Fear is the Enemy of Creation

Something I’ve been thinking of recently.

Is Fear synonymous with Perfectionism?

Fear of screwing it up?

Fear of not getting it right the first time?

Fear of looking like a fool (a usually unjustified concern)?

Fear you’ll launch and sell not one item?

Fear you’ll screw up your job interview and miss out on your dream job?

Are you fearing what others might say and think about your choices?

Does it really matter?

As long as you’re choosing something you’re passionate about, and believe in, by action you can convince yourself.

It’s all about learning along the way.

And acknowledging your fear.

Seth Godin says here to “acknowledge” the fear and shame. Don’t fight it. “I listen to it and do it anyway. And that is where we’re going to make the impact.”

It’s being mindful of it.

And recognising your power to conquer your fears.

What are you scared of most?

Is it really that bad?

Write down three actions you can take to challenge it.

Empowerment through eLearning in Medicine

You may have noticed on Instagram- I’ve been working on developing online courses.

The courses will have a difference to what’s existing already. There are literally thousands of fantastic courses online that will help you learn to code, sew, speak Spanish, and more.

But nothing out there exists specifically for medical workers and the entrepreneurially-minded out there, from a medical perspective, from real experiences.

How does startup thinking apply to you as a doctor, nurse, physio, engineer and so forth?

Where do you start when a great idea comes to mind?

What’s the truth about how clinicians really feel at times- burnt out, exhausted, demotivated, self-loathing even? How is this similar to how entrepreneurs in other industries feel? And how can all of you learn from these experiences and overcome them, or at least start to tackle them when you’re on the go, on rotation in the middle of nowhere, a busy parent on night shift, or taking a gap year overseas?

I realised that, by exploring all these topics the last three years, even when it wasn’t clear to me at first (this whole blog started by accident, after all!), the whole journey has helped me in my own personal and professional life.

I went through all of this myself, was burnt many times, and know what lies are out there, what superficial constructs have been built supporting the “Silicon Valley mindset”, how toxic this can be to you as a compassionate person who works in healthcare or wants to start in healthcare, and how the medical world is similar to this.

And also, what’s changing about these worlds, to accept more human elements, more authenticity, more vulnerability, and more real sharing of experiences and ideas.

Thinking of your path as your own Startup is one way to start healing yourself, to build resilience, and to encourage yourself when you’re alone, when you feel misunderstood, and things seem tough. Even if you never start your own tech company, it doesn’t matter. We can all learn from startup thinking, even if your pursuit is actually in art or music or sport.

And that’s the thing. From Day 1, I was keen to feature people who are like me- creative as well as in STEM- to help transform the dialogue in medicine, that we are just what our job roles say- RMO, RN1, Dietitian, and nothing else beyond that. What happened to the extracurricular activities we loved in school, and how they were promoted as part of our curriculums there?

I felt ridiculed and even stupid for having a strong creative passion from childhood, and trying to marry this with medicine, which I also enjoy. Really, we all use creativity to some extent in our daily lives. From showcasing interviews with photographers, magicians and jewellery designers, to gaining confidence for my own journey in the creative industries, and to being approached to help start other ventures, this journey has been incredible and taught me a lot that I can share with you, too.

I’ll keep you posted- best is to sign up to the Mailing List at the bottom of this page, and/or follow on social media; if any questions about what particularly you’d like to learn or are struggling with, please send me an email at info (at) themedicalstartup.com.

Thank you for being part of our journey throughout, can’t wait to share more!

Cheers,

Louise

Success At All Costs?

I touched on this briefly in my New Year’s post.

What saddened me when I dug deeper into medical startups in 2016 was that, quite often, success was seen as something to achieve at all costs, with no respect for customers, colleagues, or the wider community.

Even if a brand has a carefully constructed facade, it will all fall apart behind the scenes if you don’t genuinely care.

Coming from the similarly ruthless world of physician training, I found it very disappointing, especially when startups and the entrepreneurial world are trying to attract more clinicians.

Most clinicians are attracted to healthcare because of the caring aspect. They genuinely want to help make a great contribution to people’s lives, through direct patient-clinician contact.

That compassion and vulnerability can be misused by unscrupulous individuals and companies, and even with a strong Corporate Social Responsibility (CSR) program, the WHY behind the company can be lost.

Is any industry safe from this?

No.

But it’s up to us, the individuals, to keep our values in mind, and live them.

For real.

Are you living your Mission Statement?

Thank you, 2018 :)

It’s strange sitting here, 1.5 hours before midnight in my home city, 2.5 hours til 2019 in my current one.

But it’s a great time for reflection, particularly when you and your other half saw the Early fireworks as he’s oncall tonight.

2018 was a huge year for me.

One of my faves, Ariana Grande herself said it best- “I find it interesting that this has been one of the best years of my career and the worst of my life.”

I guess personally, it wasn’t the absolute worst it could have been for me, but it definitely had a huge amount of challenges that really rocked me- but also gave me the extraordinary chance to reset and reframe the difficult situations in my personal life.

You can dread each day and its challenges, or you can reframe it to be uplifting for someone else who’s going through a hard time.

Every day counts.

I really believe that, no matter what challenges your career throws at you, you and your loved ones come first.

They’re your anchor, they’re your reason, your “Why” in most cases.

And you should never be ashamed of putting your wellbeing first.

Because no matter how big your career gets- and I believe that your career is your startup - you’ll enjoy it more when you respect yourself.

If you need more time before saying “Yes” to a project, ask for it.

If you feel pressured to work weekends and public holidays because that’s “the startup way,” but you’re actually more productive just working on odd weekdays, go ahead and set your boundaries.

If your personal circumstances mean it’s more favourable for yourself and your family if you work a bunch of part-time and casual freelance roles, go ahead and do it.

If you feel your co-founder’s doing something dodgy, reassess and consider trusting your instincts.

If someone’s being two-faced, don’t be afraid to call it out.

If you love doing several other things along with medicine, allow yourself to do it.

Give yourself permission.

And many more examples like this.

Everyone will be better off for you owning your power.

—-

Someone wise I met recently gave me that wonderful piece of advice.

“Own Your Power.”

Own your decision-making capability, your strengths and skills, your relationships, your identity.

People will try to take advantage of your vulnerability.

So-called “friends” and “partners” in startups and medicine will show their true colours to you, even when the rest of the world can’t see it immediately.

It’s disheartening. It can be isolating, and you can question yourself and your perception, wanting to believe you’re wrong.

It’s okay, because questions are healthy, and I’ve learnt how valuable it is to be mindful, and become more self-aware.

It’s a great defence mechanism, mindfulness. I’ve found it’s a great decision-making tool, productivity booster, and mental health balm. (Ooh, I should package that! Next to the lip balm jars!)

But I guess my rambling here right now is to say,

THANK YOU.

Thank you, 2018, for teaching me even through my weaknesses and dark times this year.

Thank you for giving me the chance to grow stronger.

Thank you for helping me to speak my truth.

Thank you to every single one of you who stumbles across my page; who reads my articles from way back when; who follows and likes (for real) my stuff on social media; who has become a true friend from this crazy journey; who has bumped into me at some event or clinic somewhere around the world and said hello; who believes in me even when I don’t; who believed in me even when it doesn’t all make sense.

I can’t wait to share 2019 with you all.

Have a wonderful New Year and enjoy the celebrations :):):)

*I think I am serious about the mental health balm!

Course Suggestion: Machine Learning on Coursera

Who wants to learn some tech skills in a flexible, free/low-cost learning environment?

Taught by Andrew Ng of Stanford, the Stanford Machine Learning course on Coursera is one of Coursera’s most famous courses; it actually launched the famous Coursera platform! Easy to learn and quick to understand, it’s a great course for learning ML concepts quickly and effectively. It’s a course I’ve wanted to do for a long time, and finally, I have time for it.

Start at https://www.coursera.org/learn/machine-learning/home/welcome.

What other tech courses have you done online?

Don't Be Afraid

Don’t be afraid to say no to a deal that isn’t fair.

Don’t be afraid to walk away from teammates who don’t support you, despite false words and appearances.

Don’t be afraid to walk away from those who discredit you and your hard work.

Don’t be afraid to call out what’s wrong.

Don’t be afraid to believe in you.

Don’t be afraid to persist.

Don’t be afraid to wait to figure out your next move.

Don’t be afraid to walk away from that which doesn’t nourish you.

Don’t be afraid of time.

Don’t be afraid of change.

Don’t be afraid of success.

Don’t be afraid of happiness.

Don’t be afraid of your dreams.

Don’t be afraid to put your health first.

Don’t be afraid to put your loved ones first.

Don’t be afraid to say what’s tough.

Don’t be afraid to have values.

Don’t be afraid to care.

I hope this helps you.

Melbourne startup Nebula Health Raises $250,000 in Seed Funding For Best Perioperative Patient Care

First published June 6, 2017

What makes patients’ lives easier?

Having clear, up to date communication with their doctor and treating team.

The problem is, time pressures and administrative structures in most hospitals and clinics make this difficult both for patients and clinicians.

Australian surgeons Dr Paul Paddle and Dr Chandrashan Perera have created a solution for this. Nebula Health delivers smartphone reminders and advice via app directly from the surgeon to the patient, improving the quality of pre-operative care, post-op recovery and long-term health of their patients, in an easy-to-use and efficient manner.

 

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Nebula Health’s new patient-focused app will help patients prepare for and recover well from surgery, with clear instructions tailored to each patient’s unique needs. Photo courtesy of Nebula Health.

As Chief Medical Officer Dr Paddle explains, “The concept for this app was borne out of my own experience and frustration. As a practicing ENT surgeon, I strive to check in on my patients at every step, before and after their surgery. However, in the time-pressured realities of medical practice today, it’s often not possible. With this app, my patients receive personalised directions every step of the way. In return, I receive real-time notifications of their compliance. As a result, my patients have more confidence in my abilities, are more satisfied and have better health outcomes.”

Frustration with the limits of current best patient care are what drive startups formed by doctors, nurses and other clinicians. Perioperative medicine is a standout opportunity for healthtech innovation, given the enormous breadth of surgical patients and cases, spanning from neonatal to paediatrics and adult surgery, and the non-surgical complications that can occur (such as cardiac events) amidst the high turnover of operative cases. A precision medicine solution like Nebula’s app could potentially also help those patients on waiting lists who are anxious about surgery or wanting advice in between appointments.

 

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Melbourne Accelerator Launch Party 2016. Photo: The Medical Startup

Since completing their time with the Melbourne Accelerator Program (MAP), Nebula have visited Silicon Valley with the other MAP graduates and iterated the initial concept of their product into a helpful perioperative app. What was the journey like as a clinician and startup founder? “We tested thirty (surgical) patients using a prototype. Feedback was overwhelmingly positive, and it encouraged us to develop this concept into a market-ready product.” explains Dr Chandrashan Perera , Nebula’s CEO. “Patient testimonials from this trial turned six surgeons into early customers. From this traction, we were able to close our seed round. This funding will allow us to grow the team and scale our services to more patients.” Indeed, at least two more medical doctors have joined Nebula‘s team, and Nebula’s vision has impressed angel investors including Rod Lyle, a board member of ASX-listed medical technology company Pro Medicus.

It’s been exciting following Nebula Health’srapid journey from the Melbourne Accelerator Program (MAP).  Other medical successes include compatriots CNSDose, a pharmacogenetics company who are now part of the Texas Medical Center’s Innovation Accelerator, and other graduates of the MAP program.

Currently, Nebula Health are looking for more surgeons in hospitals and clinics who are interested in their software. For a demo or more information, please contact Li (at) nebulahealth.com.

Congratulations and best wishes to the team!

How Can Facebook’s Spaces VR Program Help Patients and Consumers?

First published April 20, 2017

Overnight at Facebook’s F8 conference, Mark Zuckerberg officially announced the launch of Facebook Spaces in beta. Using the Rift platform and available on the Oculus store, purportedly all that’s needed is Oculus Touch and an Internet connection.

 

Essentially, this means Facebook is adding virtual face-to-face interaction. This is a huge win for patients and healthcare consumers.

There are several ways in which we think virtual reality through Facebook will help patients, consumers and clinicians.

Patient communities are a burgeoning interest in healthtech. The Mayo Clinic Connect is an online messaging and education platform where patients and carers can chat with others suffering the same or similar illnesses. Australian app CancerAid is also building patient communities and sharing the burden of cancer with the millions affected by cancer worldwide, through their app for iOS and Android. Imagine the potential for communities to virtually “talk” with each other.

 

Patients can create avatars and share vivid experiences with each other, including their Facebook photos and 360 degree videos. Imagine taking a 360 video of your community hospital’s dialysis unit in Chile with your smartphoneand sharing that in real time with your friends in Norway.

 

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Screenshot from Facebook Spaces Oculus’ launch video.

The potential for healthcare education is huge. Facebook Spaces includes a drawing function, meaning that potentially, clinicians could educate patients and families in a more hands-on way, without needing to be in the same room as them. Of course, this helps students and clinicians train for procedures and study for exams, as well.  This could come in handy for rural and residential communities who may not be able to travel to the city for care so readily. Hospitals, clinics and education centres producing educational video content (such as the Royal Children’s Hospital) could potentially integrate their videos into Facebook Spaces, and nurses and staff could help teach with the added drawing function inside the virtual classroom. Imagine teaching a patient about what to expect from a hospital visit through a virtual tour on Facebook Spaces. (Or through our anaesthetist friend’s made-for-VR video!)

 

Facebook Spaces also adds another potential dimension to telehealth. Using Facebook Messenger, video calls can be made, including outside of Facebook to the “real world”. We imagine chatbots for Messenger like Amelie, the mental health chatbot, will have incredible functionality here, where the user’s virtual avatar can consult “face-to-face” with the chatbot counsellor. Sometimes it’s easier to chat to someone you can’t look directly in the eye, and we can imagine people who are too uncomfortable to talk to a face-to-face counsellor or who can barely get out of bed when in a bout of depression may find it easier to start with a chatbot. (One of Amelie’s functions is to guide the participant to further help, rather than replace a professional psychiatrist or psychologist.)

And from a global health perspective, users will be able to virtually “travel” with chatmates and experience different environments. This could help with disaster resource planning, for example sharing VR videos and 360 photos of earthquake – ravaged zones with aid organisations to help their planning for resources and deployment. Similarly, can you imagine how design of healthcare spaces will be impacted? Oculus’s YouTube video above shows a user sharing photos of the apartment she just bought. Again, the virtual tour aspect of public buildings and clinics can help plan for better patient care through architecture and design. Imagine sharing 360 pictures of your Emergency Department layout with other EDs around the world at conferences; or performing emergency simulation training through VR tours and demonstrations.

Are you an app developer or health tech startup founder? Now you have a whole new avenue of possibility to think about when integrating social functions into your product.

Of course, cautions about security and encryption of call content apply here, but just imagine the potential…

Got any ideas for how you will use Facebook Spaces in healthcare or for leisure? Comment below and please share this article if you enjoyed it. Sign up for our mailing list if you’d like more updates like these. 

The Virtual Ward Round Is Here: Highlights from Day 2 HiNZ, Successes and Failures in Telehealth, and the Global Telehealth conferences

First published November 2, 2016

We’ve been very inspired from the talks and positive atmosphere at HiNZ, SFT and the Global Telehealth conferences this week. New Zealand is a country that deserves a lot more credit for their innovation in medicine and global healthcare. Here are some of today’s highlights:

1) Virtual Ward Rounds and Consults help patients and clinicians alike feel supported and at ease with care. Dr Eddie Tan, nephrologist from Waikato Hospital, spoke about the “hub and spokes” model of care that Waikato Hospital and its satellite rural hospitals and clinics run. With hundreds of kilometres between sites, Dr Tan and his colleagues are on planes at least every fortnight for clinics that may last just a few hours before returning back to Waikato. This is problematic when rural patient emergencies develop; however, Telemedicine with videoconferencing to the satellite clinics has helped the Renal team conduct assessments, minus the hours and dollars spent on travel (and minus hours of patient/family stress). It has also prevented unnecessary hospital presentations, and brought critical patients to hospital sooner.

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Dr Eddie Tan, kidney specialist at Waikato Hospital NZ discussing Telehealth in Renal failure. Pic: The Medical Startup

Dr Tan’s colleague, Waikato District Health Board (DHB) renal nurse Jenny presented her research paper on how palliative care decisions were made easier with telehealth’s videoconferencing capabilities. This meant that difficult and time-critical family and patient conversations could be had in the comfort of the patient’s home, without wasting precious time in the potential final days of life arranging hours or even days of transport for the same consultation.

Dialysis ward rounds also help Dr Tan assess end-stage renal patients who may deteriorate very rapidly and become fluid overloaded.

Similarly, Rehabilitation ward rounds by telemedicine has helped patients in a rehabilitation ward feel happy and secure with their care. Registered Nurse and PhD candidate Sophie Gerrits’ research has so far found that rehab patients and staff at Thames Hospital, Waikato DHB New Zealand, are happy with the consults, and the elderly patients have adapted well to the new technology. The Ward Registrar goes from bed to bed with a telecart, and the Rehabilitation Physician or Geriatrician video-calls weekly in from the tertiary hospital, in addition to their usual weekly face-to-face visit.

 

Staff appreciated having a second chance during the week to ask questions and raise issues that had arisen in the days since the last visit. The main issue to overcome was “patient jitters” at not knowing what to expect from a video consult and what was expected of them. This reinforces the need to counsel patients prior to a consult; that they can speak, behave and ask questions just as they would if the clinician was in the room with them.

2) Telestroke Improves Door-to-Needle Time in New Zealand

Yesterday, Dr Chris Bladin of the Victorian Telestroke Program discussed the very promising findings from the Victorian Telestroke Program research in rural hospitals, with hopes to expand to other Australian hospitals. Today, New Zealand Neurologist Dr Anna Ranta showed that since Telestroke has piloted from 3rd June in the Capital and Coast DHB, door-to-needle median time has reduced from 80 minutes down to 54. With cerebral ischaemia being a critical matter of seconds, this is a significant early finding, and along with other positive outcomes, will hopefully help push for a Telestroke rollout in other DHBs.

 

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1,100 delegates attending HiNZ this week. HiNZ Awards Dinner at Shed10, Auckland, sponsored by Microsoft. Pic: The Medical Startup

3) The finalists for the Sysmex Award for Health Informatics at the University of Auckland have promising ideas for mobile health applications. The winner, Daniel Surkalim, was announced tonight at the HiNZ Awards dinner. By creating visually appealing, simplistic views of patient data, his project, GRID(Graphical Relational Integrated Database) will help solve the clinician bugbear of “too much data, not enough sense” that occurs in many existing EMRs (electronic medical records). The other finalists deserve commendation for their work; Frances Toohey with Dr.Doctor for clinicians and patients to track eReferrals, and Kyle Frank’s MedScript to facilitate e-prescribing solutions for patients and doctors.

4) Tele-ophthalmology in India aims to cut waiting lists for a population short of ophthalmologists. Dr Sheila John of Chennai, India has done extensive work with diabetic retinopathy and machine learning, and inspired us with her dream to help rural villages be screened for diabetic retinopathy accurately and safely without a long waiting period for an eye specialist. Dr John quotes 60 million people in India as suffering from diabetes, with nearly 20% experiencing diabetic retinopathy, a cause of blindness if left untreated.

 

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Speakers from four different nations closing the Global Telehealth conference today; L-R: Global Telehealth co-chair Dr Kendall Ho of Canada; Dr Karen Day of NZ; Dr Laticha Walters, South Africa; and Dr Sheila John, India. Pic: The Medical Startup

With four events running this week, it’s impossible to catch all sessions at once. Watch the conference on demand, even after this week, with a Virtual Ticket, including one year’s worth of membership with HiNZand HIMSS Asia-Pacificamong other benefits. We thank HiNZ for providing media access to the conferences and truly enjoyed the experience.