ACE-Inhibitors NOT Associated With Early Severe #COVID-19 Disease- Breaking Research With Worldwide Implications Thanks To Digital Health

Breaking research from King's College Hospital​ London shows that ACE-inhibitors are NOT associated with early severe COVID-19 disease.

This is groundbreaking with immediate worldwide implications as it shows that patients do NOT need to stop their antihypertensives, which is in contrast to initial anecdotal reports from other sites during the early days of the pandemic.

This means our patients will NOT have to then present to hospital with hypertensive crises; heart attacks; stroke; or otherwise due to stopping their ACE-inhibitors, which would have substantially added burden to already strained healthcare systems worldwide. Patients will continue to benefit from the cardioprotective remodelling effects of these medications, and can safely continue them even if infected with coronavirus.

The speed of this research was greatly aided by digital health platform CogStack, which enables natural language processing to effectively mine data for medical research.

Congratulations to everyone involved! Please Help the global fight against COVID-19 by sharing this research.

Universal Telehealth in Australia Begins Today - Here's What You Need To Know

"Universal Telehealth" was announced by Australian Federal Health Minister Greg Hunt yesterday. That means from today, we're all eligible for bulk-billed Medicare telehealth consults in Australia.

Telehealth = over the phone, or over video call eg. Skype, FaceTime, Zoom, WhatsApp. This is really useful for things like appointments to follow up on blood results; counselling; referrals; anything that doesn't require a physical examination. You may be already using Telehealth, whether you’re a clinician practicing it for remote patients; or as a patient who’s received care online or over the phone.

You may still need to attend in person if the doctor needs to examine a lump, excise a melanoma, or other condition.

GPs, Specialists, Midwives, Psychologists, Aboriginal and Torres Strait Islander Health Workers, Social Workers- a range of providers are able to do this (if they choose to), saving you the visit to a clinic, and saving the healthcare worker the added exposures from them going to clinic or seeing more patients in person in an era when we're all social distancing and at risk of bringing #COVID19 home to our loved ones (and lacking Personal Protective Equipment to protect ourselves).

This also helps vulnerable healthcare workers #workfromhome or from other safe, protected premises so the 70-year-old specialist with diabetes for example could continue working safely if they wish.

The ABC has a great article for patients.

Many providers are also offering privately-billed Telehealth consults for those items that are not covered by Medicare, such as Physio and Dietitian consults for non-eating-disorder-related conditions. Your clinic or provider will be able to inform you.

Healthcare workers, check your indemnity covers Telehealth- it should. A phone call or visit to your indemnity provider's website will help.

Also, be aware of the privacy of free software. As mentioned on Avant: "The Department of Health has noted that free versions of these applications (i.e. non-commercial versions) may not meet applicable laws for security and privacy. You should check whether the platform you wish to use complies with Australian privacy and security laws. You can do this by asking the vendor or checking the vendor’s website."

Grateful to the Australian government and to EVERYONE who campaigned hard for this, including the Australian Medical Association​, RACGP, RACP, RACS and other colleges, and healthcare workers and community groups nationwide.

For insights from the Australian Telehealth Conference; read our post here!

For insights from New Zealand healthcare workers from telehealth, including Virtual Ward Rounds, read our article here.

Preparation, Not Fear: Tips For Working and Living in Isolation during COVID-19

Hit the news right now and you’ll see almost nothing but sadness and negativity about COVID-19. Rightly so; it’s a pandemic; it’s a rapidly accelerating #globalhealthemergency, and not enough seems to be done by many leaders til it’s too late.

As we mentioned, it’s easy to feel despondent and helpless about the future. We can’t fix everything, but we can focus on the things we can. The current projections are that this will be around for at least a few months, if not, longer; and decisions on working, studying, travelling, and socialising are changing rapidly literally overnight. If you’re not used to working, studying or living in isolation or confined quarters, what can you do?

How are some ways to prepare for home isolation or working from home:

1) Keep up your exercise, eating and daily health routines

It’s absolutely vital that we keep up our immunity, whether we have access to gyms and sports groups in normal life, or steps, water bottles, exercise bands and barbells at home. Download a fitness app (such as this one, which has home exercises you can do without gym equipment!); watch YouTube for free fitness classes; do some starjumps, pushups, lunges, and squats every hour; do a few walking laps or light jogs within the confines of your home every hour; take a break from the screen every hour so your eyes can adjust. And yes, it’s okay to let the sunlight in (though wear sunscreen if you sit in direct sunlight); no one’s said that COVID-19 seeps through windows at present!

Obviously, if you’re in quarantine because you fit the criteria for recent overseas travel or immediate contact with a confirmed COVID19 case, which is what the current Australian Government guidelines are for testing, you will need to take it easy and self-monitor more closely for signs of symptoms, rather than exercising yourself through respiratory failure in the worst case scenario. But, you have good judgment; use it.

And, of course, use the chance to cook (or learn to cook!) some delicious, nutritious healthy meals for yourselves

2) Keep up your daily hygiene routines as though you’re still going to the office/uni/school

Seems like a silly thing to say, but it’s quite common when working from home to be tempted into staying in pajamas without a shower all day! The WHO Handwashing recommendations for preventing COVID-19 is not just for handwashing; taking a shower obviously will help wash off any germs just like washing your hands will. We were befuddled to see the local supermarket handwash shelves stripped bare, yet creaking with 1-litre bottles of shower gel right next to it!.

Plus, keeping your daily hygiene routine also helps reset your “home” mindset for “work/study”, and thus help you with your productivity.

3) I’m unemployed/a casual worker unpaid during isolation/unable to do my usual job at home because I’m a mechanic or otherwise

We’re not going to make light of this; it’s a huge issue for millions of people around the world, and there is a LOT that needs to be done by Governments, employers, insurers and other structures to help protect you in times like these. And, it is scary.

Instead of focusing on the negative, let’s think about the positive. The time off may just be for two weeks. Or even a month in some cases, or longer, which is daunting, and in the realm of what you CAN’T control. But think about the following, which you CAN control:

  • Is there some skill or unique knowledge I have that I can turn into a product or service offering online or over the phone? Could you be a coach? A tutor? Write and sell an eBook? Sell an online course? Platforms like Teachable and Thinkific provide free classes on how to plan, create and launch an online course, simply with your laptop. It can take time, but it can be as simple as you need. You don’t necessarily need to film with your face in front of the camera if it doesn’t suit you. The best thing is, once COVID-19 is over, or even beforehand when quarantine is over, your product or service can still be there, running along in the background when you return to work, or when you hit the ground running looking for other jobs. That’s basically your side-hustle helping you with an additional income stream, no matter what your employment situation is at any stage in your life; no matter how small the income may be at first; and during isolation, it helps to keep your mind active and focused on a goal and outcome to prevent worrying about the unknown.

  • What have I always wanted to do or wished for more time for, but couldn’t because I was working/studying? Barring the ones like “travel to Europe” or “hike Kilimanjaro”; perhaps you’ve wanted to spend more time with your children; organise your photo albums; learn to paint; reorganise your home; learn to dance; or other things that you could do at home. In fact, “travelling to Europe” could still be done, kind of, virtually, with a decent VR headset and travel film- search online for suggestions. Buy eBooks or read free travel blogs stacked with photos upon photos of Greece, Venice, the Caribbean… or write up your own travel memoirs into a blog or book yourself.
    And in terms of learning to dance or paint - online class portals like Skillshare and CreativeLive have thousands of free or low-cost classes you can take to pick up a new skill.

  • Speak to your local welfare sources; to your employer; to your bank; to your service providers (electricity, etc) about what sort of assistance they can provide, if any. Some may be willing to defer or freeze payments temporarily while you’re in sudden hardship, though this may be more difficult when the rest of your country is in lockdown. But if you don’t ask, you don’t know. And some employers in Australia have committed to paying their casual staff if they are suddenly isolated or quarantined due to COVID19.

4) Keep your mind healthy. Meditation; mindfulness; yoga; deep breathing; and other calming techniques are useful in all kinds of situations, and for all ages and demographics. Isolation can be tough; you may miss the everyday social interactions you didn’t realise you get from the workplace or school or study institution; learning a meditation technique can be incredibly helpful for keeping your mind and body strong. Yes, meditation has significant health effects on the body, including lowering blood pressure, preventing illness, and improving your immunity. It may not prevent you from falling sick (including from coronavirus, unfortunately), but can help your mindset and physical health if you do happen to fall unwell, or if a loved one falls ill.

5) Keep social. Home isolation doesn’t mean you have to switch off your phone! Make time to call a friend each day. If you’re home with family or friends, make time for just having your usual meals together; exercising together; learning a fun new activity together; or playing board games together. An interesting article in the BBC recently showed some unexpectedly positive benefits from working from home and spending more time with loved ones in forced isolation in Wuhan and other parts of China.

6) Talk to someone for help. It’s also okay to speak to a phone or telehealth counsellor over Skype, Facetime or other platforms if you’re having trouble coping. If your employer offers an Employee Assistance Program (EAP) or other free confidential counselling service for their workers, you can access this over the phone or video call as a benefit of your employment. The Australian Government has finally approved funding for Medicare-enabled telehealth consults for GPs to see possible coronavirus and chronic illness patients remotely without having to physically come into the clinic, where they may be exposed to coronavirus or potentially infect others. There are numerous online psychologists and counsellors, with varying fee structures (mostly private out-of-pocket funding in Australia at the time of writing); and other telehealth services in other specialties including Psychiatry, Endocrinology, Rheumatology, Dietetics, Physiotherapy, and other specialties, which, if you see a current Specialist, you may be able to access. All it takes is a quick phone call or email to find out.

7) Your temporary quarantine/isolation is a gift that others don’t have. It may not seem like it immediately; but if you think about the poor doctors who died in Wuhan during the initial outbreak, while the world was trying to figure out what this mysterious new virus was; what the incubation period was; and how to prevent its spread; if you think about the several months’ head start you and your country have in identifying the cause and knowing more about what to expect from COVID19; we are truly, incredibly fortunate, and if we all act together with #compassion and #kindness, we still have time to fight this and stop this horrible disease from spreading and worsening its effects on the world.

These are just some tips to start out with; we may well add more but for now, enjoy this post, let us know if you found it helpful!

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Some thoughts on preparing for the Novel Coronavirus COVID-19

With the alarming spread of COVID-19 on everyone’s minds, it can be easy to feel helpless and dismal about the future. Life’s about accepting what we can’t control, and managing what we can. Here are a few suggestions for you to take action now, and not wait for a pandemic or otherwise to be declared.

  1. WASH YOUR HANDS PROPERLY. WITH SOAP.

We’ve had many people asking; “should I wear a mask? Should I avoid certain areas of town?” All the masks in the world would be useless to prevent infection transmission if we didn’t have proper hand washing technique, that anyone can do, as endorsed by the World Health Organisation (WHO). 

Sing “Happy Birthday To You” twice while washing. That’s the recommendation. (Aloud, if you wish!)

SOAP is key. And frequently. If you cough. If you sneeze from hay fever. Before and after you eat. 

If no soap, use alcohol-based hand rub. 

This goes for the flu as well. Influenza is not just spread by airway droplets; it is actually spread through contact transmission, ie. hands and other surface contact, just like gastroenteritis. Coronavirus (which is a name for a group of respiratory viruses, hence COVID-19 for the name of this particularly virulent subtype) is also spread in this way, just like the common cold. Hence, HANDWASHING WITH SOAP is important. 

I can’t emphasise it enough. Handwashing saves lives. And it’s annoying when people cough and sneeze without covering their mouths and noses in public (an accident is an accident, but if you’re being a tool, that’s just rude). And in Australia, we’re not at the stage right now where our Government is saying we have to wear masks as a precaution. And even if we were, we’d still say- WASH YOUR HANDS WITH SOAP. 

2. Minimise hand-to-hand transmission

So yes, avoiding handshakes is reasonable. 

3. Pay attention to the latest health updates from your local Government health authority. 

Your Federal or State Government; or the equivalent authority wherever you live, will be able to give you up to date advice in your area; on whether it’s safe to go out; to go to work/school; to attend particular events. Listen to the real news, not fake. 

Speaking of real news; drive-thru coronavirus testing has apparently taken off in Daegu, South Korea. Seems like a great way to reduce exposure risks to the community- and to healthcare workers (and their families), too.

4. Prepare for Online Work/Study/Telehealth

One of the only business models that would actually benefit from COVID-19 is telemedicine. 

The RACGP is calling on the Federal Government to allow a short-term Medicare rebate for Telehealth services to help enable consultations while minimising risk of infection transmission. In the US, where Telehealth is more mature, telemedicine providers are ramping up their capabilities and patients are being warned to expect more consultations online.

It won’t just be healthcare. Schools and universities are already in the midst of online classes for those stranded by travel bans and restrictions. EY and other multinational firms have cancelled some business travel and moved to online conferencing to reduce risks to their employees. We foresee professional development conferences and workshops increasingly being moved online across all industries.

So, if you have a remote working/studying option, prepare early for this, as a snap decision could be made by your Government/institution in a day.  Or if you’re self-employed, now would be a great time to see what services you could move online.

5. Pay attention to your travel insurance.

If you’re planning to travel somewhere, check what your travel insurance’s Product Disclosure Statement covers.

6. Be kind and compassionate

There’s absolutely no excuse for racism. Ever. 

It is NOT the fault of someone’s ethnicity or appearance that this virus has appeared. It’s APPALLING how ignorant people can be, and how widespread rudeness is. 

Health systems and local industries beyond health are already overstretched. By putting your prejudices in front and pointing fingers at people of particular appearance (and we’ve been victims of this!), you’re simply displaying how ignorant you are, and wasting time and energy alienating the very people who are trying to help you, or who are your neighbours in your local communities

No one wanted coronavirus to happen. It’ll be easier to get through together without hatred and fear.

Highlights from the Wearable Technologies Australia conference

We had the pleasure of attending the Wearables Technologies Australia conference in Melbourne in 2018. Starting in Germany, this organisation now runs events internationally, bringing the worlds of IoT, wearables, AR, AI, VR and so forth together.

We loved the range of industries showcased, featuring not only healthtech, but also sportstech; design; consumer goods; and fashion tech.

What was the key idea from the event?

Good Design Needs ALL Users To Be Involved

I mean, it’s obvious, right? If you’re going to design a product, you want to make sure everyone’s happy to use it. Especially when an organisation’s potentially spending millions of dollars on its acquisition.

This is a very common failure in startups. Designing a product that you love is a great thing and can be very self-satisfying as part of the creative process!, but if you’re really wanting to sell your product and eventually scale, it needs to suit all your users best. And as many speakers mentioned, users aren’t just your patients! Every doctor, nurse, physio, and other healthcare professional out there knows how frustrating it is dealing with EMRs that are built to suit Excel users rather than intuitively helping you on a ward round.

This was what got The Medical Startup going in the first place; the frustration that healthcare workers aren’t included enough in the design process. And hearing industrial designer Leah Heiss speak about her design process helped us understand; too often, designers aren’t brought into the process until late in the development stage, and funds may be limited to a small part of the budget. Meaning, your engineers may have worked hard for the bulk of the project, but when the design team comes in, due to budget constraints, they have to deal with what they’re presented with, rather than sharing responsibilities with the engineers from the start of the work.

Leah was behind the design of Blamey Saunders’ beautiful hearing aids, inspired by trips to the Melbourne Museum geology collection and jewellery. As a designer, Leah’s job ultimately reflects what doctors are trained to do: interview well. Designers can spend hours taking good interviews from end users, to thoroughly understand what problems they face; what their behaviour is when faced with these problems; and even little things, like the aesthetic beauty of the product, and its ease when tucked into a pocket, whether for male or female users, was a key feature of Leah’s award-winning design.

We also enjoyed learning about headsets monitoring for signs of concussion during rugby matches; smart clothing from Billie Whitehouse; and many more innovations from across the globe.

Juggling Family & Career Is Tough, Even If You're Not A Parent

I read tons of entrepreneurship books, blogs, magazines and other resources, and I get sick of seeing the same theme, over and over again.

That work-life juggle portrayed as only an issue if you’re a mum.

Um, hello???

What about those who are carers?

Who are single but have other dependants?

Who are in long-distance relationships?

Who are the sole breadwinners?

The list goes on.

Just wanting to post this so the “silent carers” out there can also be acknowledged.

You’re doing a Great job.

Doing what you can, realising that no two days are alike.

Trying to fit into a “typical” day situation isn’t fair to you when you’re actually sliding along the continuum of Work and Home Life.

Let’s do this together!

Book Review: "Rest: Why You Get More Done When You Work Less" by Alex Soojung-Kim Pang

Many of us in medicine struggle to justify why we should slow down and give ourselves a break.

We’re used to putting others’ needs before our own.

We’re used to unrelenting unrostered overtime; oncall callbacks at 3am; weekend shfits trickling into birthdays and holidays; and working through illness.

If only there was a book that helped us justify to our evidence-based selves WHY we need to rest.

Alex Soojung-Kim Pang does this brilliantly in his easy-to-read manual, “Rest.

Alex is a Silicon Valley consultant used to seeing that other modern group of trophy chronic overworkers - tech workers.

No longer is “hustling,” “crushing” and “burning it” a badge of honour for your work.

And no longer are you badgering yourself for not “working hard enough”. You probably already are. This book teaches you how to work SMART.

Doctors know well (or should know!) that as physiologic stress hormones, chronic raised adrenaline and cortisol (which are essential hormones that help regulate our daily functions in normal health, not an evil in themselves!), can lead to raised blood pressure; heart disease; higher stroke risk; obesity; cancers; some thyroid disorders; some autoimmune conditions; and other conditions. As part of the body’s natural homeostasis/resetting, we all need sleep; good nutrition; regular exercise; and unregulated downtime- sitting and doing nothing, allowing ourselves to drift to boredom and creativity. (They say having bouts of boredom in our lives actually helps fuel creativity and innovation- hence why people struggle when they try to find a “job they love” that never bores them 24/7- the fact is, those peaks and troughs even in your dream pursuit, help you stay stimulated, curious and engaged with your passion!)

When we set that homeostasis out of whack due to shift work; chronic long hours (and everyone has a different set point for when they feel tired after a certain number of hours - your 40-hour week may be someone else’s 100-hour week!); irregular sleep habits; poor diet; and basically being “on” all the time; eventually, our bodies catch up and physically can’t take it anymore without an even longer rest, if it ever recovers.

Workplace burnout has recently been recognised by the World Health Organization as a “workplace syndrome” classified by the International Classification of Diseases (ICD)-11. This makes it even easier for us, whether we’re in medicine, tech or otherwise, to recognise signs of burnout, and the need to switch off and rest as part of our work/life routine.

Alex’s book gives tips from his research and work on this subject, and illustrates it with anecdotes from scientists who’ve raised productivity through napping; Stephen King’s writing routine; the benefits of walking; and other simple, inexpensive and time-effective measures for longevity in your work-life continuum. Like most books we recommend, it’s easy to read on the train, in bite-sized pieces, or all at once during your favourite reading time.

So, no more excuses. You deserve to Rest!

(The Medical Startup is an affiliate for Book Depository.)

Your Creativity-Filled Holiday in New York City with Creative Cities 21

A few years ago, I embarked on two creative exploration visits to New York City.

I attended an Italian shoemaking course; a music industry summit; several shows on Broadway and off; a hackathon; and a talk by the Man Repeller herself, Leandra Medine.

For me, it was life-changing, and not long after the first trip, I was inspired to create The Medical Startup.

The memories from these trips still inspire me. But it took time to find these events, and curate my own retreat.

Creative Cities 21 would have made this a lot easier.

Jeremy and Angie Stone discovered this on a long-service leave trip to New York City. Inspired by one of the world’s most creative cities, the couple designed their own creative holiday, filled with activities such as painting and acting with Broadway actors, and came back from their trip not only rejuvenated, but fuelled with the desire to bring others along on this experience. Hence, Creative Cities 21 was born.

This year, CC21 will be held again in NYC, from Sunday 25th August. The five-day program includes art, communication and other experiential classes taught by local professionals, with ample time for exploring the Big Apple each day. Exclusive social events have been curated with local creatives, and classes with the best New York teachers who are professionals in their own right, so you don’t need to do the hard work yourself planning your own escape.

Why is creativity so important?

Studies worldwide have shown the many benefits of creativity and creative thinking in business and innovation. Harvard teaches Creative Thinking in many of its own courses, and creativity is widely recognised as an essential skill for the 21st century; perhaps an antidote to increasing automation and “the robots will take our jobs” fears.

As Jeremy says, “Creativity is identified as the third most required skill by the World Economic Forum. An IBM survey of 5,000 CEOs lists creativity as the No. 1 required skill for their role.”

He knows this first hand, having come from an extensive background in mechanical engineering and advising ASX-listed companies.

Whether you’re in healthcare or not, having a one-week break exploring your creativity while surrounded by the best New York has to offer will no doubt reenergise you when you bring your experiences home with you. And, quite likely, you’ll make new friends, too!

To register and for more information, visit creativecities21.com and instagram.com/creativecities21

*TheMedicalStartup.com is an affiliate for Creative Cities 21; we earn a small fee from the CC21 team if you mention TMS19 upon registration.

All images in this article courtesy of CreativeCities21.com.

Life As Usual - Managing Illness And Grief While Running Your Startup

The thing about illness is, it just hits you.

It’s unpredictable, it follows no rules (not always anyway, despite our best work as clinicians and scientists, biology is unique and will play its own role in each of us), and it hits you when you least expect it.

It’s damn frustrating, because our daily lives are built around routine, around schedules for work and appointments and goals and personal life. But illness doesn’t follow a schedule. The world doesn’t sit still while you suffer.

So what can you do?

You try to pace yourself, and take time off.

You limit your commitments; you rest; you take a break.

Then, when you feel better, you return to work, to your startups, to your passions - to your life as usual - and BAM! It hits you again. Or some other calamity related to the illness.

Whether it’s an illness hitting you, or your loved one; your life is disrupted again.

And think about the emotional trauma of impending bereavement; grief; or other foreshadowing..

Imagine this happening again, and again, and again, and again…..

This is reality for millions of people around the world.

And if it’s not cancer, child-related, or pregnancy-related, often the people affected are suffering in SILENCE- the kind where no one understands what’s going on with you.

How on earth can you live #lifeasusual while fighting something that’s bigger than you, that has no rule book, that pays no heed to your wishes, that doesn’t reward you for good rest and nutrition and self care?

You can recognise the things you can control.

All you can control is right in this moment.

The present.

Being mindful of your surroundings; of your circumstances; of the thoughts, fears and hopes in your head.

You can control your breathing; whether you take a step forward or back (literally); whether you choose to sit in stillness, or with a book and pen, or with headphones on the train, or holding your loved one’s hand.

You can accept that things aren’t right for now, and possibly won’t be ever again, instead of trying to hide those feelings; and that makes it easier to take your next step.

It’s tough while running the startups in your life, tough trying to keep all the wheels in motion while trying to be there for yourself and others who are most important to you.

Allow yourself to not listen to those who don’t understand- because there are many, unfortunately, who will choose not to.

Remember, you’re doing your best.

You deserve to be kind to yourself.

To be continued…

Trends for The Future of MedTech: Insights from WGSN's Futures Summit, Melbourne

Note: This event and article was written in 2017. We are extremely grateful to WGSN for the insights and opportunity to attend, and hope you find it useful.

We’re fascinated by trends from diverse industries, and how they impact healthcare. Patients and medical professionals alike are also consumers, and as we all grow more empowered through tech, we’ll find more trends cross-pollinating from healthcare to other industries. Similarly, it’s fun making predictions and seeing how they fare. 

We were delighted to attend WGSN’s Futures Summit in Melbourne and learn about their work. WGSN are the world’s leading body for trend prediction and analysis in areas such as fashion, design, activewear and textiles. They crunch data through curated studies across the world, helping brands create products that better serve the world’s consumers. 

If you’re planning your next app, wearable, social enterprise or public health innovation, or even considering investing, here are some insights we picked up (and which are coming to fruition as we speak!.

1) The world has shifted from the Experience Economy to the Meaning Economy

Lorna Hall, Head of WGSN Insight, described how we’re shifting to the Meaning Economy, where consumers’ ideal products are selected based on depth of emotion and sense of purpose, rather than the pure functionality or entertainment of previous generations of goods.   

This is a reaction to geopolitical instability combined with the growing awareness of tech’s ability to both engage with and isolate users, bringing out more loneliness, stress, and symptoms of mental illness. Meaning is also conveyed through the rise of the sharing economy.

In a practical sense, we see this through products being created not just for entertainment, but for the nurture and care it brings the user beyond immediate experience. Perhaps it’s a reflection of our connected generation, where we’re used to linking with strangers across the world after a tragedy. “(We have) a need for more products that care for us,” explained Ms Hall, and indeed we’re starting to see care being communicated through the language and design of medtech websites, along with the pleasing design of activity trackers and mobile apps. An interesting example was e-skin, printing electrodes onto tattoo paper, creating a simple wearable that can change the volume on your phone, for example, and potentially other functions (we’re imagining being able to trace your ECG through smart wireless electrodes one day!). Meditation and mindfulness apps, some with gamification, are also increasingly part of the Meaning Economy.

2) Experience Design will incorporate Personalisation as part of the Meaning Economy

“There is opportunity in reading emotion,” said Gemma Riberti, the Senior Editor of WGSN’s Design and Product Development division. If you can customise your handbag’s initials or even change the colour of your future car according to your mood on the day, you will be able to curate your own experience in healthcare.

Personalisation also goes beyond reading emotion. Activity trackers and consumer-grade wearable biosensors are evolving to give health reminders when data points (such as high blood pressure) are detected. Consumer-grade genetic testing kits are also gaining popularity as part of the personalisation trend. Additionally, as part of her Wellness presentation, Greer Hughes, Consultant Director of WGSN Mindset APAC predicted the rise of startups based on our increasing understanding of the gut microbiome’s potential effects on physical health and wellbeing. The ethics of generalising test results from “personalised” DNA kits to fit a wide range of customers is an issue to consider when weighing up the benefits of such products, and it’s worth remembering that the Therapeutic Goods Administration and other official bodies help to regulate medical grade versus consumer grade products and devices. (There are also jobs for doctors interested in being part of the TGA approvals process!)

3) The Maker Movement and acknowledging the links between Creativity and STEM produce more healthcare solutions designed by non-healthcare professionals.

We love cognitive diversity, and clearly, WGSN does too. Monash University design student Nathan Huo won the WGSN and Artsthread award, with his app Mindcare storing and retrieving memories (photos and other media) for people affected by dementia. Inspired by his family’s own personal experience through dementia, Nathan also included augmented-reality gaming within the app, serving as a fun and useful memory aid for dementia sufferers that family can enjoy using as well. Collaboration with non-medical creatives will be on the rise as hackathons, co-working spaces and job mobility increase around the world, and we hope events and blogs (like ours :) ) help promote that sense of diverse thinking and wonder. Imagine when design becomes a key part of medical education!

4) People will either fully embrace wellness products or shun them completely

Greer Hughes, Consultant Director of WGSN Mindset APAC, took the audience on a timeline tour of the wellness industry’s growth. Currently, her consensus is that in 2018, people will either fully embrace wellness, or experience an “absolute backlash” towards it. The saturation of news stories and social media posts about superfoods, alternative therapies and wellness retreats likely contributes to this. This poses an opportunity (as ever) for medical practitioners to learn and understand the sentiments behind embracing wellness fads: the fear of the unknown, as a patient; and thus the need to empower oneself and take charge of one’s health, as a consumer. Non-medical consumers clearly want to understand the science behind health trends; it’s when an “us versus them” approach can be permanently harmful to the doctor-patient relationship.

If clinicians take charge by forming medically-sound, evidence-backed wellness apps and products, for example, mindfulness-training apps, then consumers will have more medically-approved choices available. Asking the patient/consumer what they want as a part of human-centred design is a great method to produce multi-user integrated apps such as CancerAid and telehealth platforms such as Lysn

5) Work cultures are becoming more inclusive and collaborative

Wellbeing at work is transforming employment patterns and work environments around the world. We feel this as a response to higher burnout and stress rates at work; with recent studies across the globe showing a higher number of workers taking sick leave in numerous industries, and the effects of overwork on organisational productivity. Additionally, burnout has been linked to loneliness at work. The growth of coworking spaces and shared work communities such as WeWork will help companies innovate, not only through the value exchanged when a small startup shares office space with Facebook or Hewlett Packard; but also through flexible working policies, and a greater understanding of what drives workplace retention: a sense of purpose (hello, meaning economy!). WeWork Australia’s General Manager, Balder Tol (who was Airbnb Australia’s first employee!) shared the benefits of workplace collaboration, and WeWork’s vision for Australia as it continues to roll out across the globe and acquire other companies such as coding academy Flatiron School. Cognitive diversity is acknowledged when teams share resources across organisations, and build workforces based on diverse educational and cultural backgrounds rather than being of similar skillset and training.

We’re seeing this in medicine as well. Never before has there been so much focus on doctor and clinician wellbeing, and clinicians’ mental health. Creating positive workplace cultures in hospitals and clinics, especially in the fast-paced Acute Medicine world, will help doctors and other healthcare workers feel valued, even through stressful times. Websites like ours (we hope!) help to shed light on the true meaning of being a clinician in the 21st century; the struggles, the highs and lows, the uncertainties, and the humanity and strength that grows from these experiences. It’s incredible seeing how more doctors are feeling comfortable blogging and sharing their experiences, to help bring positive change across the world. We suggest following some of these websites: Dr Eric Levi; Doc2Doc; and no doubt many others around the world.

6) The future of mobility and smart cars in healthcare

Nissan Australia’s Managing Director, Stephen Lester gave an inspiring talk about Nissan’s vision that helped us think about the future of mobility in healthcare. Autonomous driverless cars will help ferry time-critical goods such as blood products and organ donations from one place to another. And how about the impact of the Internet of Things (IoT) on a car’s function, perhaps being able to monitor a passenger’s medical devices and biometrics while on the go?

7) As more of Facebook’s VR and AR functions are released, new and existing startups will pivot to include these in their products and marketing strategies.

Facebook’s APAC Head of Tech and Telecom Strategy Jason Juma-Ross gave attendees a sneak peek at some of Facebook’s and Hololens’ innovations, due for rollout in 2018, including augmented reality integrated into the News Feed. We’ve seen VR headsets being adopted by the mass market, and Facebook creating VR Spaces and developing its Messenger and Live capabilities. Facebook Messenger is already being used by chatbots to help triage and support users facing mental health problems. Imagine how AR will be able to enhance that communication.

Further Reflections: Cybersecurity and Ethics

We all know that AI, augmented reality and VR will mature and become more widely adopted by consumers. Security is the concern as users increasingly want more, now, and connected devices gradually outnumber consumers in 2018, with businesses scrambling to please customers as fast as they can. If IoT devices like smart fridges or Amazon Alexa can be hacked, and retail outlets reportedly use facial recognition to track shoppers’ behaviours, more needs to be done to protect the public. Participating in cybersecurity and ethics discussions at a local level, or even at an Elon Musk-level, will help consumers make safe and meaningful choices when pursuing good health and wellness.

Thank you to WGSN for providing The Medical Startup with a media pass, and to Jennifer Callegari for her help coauthoring and editing this article.