Geekend: Smartphone Blood Tests Could Save Your Life - InformationWeek

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2/6/2015
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David Wagner
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Geekend: Smartphone Blood Tests Could Save Your Life

Blood tests with your smartphone may change the way we treat AIDS, Diabetes, infectious diseases, and even transform the way we interact with our doctors.

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Have you ever gone to the doctor for a simple blood test and waited days for the results? It was annoying, right? Have you ever had a potentially fatal disease that could be diagnosed by a blood test, and waited days for those results? Now we're talking life or death. 

That's why there's so much promise in a new wave of blood-testing attachments for smartphones. Yes, your smartphone. We'll soon be able to monitor blood sugar, check for warning signs of stroke, track basic metabolism, and even detect HIV and syphilis in a matter of minutes, using attachments on our phone that are not much bigger than a card reader. This is going to spur far-reaching changes in the way healthcare is done in this country and around the world.

The most exciting news in this field came out Thursday from Columbia University, which announced that it has created a smartphone dongle that, in 15 minutes, can provide blood test results screening for HIV (the virus that causes AIDS) or syphilis. According to Columbia University, it requires only 30 minutes of training for a person to learn how to use the tool. The best part is that, while the traditional HIV test costs more than $18,000, this machine costs $34.

In 2011, there were an estimated 34 million people with HIV/AIDS worldwide, including 3.3 million children. Each year, 1.7 million people die from AIDS. Early detection is crucial to getting people on the right cocktail of inhibitors before HIV turns into AIDS.

This is especially a big deal in sub-Saharan Africa, where nearly two thirds of the cases of HIV are found, but there is not an advanced infrastructure to test for or treat AIDS. The device was tested in Rwanda, so we know it is rugged enough to handle the travel and heavy use of real field work.

The reduced cost of testing, from tens of thousands of dollars to pocket money, is enough to make this a game changer. But given how easy it will be to bring the test to people who need it in at-risk communities, this may be just what the doctor ordered.

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HIV testing isn't the only innovation here. Diabetes, a disease which costs $178 billion to treat in the US alone, is another case where profound changes could occur from this technology. An Israeli company, Labstyle Innovations Corp., is among those testing blood glucose meters that attach directly to your smartphone. Portable glucose readers are already ubiquitous, but tracking test results requires organization and detail on the part of the patient, or perhaps the use of a secondary app.

By attaching the meter to the smartphone, tests can be stored automatically in the app. The app can help recommend action for the patient if blood sugar is too high or low, and the app can be used to remind the patient to test. Regular and accurate testing of diabetes patients prevents complications, reduces hospitalization, and improves quality of life for diabetes patients while reducing healthcare costs.

Multiple competing universities and companies, including the Swiss Federal Institute of Technology and the University of Rhode Island, are also working on tests for basic markers of cardiovascular disease and signs of stroke. Eventually, we assume tests could lead to basic blood work-ups of all kinds.

Smartphone blood tests and the future of healthcare

This begs some questions about the future of healthcare. Will doctors start drawing blood in the office and give us results right there in real-time? Will we start drawing blood at home and monitoring our health on our own? Will smartphone apps start replacing many of the roles of the general practitioner?

It seems almost certain that doctors soon will be conducting tests right in the office in real-time. I could imagine a situation in which, during the pre-exam process, right after you are weighed and your blood pressure is taken, a nurse will also prick your finger for a speedy blood test. The results can go straight to your doctor's phone in the middle of the exam. No three-day wait for test results. No being sent off to a lab in another part of the building to get the blood drawn. That’s the good part.

Stuff gets interesting when you get people buying these for themselves. Would you spend $34 to find out you whether you have HIV, or to test your blood daily for vitamin deficiencies, or to spot potential long-term problems before they become dangerous, to identify cardiovascular disease? The price point at which such a tool becomes valuable to you depends on your own personal health status.

Outside of a very rigorous lab testing scenario, we don't really know what happens to a person's daily blood counts. If you tracked yourself daily, could you see deficiencies in your diet? Would you see early warning signs of stroke or cancer? What could we do with that data if it was collected and stored in a big data setting? We could potentially cure diseases with this kind of unprecedented data on our blood.

The University of Rhode Island has reduced its machine from the size of a shoe box to the size of a credit card. It isn't like you're setting up a giant lab in your house. Columbia has shown the way into making these cheap and easy to use. It is entirely possible to imagine we can monitor our fitness on a metabolic level daily or even hourly.

If we tied that to an app, would we even need a doctor? Couldn't the app tell us when it looked like our white blood cells were spiking and maybe we need some antivirals or antibiotics? Couldn't it warn us about heart disease before a doctor lectured us? The idea of a yearly checkup would become obsolete. We'd only need doctors when the warning signs showed something big.

Granted, we've got a problem with this. I don't exactly trust anything in the typical app store right now when it comes to information about my health. I'd be afraid of snake oil apps attached to my new home blood lab. I’d also be afraid of really bad programming. Could you imagine an app trying to be friendly and supportive and saying in the AOL voice, "You've got AIDs!" There are so many ways for things to go wrong. I'm dread the day when we'll be peeing on our phones as part of the health-monitoring process. Maybe medicine is best left to the professionals.

Still, it is hard not to see the giant repercussions of this. It puts power in the hands of the patient. It reduces testing time. It frees medical professionals to do more doctoring. It requires less training to enable more people to perform tests in the field. As we create tests for ebola, the flu, or other epidemic diseases, it may allow public health officials to stop the spread of diseases before they wreak havoc. If we can fight off the worst impulses of our nature, this could be the best medical breakthrough since antibiotics.

What do you think? Would you test your blood at home and rely on your smartphone for results? Would you allow an app to replace or at least supplement your doctor? Would it gross you out to take a blood sample with your phone and then use the same phone to make a call? Tell us what you think in the comments section below.

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David has been writing on business and technology for over 10 years and was most recently Managing Editor at Enterpriseefficiency.com. Before that he was an Assistant Editor at MIT Sloan Management Review, where he covered a wide range of business topics including IT, ... View Full Bio
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David Wagner
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David Wagner,
User Rank: Strategist
2/24/2015 | 5:57:17 PM
Re: $18000 to $34
@kstaron- That is the number that the researchers quoted in their own release. I'm willing to say they probably looked for the most retail-oriented, single use test out there. I'm guessing the Red Cross can do it for less because they do it in bulk. But I bet that's what the insurance companies charge or something.
kstaron
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kstaron,
User Rank: Ninja
2/23/2015 | 12:49:47 PM
$18000 to $34

"traditional HIV test costs more than $18,000"

Whoa! Is that figure correct? I thought it would have to be lower since the Red Cross needs to screen every blood donation. In that case the savings using the dongle will be enormous. This makes sense that we should be leveraging the microprocessors in our smartphones for things like blood sugar and blood typing. Using technology to get results both faster and cheaper is a boon to the healthcare industry and their patients. How soon before they can do a lipid profile or other blood tests? How many years before most of our lab workup can be done on our smartphones?

Ariella
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Ariella,
User Rank: Author
2/9/2015 | 2:31:59 PM
Re: Geekend: Smartphone Blood Tests Could Save Your Life
Likely, in cases like that it can urge another blood test for confirmation. Even doctors do that sometimes, as I found when I brought my daughter in for a consultation with a specialist. That reminds me that I have to ask about the results of her last blood test and if she will need a new prescription.
freespiritny25
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freespiritny25,
User Rank: Ninja
2/9/2015 | 12:05:54 PM
Re: Geekend: Smartphone Blood Tests Could Save Your Life
Very interesting. I think it would be useful for daily tracking, like diabetes, but I am not so sure about diagnosing disease. I don't think anyone should be alone having their phone telling them they are HIV positive. That is something that should be done with a medical professional present for support and counselling, as well as referrals to necessary specialists.
vnewman2
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vnewman2,
User Rank: Ninja
2/7/2015 | 11:25:56 PM
Re: A very Smart Device and Software
Knowledge is power as they say. I don't think that people should become their own doctors so to speak but with the advent of the internet there is no longer a monopoly on medical information. Think about it: it used to be the only way to get a diagnosis was to go to the doctor because the only way medical information was shared was through medical schools and your average joe was completely in the dark. Not so anymore. So it stands to reasons that diagnostic tools should also be available to the "patient" who still can and should take this information to your healthcare provider. But knowing is half the battle.
danielcawrey
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danielcawrey,
User Rank: Ninja
2/7/2015 | 4:59:47 PM
Re: A very Smart Device and Software
I think that people deserve to have these types of tools at their disposal. It's not always an easy experience going to the doctor, so I think any digital products that can enhance the healthcare of people around the world is really beneficial. 

Would I do a blood test on myself? Maybe, it would really depend on the situation. 
jastroff
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jastroff,
User Rank: Ninja
2/7/2015 | 11:49:59 AM
A very Smart Device and Software
>> Still, it is hard not to see the giant repercussions of this. It puts power in the hands of the patient. It reduces testing time. It frees medical professionals to do more doctoring. It requires less training to enable more people to perform tests in the field.

Very good stuff, and the good Professor didn't have to go on Shark Tank for funds. 

Truly disruptive, and very beneficial to people.

Why is it "people" benefits lag behind business benefits in the grand scheme of things, i.e, this development comes way after the ability to process a company's human resources files...
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