper that is bound to get lost or thrown away. I do get migraines occasionally, so I decided it wouldn’t hurt to download the app. However, I first read some reviews.

I was disheartened to see that people had a variety of issues, from the inability to even register for an account, to screens being glitchy. As I explore the app, I will keep an eye out for these issues to see if they had been resolved. Here is my play-by-play of my first experience with the app:

First off, I noticed there was a lot of lag time between when I typed into the app and when it actually appeared on the phone. I’m not a very patient person, so this was kind of annoying (and kind of gave me a bit of a headache, constantly typing, erasing, and re-typing certain words. Ironic that this happened for a migraine up, right?). When I typed in my username, I couldn’t even see what I was typing, because the screen scrolled down a few inches. Then, it wouldn’t let me enter my birth date. The registering process was overall just really, really slow.

Phew. Now that registering is over . . .

The interface is, well, meh. As in, nothing too special. It is simple, with mainly black and gray colors. The front page has links to articles from Migraine.com. Selecting an article and reading it was simple enough, and I didn’t experience the lag time I first found when registering. There seems to be a lot of articles available, so if news about migraines is your thing, then this app is a goldmine. For everyone else, it’s just a nice resource to have.

Next – the journal. When you click on the tab for journal, it brings up a monthly calendar, with that day’s date highlighted. You simply click on the date you want to edit, select “create”, and enter a variety of details, such as the severity from 1-10, symptoms, triggers, treatment, and notes. Easy enough (well, if you are in a state where you actually want to record it!).

There are just two more tabs left…profile and report.

Profile – not really sure if it is necessary to fill this portion out, however, the app states that “when you visit your doctor, it’s important to share this information in addition to your migraine journal. ” It asks questions such as gender (which, I think the doctor should already know), the year that you experienced your first migraine, family history, current conditions, and other treatments currently used. Typing took forever, and I finally decided that it wasn’t pertinent for me to fill out all the information, so, I didn’t.

Finally, the report tab. Basically, all you do is enter your email address, and a report is sent to you.

And I’m finished. The app was simple and fulfills its purpose. Seeing as the app was just recently released, it’s bound to have a few glitches here and there, so I can forgive it for that, but I think it would be wise to make it just a tad faster .

Until my next review…The app can be downloaded for Android platforms, and here for the iPhone.

Is the Tricorder Device a Reality?

Back in January, Qualcomm and the X-Prize Foundation announced a contest that offered $10 million to anyone that could develop a tricorder similar to the one that was used in Star Trek. I wrote back then that I didn’t think it was that unrealistic, and after reading a recent article, I am even more convinced that we will see such a device in the very near future.

The article was written by Mark Mills of Forbes.com who addresses how social media will lead to the next revolution: Social Medicine. I’ve written about the use of social media and how beneficial it can be to healthcare on so many levels, but he describes it better than I ever could.

The company that he talks about, Scanadu, definitely seems to have the write idea in terms of using social media to make the tricorder a reality. You can see a short video below that gives a great visual of what they are trying to accomplish in making healthcare more accessible and efficient for everyone.

How awesome would it be to be able to take pictures of a rash or injury that your kid had, add a few details of how they are feeling, and within seconds get a pretty good idea of what is wrong with them. If it was an emergency you would know quickly and be able to get them the help they needed. In general, an emergency is relatively obvious, so to me the greater value is in preventing unnecessary trips to the doctor when the condition will simply pass with time.

In this world of instant gratification it would be awesome to to be able to get more regular updates on your health. The one major risk here is that people will rely solely on their smartphone and attached devices rather than going to a professional when they really need it. The beauty there is that it would be super easy to send an email or phone message to the patient’s doctor letting them know what is going on with their patient so they could step in if needed.

It will be incredibly exciting to see how Scanadu and other companies develop modern technology into the social medicine of the future. Do you think there is any limit to what is possible in the future of healthcare?

PocketHealth Raises the Bar for mPHRs

On May 1st, Cognovant, a Missouri-based startup, announced in a press release that the initial funding for their smart phone app, PocketHealth, was complete. With this announcement, Cognovant also revealed that the app would be released for both Android and Apple operating systems this month.

PocketHealth is the latest mobile personal health record (mPHR) available for smart phones. This isn’t the first mPHR; other popular ones are mPHR 2 and My Medical. However, PocketHealth appears to be one of the first of its kind. It is untethered, which essentially means it isn’t tied to just one insurance company or healthcare provider. While untethered mPHR’s often make the user key in their own data manually, this isn’t necessarily the case with PocketHealth. What also sets this mPHR apart from others is that it was built following CCD standards. Dr. Joseph Ketcherside, the President and CEO of Cognovant, said in an interview with Mobi Health News:

From the user interface standpoint, it might look like every other PHR. But the guts of our PHR are comparable to what you would find in the parts of an electronic medical record.

This is essential, because in the future, if medical providers have to be able to give copies of patient medical information in CCD format. PocketHealth is designed to be able to import that format. This also gives PocketHealth an advantage over other untethered mPHRs because doctors and hospitals that have EMRs integrated into their systems can simply upload the CCD, rather than having to take time to log in to a website or deal with a USB drive to read the patient’s mPHR.

One of the issues with some mPHR is whether or not the information is secure. PocketHealth tries to overcome that problem by having PocketHealth encrypt the data and be password protected.

PocketHealth is a free app, though there will be a 3.99 version that a user can upgrade to if they monitor the health of more than one person or have a complicated medical history. The free version seems good enough, however, and tracks information like immunizations, medical conditions, family and social history, information on providers, and more. In addition, the information can be exported as a report or a CCD.

Because PocketHealth has been released for the Android OS, I decided to download it. This was my first experience with mPHR. I was impressed with all the information that could be recorded, and I can definitely see the benefits of it (well, just the idea of an mPHR to begin with). Because I have no idea where my family will be in a year from now, it would be helpful to have this information available at the tip of my fingers when we visit with a new doctor wherever we move. I also see it being handy if someone is admitted to the hospital in an emergency situation and information needs to be quickly accessed.

However, I see some potential problems, such as if the information wasn’t totally correct. What if someone thought they were O negative blood type, so that was entered into the “vital stats” section, but they were actually A negative? Granted, I’m sure a medical professional would test a blood type, and not just trust the PHR, before doing something like a blood transfusion, but there is always the chance for incorrect information. I do like that PocketHealth is created on the same foundation as an EMR, so information can be directly exported from a doctor’s office. I also was a bit concerned about privacy, but the fact that PocketHealth is password protected and encrypts the data made me feel better.

One thing I didn’t like about the app was that it seemed a bit sluggish. I had to press my selections a few times before it would work, which was kind of annoying. Overall, I think I will probably upgrade to the 3.99 version, so I can track the health of my family and me and have a lot of information readily available.

The Android version can be downloaded . The version for the iPhone is still in the works but the release is expected to occur in the next few weeks.

Congressmen Ask FDA and FCC to Answer for Delays in Regulation of mHealth

Regulation of mHealth Apps is one of the biggest ongoing hot topics in healthcare. Earlier this week we posted about regulation, and how it may very well be warranted in some areas, but may be less necessary in others. Apparently, this is something that is even catching the eye of Congress.

Just last month, members of Congress sent a letter to the FDA and FCC asking them to clarify what exactly they are currently doing with regulation, and what they are planning to do in the future. The letter expresses their concern that excessive regulation may slow the growth of this developing industry, which grew by 250% on iTunes alone last year.

I think it is great that Congress sees the value of this industry and is concerned with not creating any unnecessary hoops for developers to jump through. That being said, I also don’t understand how Congress sticking their nose in everything does anything but slow the process down even more.

Is writing a response to their letter a big deal? Probably not, but who honestly thinks that these congressmen will be satisfied with a simple response? They will naturally want regular updates of exactly what is being done. They will likely want to insert their two cents about every little decision that is being made. Given the chance, they will probably try to use this as another way to create jobs for their constituents, even if it makes no real sense to do so.

I agree with Katie’s article earlier this week that there is some definite value to regulation in many cases; which is ultimately where I think the FDA will end up. What scares me, is that Congress will force themselves into the process which will only make it that much slower and create the very delay that they are trying to avoid.

Regulating mHealth Apps: Does it Limit Creativity?

Last year, the FDA announced plans to regulate some smart phone apps that involve medicine or health. The specific apps that would be regulated “are used as an accessory to medical device already regulated by the FDA [or] transform a mobile communications device into a regulated medical device by using attachments, sensors or other devices.” In addition, apps that suggest potential diagnoses or treatments for the person using it.

As I was perusing comment boards for various articles about this, the feelings were mixed. Some think that the FDA already has too much control. Others think it totally makes sense. A comment from someone on a Washington Post article sums up how I feel:

Yes, some software that turns a smartphone into medical use has to follow the same rules as developing a medical device — from the first moment you think about it. It’s not hard, but you had better know what you are doing because what the FDA gives you is basically the right to market the device and if you don’t follow the rules, you could end up with is a really neat program that you can’t even talk about to your customers.

I think it definitely makes sense to regulate these things. I mean, there are quack doctors out there that we don’t know about, who seem legitimate; how are we supposed to discern between a quack health app, and one that can actually be trusted? There needs to be some kind of regulation, but the question is — how much?

The issues I find with certain apps, is that if they get too advanced (such as an x-ray), people might start avoiding the doctor because they diagnose themselves. Basically, I think that without regulation, certain apps may seem awesome, but in reality, they have fatal flaws that could be just that — fatal. There shouldn’t be a chance that bad apps could possibly act as an authoritative source.

In the Washington Post article I previously referenced, Bakul Patel, a FDA adviser was interviewed. I thought he made a good point when he said:

We wanted to make sure that we are consistent in regulating medical devices so nothing has changed. If somebody makes a stethoscope on an iPhone, it doesn’t change the level of oversight we have of a stethoscope.

I mean, that totally makes sense. Just because something is digital doesn’t mean it should be able to bypass requirements. A stethoscope is a stethoscope. End of story.

Overall, I agree with the regulation. If medical and health apps are going to actually be taken seriously, we should be able to see right of the bat if it can actually be trusted as a medical device. I’m not a huge fan of the government controlling everything, so there should definitely be regulation on the apps that could actually determine the health status of a person. However, the rules shouldn’t be so strict that people can’t be creative in what they create. That’s my two cents on the issue, what are your thoughts?

Losing Weight on the Go: Keep Food Diary Easier than Ever

A study conducted in 2008 by Kaiser Permanente’s Center for Health Research (KPCHR) discovered that keeping a food diary increases the amount of weight a person can lose. Dr. Jack Hollis, a researched at KPCHR, said concerning the study:

The more food records kept, the more weight they lost. Those who kept daily food records lost twice as much weight as those who kept no records. It seems that the simple act of writing down what you eat encourages people to consume fewer calories.

Seems pretty simple, right? Without going into too many details in this post, I’ve struggled with my weight my entire life. Luckily, I’ve successfully lost (and kept off) about 50 pounds in the past few years. I credit some of that success to keeping a food diary and caloric intake. But let me tell you, it wasn’t always easy. When I started tracking what I ate, it was such a pain to have to look up in a book how many calories were in certain foods, not to mention carry around a notebook and pen everywhere I went. It was well-worth it but certainly not the most convenient activity.

Luckily, there are a lot of websites and apps out there that making tracking food easier than ever (at least I think so). One of the most well-known companies to make this possible is Weight Watchers. However, it is quite pricey to join. But there are a lot of other great resources out there. My favorite? MyFitnessPal.com.

I discovered MyFitnessPal a few years ago, and it has been awesome, not to mention free. The website encourages its users to interact with friends, family, and quite frankly, random strangers on the website. I’ve used it off and on since I discovered it, and found it to really help make me aware of what I’m eating, and I have lost weight. Don’t just take my word on it. Plenty of others testify of how great the website is.

Still, I don’t always have a computer with me, so I was thrilled when MyFitnessPal came out with their mobile app. Not only is it available on the iPhone and Android phones, but the BlackBerry and Windows phones, so just about anyone with a smartphone can use it. The app is super easy to use and you can literally have your food journal anywhere you go. One of my favorite features on the app is that you can just scan the barcode of any product and it will automatically upload the nutritional information. Even if a barcode isn’t on the food (say you’re eating out), the database has over 1 million foods. Very rarely have I actually had to enter my own information on foods. Goals are totally customizable, and there is also an option to input exercise, which is also nice (because then you get more calories added to your daily goal!) I also think it’s fun to interact with my family and friends on it.

Here are some screen shots. I think it has a pretty clean interface that’s very simple to use:

App can be downloaded for:

The iPhone

Windows

BlackBerry

While the only app I use is from MyFitnessPal, there are some other awesome ones available. After doing some research, the following are the ones that seem to be most popular:

Calorie Tracker by LIVESTRONG.com — available on the iPhone and Android. Users feel like it has the most extensive food database, and that is its main draw, because it seems to lack a very good design. (cost: $2.99)

MyNetDiary — available on the iPhone, , and Blackberry. This one seems a little more savvy than CalorieTracker and has more features. However, I would expect it to almost lose the weight for me at the hefty cost of $9.99. Even then, it seems to be pretty popular.

GoMealsHD — available on the iPhone and . This one claims to have 175,000 restaurants in the database and 60,000 items. A lot of people like this one because the database is accessible offline, unlike Calorie Tracker, MyNetDiary, and MyFitnessPal. It is also free. The database isn’t quite as good as some of the others, but it seems to get the job done.

So if you want to lose weight, keep a diary. And if you want keeping a diary to be as simple as possible…download one of these apps. It makes life so much easier (and honestly, if it is embarrassing to pull out a food diary in front of people, this makes it a lot more inconspicuous.) Have you found success using a food diary app? Which one is your favorite?

Must Have Pregnancy Mobile Apps

Every time I went to a doctor’s appointment while I was pregnant, I always came prepped with a list of concerns. Mainly, diseases I was convinced I had, or things I thought must be wrong with my baby. My doctor would always kind of laugh and asked me where I came up with some things, to which I replied, the Internet. One time, after I went on and on about how I must have listeria because I ate a piece of canteloupe during an outbreak, he told me, “Listen, the Internet is for sports scores and the weather. NOTHING ELSE.”

But my doctor never said anything about medical apps on smartphones. Because I use my smartphone for just about everything, I downloaded tons of apps concerning pregnancy, particularly health during pregnancy. I mean, who knew when I’d be somewhere and I needed to figure out if the sudden leg cramp I had was a blood clot, or, actually just a leg cramp (I promise I’m not as big of a hypochondriac as I’m making myself out to be. Pregnancy just brought that out in me. Now I’m just convinced my son has every single disease instead. ) Here are some great apps downloadable to smartphones (mainly the iPhone) to help make pregnancy go a little smoother (hopefully. Maybe it will just give the on-call doctor a little more sleep at night instead of being woken up by pregnant women with silly concerns).

1. Baby Center My Pregnancy Today

I think this is an awesome app, and best of all, it’s free. I loved this website during (and after) my pregnancy, and it’s nice to have it on the go. It can help give piece of mind on what symptoms are normal during pregnancy, provides week by week information, and tips on how to deal with things like morning sickness (did anyone else have that the whole time, or was it just me?), heartburn, etc. There are also handy videos, pictures, and nutritional guides. It gets down to the nitty gritty of pregnancy, so for the woman who gets embarassed asking the doctor, friends, or family about different things, this is a more discrete way of getting answers from a legitimate source.

This is available on both Android and iPhone operating systems, which makes it a win-win for everyone. I had an iPhone the entire time I was pregnant, and recently made the switch to an Android phone, which unfortunately doesn’t seem to have quite the selection of pregnancy apps (including theBump.com one…which I mainly used to get sympathy from other pregnant mom’s at 3AM when I couldn’t sleep and my husband was at work), so I’m excited I can still use this one.

Download it for the iPhone here.

Download for Android .

2. Pilates for Pregnancy

This one is going to cost a few dollars to get, but has some pretty good reviews with about 3.5 stars. At $8.99 in the app store, the app includes three different pilates workouts — each one designed for each trimester of pregnancy — developed by an actual pilates instructor. In addition, there is a built-in notebook that lets the user record goals, pictures, or simple to-do’s.

Critics of the app warn that there are no videos, so if that is desired, this might not be that helpful. However, others said that the gradual progression of difficulty level throughout pregnancy was nice. One reviewer said “The exercises got harder as my pregnancy progressed but I feel like my back has been supported and in general they feel really good to do.”

I’ll be honest, I have never used this, mainly because I didn’t know it existed. However, I think it’s a handy tool for those times when a computer isn’t accessible or there is no energy left to get in the car and drive to a pilates class at the local gym. I know that toward the end of my pregnancy, I wouldn’t be caught dead in any public exercise class (besides water aerobics with all the other pregnant ladies).

Download for iPhone here

3. Full Term – Labor Contractions

There are a lot of apps out there to time ontractions, but I really think this one is the best, especially because it doesn’t cost anything. Simply just press the start button when a contraction starts and press the stop button when it ends, and it keeps a running total of how long each one was, the the length between each contraction. The intensity of each contraction can be recorded, it keeps a history of all the contractions that have been timed, and charts can be emailed with contraction history to anyone (maybe if a doctor needs convincing that a woman’s contractions are actually as close together are the lady is claiming? I have no idea!). It’s not the fanciest interface, seeing as it was created by a dad who said, “I created this application for use during my own wife’s labor and have paid special attention to keeping the interface as clean and clutter free as possible,” but it certainly gets the job done.

I used this the night I went into labor. I wasn’t sure at first if I was feeling contractions, so I hid under the covers and used it while my husband watched TV (don’t ask me why, but I didn’t want to tell him I thought I was in labor unless I was sure!). Because of it, I was eventually convinced that the pain I was feeling was contractions, and I even told the admitting nurse at Labor and Delivery that my contractions were, on average, 3 minutes and 2 seconds a part. I definitely recommend this one! It also is the only contraction counter in Apple app store that has 5 stars across the board.

Download for iPhone here

I didn’t review this one…but a contraction timer for all you Android users out there!

4. Foods to avoid while pregnant

There are a lot of myths concerning foods to avoid while pregnant, but there are also a lot of things you really should avoid! I wish I had known about this app, because it has all the foods, broken down into specific categories (such as milk and cheese, meat and eggs, etc.). And unlike all the message boards I visited with moms convinced that certain things were or were not okay, this seems like pretty legitimate information. It’ll cost you .99, but it might give more piece of mind while eating out or at a friend’s home for a dinner party.

Download for iPhone here

5. Perfect OB Wheel

This one is simple enough — it calculates the estimated date of conception, estimated due date, the beginnings and endings of the different trimesters (dates in pregnancy really confused me!), and the approximate weight of the baby. This is actually based off of the calculations the obstetricians and mid-wives use, so it’s about as accurate as these apps come. While this shouldn’t replace visiting the doctor during pregnancy, it can give some updates on baby in between appointments! It costs 1.99

Download for iPhone here

Flagstaff Medical Center to Send Patients Home with Smartphones

Smartphones are amazing tools that can do amazing things to help people in need, but if the patient can’t afford one, or doesn’t see the need then it really doesn’t matter how great they are. One hospital in Arizona is trying to overcome that stumbling block by sending patients home with all the technology they need.

Flagstaff Medical Center’s Care Beyond Walls and Wires initiative is designed to help patients in more rural areas receive the care they need without having to repeatedly come into the hospital. Here are some of the highlights from the press release:

In collaboration with Qualcomm Incorporated, through its Wireless Reach^TM initiative, Zephyr Technology, Verizon Wireless, and the National Institutes of Health (NIH), Care Beyond Walls and Wiresuses advanced 3G wireless technology and health-monitoring devices to enhance the care of patients with congestive heart failure (CHF) or other related conditions.

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Care Beyond Walls and Wires uses wireless broadband tools, such as smart phones and 3G technology, to allow in-home daily monitoring of patients with CHF. These tools will collect and transfer critical data, such as weight, blood pressure, activity and other important health indicators, to nurses at FMC who are following patients enrolled in the program. Information will be sent daily for three to six months after the patient’s discharge from the hospital. This daily exchange of information enables health care providers and patients to work together to manage CHF.

—

According to the Federal government, 25 to 50 percent of CHF patients are rehospitalized within three to six months of a hospital discharge. The primary reasons for rehospitalization include patients not taking medications as prescribed, failure to follow a dietary plan, not knowing the early signs of CHF and lack of planned follow-up with a healthcare provider after leaving the hospital. Each of these factors can be addressed on a daily basis through Care Beyond Walls and Wires.

—

Each monitoring kit includes: 3G-enabled Motorola Droid X2 smart phone, provided by Verizon Wireless, with a mobile application that allows patients to rapidly record and send information to FMC via a secure Internet portal; an oxygen and pulse monitor; blood pressure cuff; and weight scale. Additional items in the kit may include an advanced Zephyr health-monitoring system to measure other vital signs such as breathing rate, skin temperature, activity and posture.

While I really like the idea, and I personally am a fan of technology in any form, I am not sure how effective this will be. It said in the article that one of the main problems patients have is taking their medication properly and failure to follow recovery plans. If people are unable or unwilling to do those simple things, how likely are they to use all of this new equipment, or enter the data and send it to the doctor.

It seems to me that the people who are most likely to benefit from technology like this are people who already do what they are supposed to do, but are willing to put forth more effort to take their care to the next level. That being said, if it helps to save any lives then the effort is definitely worth it.

“Macaw(TM)” Launched by U.S. Preventative Medicine as the Ultimate Health Hub App Enabled by Qualcomm Life

Earlier this week I wrote about Qualcomm’s venture into the healthcare market with the launch of Qualcomm Life. Well, they have wasted little time in making their mark on the mHealth market. Yesterday they announced the release of a one-of-a-kind mobile health app: Macaw, which was developed in conjunction with U.S. Preventative Medicine.

The difference between this app and the myriad other apps out there is that it is a full personal health monitor. Macaw not only tracks activity, it covers the full range of health information. It brings together all of the information from health and fitness apps, plus lab results and wireless devices.

In this world of instant information people are looking for a one stop shop for healthcare just like everything else. Macaw appears to be exactly that type of app. Here are some of the highlights from the press release:

Features include:

7 questions to quickly assess your health

GPS to track exercise

Ability to set goals and track weight and calories

Reminders about recommended preventive screenings based on age and gender

Activity and knowledge cards that unlock chances for weekly prizes

Additional features for members of The Prevention Plan include:

A link to the Prevention Score, a unique tool that tracks an individual’s prevention efforts and key health indicators throughout the year

Activity auto-uploaded to The Prevention Plan

Exercise, weight and calories tracked

The Prevention Plan is a clinically-based program designed to help people live healthier lives and avoid having health issues in the first place. By tying this program into an app on smartphones it only makes it easier for users to actually accomplish what they set out to do: live a healthier life.

I have used a few different apps and gadgets like this, but I am really excited to see how effective Macaw really is. The fact that it is free only makes it that much more interesting.

Macaw is currently available on the iPhone as well as Android systems.

For the full press release please follow this link.

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mHealth App Created to Help Combat Chronic Migraines

PocketHealth Raises the Bar for mPHRs

Congressmen Ask FDA and FCC to Answer for Delays in Regulation of mHealth

Regulating mHealth Apps: Does it Limit Creativity?

Losing Weight on the Go: Keep Food Diary Easier than Ever

Must Have Pregnancy Mobile Apps

Flagstaff Medical Center to Send Patients Home with Smartphones

“Macaw(TM)” Launched by U.S. Preventative Medicine as the Ultimate Health Hub App Enabled by Qualcomm Life

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