Vision impairment is the most common disability for children, and it’s usually very treatable if detected early. But pediatricians struggle with vision screening. Wall charts are cumbersome to administer and as a result practices take shortcuts and miss a lot of cases. Kevon Saber is on a mission to change that. GoCheck Kids, where he’s CEO, uses a smartphone based tool for easy vision screening that integrates with the electronic health record.
In this episode of the HealthBiz Podcast, Kevon traces his journey as the son of Persian and Mexican parents living in immigrant neighborhoods, through Santa Clara University, Stanford, Silicon Valley and now Nashville. Many of the kids he grew up with have struggled –some are dead or in prison. Meanwhile, Kevon is a proponent of diversity in healthcare leadership, and wants his team to reflect the communities they serve.
Kevon is re-reading (or listening to) a few books:
I share my impressions of the Amazon Halo and Apple Watch in the latest edition of the HealthBiz podcast. Usually, I interview a guest but in this episode it’s just me.
I’ve gotten a lot of use out of the Watch over the past couple years and I’m not giving it up any time soon. But the Band adds some useful –and novel— features, making it more of a complement than a substitute. I’m planning to keep wearing both.
(January 3, 2021 Update: I have been asked about whether I’ve found a way to import Amazon Halo data into the Apple Health app. The answer is no. When I follow instructions from Apple to import data from other apps, Halo doesn’t show up, which means it’s unlikely to be compatible. I followed Amazon’s instructions to download my Halo data. Theoretically I could enter it into Apple Health manually but that would be cumbersome and not likely to yield much. I am going to explore this topic further to see what I find and possibly write a new post or record a supplemental podcast.)
A few years back I heard that sitting is the new smoking. That concerned me, since I’m the type that tends to stay glued to my seat throughout the workday, especially when working from home. Some colleagues and clients have standing desks –or even treadmill desks!– but they never appealed to me.
The Apple Watch has been helpful in encouraging me to stand up. While I ignore most of its other prompts (like the suggestion to Breathe) I am quite responsive to the notification I get 10 minutes before the top of the hour, imploring me to stand up at least once before the clock strikes.
Recently, FluidStance offered to let me test out its Plane balance board, billed as a product that brings “movement and happiness to your workplace.” Bottom line: I like it and you might, too.
The board itself. (Blue part is the bottom but it’s attractive enough that I thought it might be the top!)
With #COVID19 in the air, I don’t get a lot of excitement. So it’s always a highlight to receive a package on the doorstep. The balance board came in a long, thin box; when I opened it up I was impressed with the cloth backpack. I felt pretty cool carrying it up to my home office past my teenagers!
Dad is so cool!
It took me a couple minutes to figure out which end was up. (I got it wrong at first.) And my initial joy was tempered when I read the label on the board.
WARNING, USE AT YOUR OWN RISK! This product creates an unstable surface. Use of this product may result in injury or death. Use at your own risk.
Till death do us part!
Injury I can live with. But death? Even if sitting is the new smoking (and that’s actually controversial) death is still the old death!
Although my balance is good, I’ve never had much luck with skateboards, wakeboards, surfboards of anything kind of board. I was particularly good with the pogo stick as a kid, however.
I need not have worried, because the FluidStance board is really easy to balance on. If you do fall off, it’s about 3 inches so no biggie! It does provide a nice stimulus –better than just standing on the floor, and it’s easy to swivel around, too, should the temptation strike you.
I didn’t want to risk messing up my hardwood floor, so I put a mat under my chair. It protects the floor but does make it a little harder to swivel. When I’m not standing (which is still most of the time) I put my feet on it and use it as a footrest.
I’ve always done audio conference calls, but the pandemic seems to be pushing what would have been in-person meetings and even many phone calls into the video realm. Since I’m not even walking from one conference room to another, I’m sitting even more and am making an effort to stand.
The balance board is good to stand on during conference calls, but it presents a couple of challenges. For audio, I’m a bit far from the speaker phone –but I’ve checked with others and my sound seems good. But for video calls my head ends up out of camera range, even if I tilt the monitor up. I could probably do something about that with a webcam or mounting my laptop on a shelf, but I haven’t. These are minor annoyances but it means I don’t use the board as much as I might like to.
I’m not sure whether there are measurable benefits from using the balance board, but in any event I do like it and plan to keep using it. The literature that came with the deck said, “We aim to blur the lines between work and play, making work a more fluid and natural part of our whole lives.” I can feel that.
The FluidStance product is very well built. It’s solid, attractive and durable. Built in California, it’s well positioned to ride the de-globalization that seems likely post-COVID.
She conducted a rigorous study to measure the peak loudness of dryers at two distances from the wall, both with and without hands in the dryer’s air flow. She measured the sounds at different heights, corresponding to the ear canal height of younger and older kids and of adult men and women.
I encourage you to read the article. It is brief and well-written.
When I saw the write-up in the Washington Post, I immediately remembered writing about this very issue back in 2013 (when the author was about 7 and starting to develop an interest in the topic).
I’m not so fond of the Excel Xlerator. Sure it’s powerful, but it’s also incredibly noisy. I have sensitive ears, and I’m not embarrassed to admit that when I’m exposed to a loud sound I cover my ears with my hands. But of course if I’m drying my hands I can’t use them to protect from the noise. The Xlerator is loud enough that I suspect it’s a threat to hearing. At the very least it’s so annoying that I bet some people skip hand washing to avoid using it. My gym has one of these beasts and after being bothered by it for a while I decided to research the noise level.
I didn’t do any original research but I found a paper by Jeffrey Fullerton and a colleague from an acoustical consulting firm and corresponded with Jeff about the subject. He told me that the airstream is a major factor in the noise level and advised me to lower my hands a foot or so below the nozzle , which helps make things quieter. This is the approach I use to this day, with some success –although sometimes the sensor doesn’t see my hands and it does take a bit longer to dry.
The new research by Keegan quantifies the difference made by placing hands in the airflow and also identified the Xlerator as the number one bad boy.
When I read the article I circled back to my original sources. The article I cited is gone (maybe the firm snuffed it when the author moved on) but the Acoustical Society of America still has a summary on its site.
My favorite tidbit is that there is (was?) a noise reduction nozzle for the Xlerator. Presumably the manufacturer understood there was a problem.
What’s worse than needing help with gait, mobility and balance? Being told you need a walker. No wonder, when the typical walker basically screams “frail elderly,” and is difficult to use as well.
Neurologist Patricia Kavanagh was struggling to get her patients with Parkinson’s and other movement disorders to use a walker. So she teamed up with a design and production team to found Foray and create the Spring, a modern device that is more functional and stylish.
In this podcast interview we discuss:
(0:13) Dr. Kavanagh’s clinical practice and the types of patients she treats
(1:19) Key challenges she faces working with patients with movement disorders
(3:24) Problems with current assistive devices like canes and walkers
(6:11) Whether walkers are unique in their poor design
(7:26) The story behind the birth of Foray and the development of the Spring
(8:42) The target audience
(12:04) Price point for the new device
(12:50) The thinking behind the branding of Spring and Foray
(13:31) Potential line extensions
(15:20) Impact of burden of chronic disease on mobility and exercise tolerance
