tag:blogger.com,1999:blog-49830076949649242952024-03-12T22:20:46.343-04:00Occasional Brief ObservationsThoughts on random topics that strike my interest... (political, law, security, international relations, gadgets, health care, technology, and many more)Unknownnoreply@blogger.comBlogger2758125tag:blogger.com,1999:blog-4983007694964924295.post-27695159993665394802024-02-11T18:02:00.003-05:002024-02-11T18:02:40.907-05:00Random picture<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPJFq83zKpvkyO0I9RFFMHUKxJtd7JjetHCmqOktLGSElrVfvbF8bGNWS4RusdQ2w01DXtF5ZURkxuGBXvS3BwyV8urNhtJ62kpAlj9jiYqtt3X04AYGDkN_xIxr7UCj3TNU_lb5yRqDe45sEbwE7uGdiCVMUYgH9A4gg2VewRNJOW3IANjq6heWzjMzI/s791/memorial.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="791" data-original-width="716" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPJFq83zKpvkyO0I9RFFMHUKxJtd7JjetHCmqOktLGSElrVfvbF8bGNWS4RusdQ2w01DXtF5ZURkxuGBXvS3BwyV8urNhtJ62kpAlj9jiYqtt3X04AYGDkN_xIxr7UCj3TNU_lb5yRqDe45sEbwE7uGdiCVMUYgH9A4gg2VewRNJOW3IANjq6heWzjMzI/w363-h400/memorial.jpg" width="363" /></a></div><p></p><h1 style="background-color: white; box-sizing: border-box; font-family: foglihtenregular; font-size: 48px; font-weight: 500; line-height: 1.1; margin: 25px 0px 12.5px; text-align: left; text-shadow: none;"><a href="https://mymodernmet.com/bojte-horvath-istvan-war-memorial/" target="_blank">Memorial Uses an Empty Silhouette To Honor Soldiers Who Fought in WWI and WWII</a></h1><div><br /></div>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-76662319079697775702023-12-14T16:50:00.003-05:002023-12-14T16:50:20.905-05:00Opining on the "Top."<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_jJwz3N6Nv6JeJJPYgTIHmvOvO8ZCiBdlaVtafa80rGtyEN_w8PkZXEBRDluxFddLyveZDaXjiHzkwbsyo51btmzvlOeSVMYh52G_bbuL6a13S_QfjhF_9yyEUlD_ytl062qbIMKvY_ZxDRX4-Fhfj7iJvhfHwfPNa6e8-6FIdqH4PMT2e5myyReGvbk/s751/top25.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="420" data-original-width="751" height="358" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_jJwz3N6Nv6JeJJPYgTIHmvOvO8ZCiBdlaVtafa80rGtyEN_w8PkZXEBRDluxFddLyveZDaXjiHzkwbsyo51btmzvlOeSVMYh52G_bbuL6a13S_QfjhF_9yyEUlD_ytl062qbIMKvY_ZxDRX4-Fhfj7iJvhfHwfPNa6e8-6FIdqH4PMT2e5myyReGvbk/w640-h358/top25.jpg" width="640" /></a></div><span color="rgba(0, 0, 0, 0.9)" face="-apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif" style="background-color: #f4f2ee; font-size: var(--font-size-large); font-variant-ligatures: none; white-space-collapse: break-spaces;"><div style="text-align: justify;"><span style="font-size: var(--font-size-large);"><br /></span></div><div style="text-align: justify;"><span style="font-size: var(--font-size-large);">In the past few days there have been multiple posts in my LinkedIn time line by health care systems celebrating their inclusion in the "</span><a class="article-editor-content__link article-editor-content__link" href="https://www.gartner.com/en/newsroom/press-releases/2023-12-13-gartner-announces-ranking-of-the-gartner-healthcare-supply-chain-top-25-for-2023" rel="noopener noreferrer" style="background-color: transparent; border: var(--artdeco-reset-link-border-zero); box-sizing: inherit; cursor: pointer; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); overflow-wrap: break-word; padding: var(--artdeco-reset-base-padding-zero); text-decoration: var(--artdeco-reset-link-text-decoration-none); touch-action: manipulation; vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">Gartner Healthcare Supply Chain Top 25 for 2023</a><span style="font-size: var(--font-size-large);">." </span></div><div style="text-align: justify;"><span style="color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif;"><br /></span></div><div style="text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4OGT5jaNewZOf6CHmj5vOvswFddhasZI4Ck7UgMOb-hycyfFeAKWW8qGS16o_6kWf42vzigoR4baXkNV85KFswouPuLVCDvJx1Q_5MfE8aV3QUEeDaEhYe7BIzKnd0nj_JuM_Gt2rukuJbjSQdNoY4MeNwimcTUGKe6WJkF4Hc2VZNrLy2PRdoCVkyS8/s547/toplist.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="370" data-original-width="547" height="432" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4OGT5jaNewZOf6CHmj5vOvswFddhasZI4Ck7UgMOb-hycyfFeAKWW8qGS16o_6kWf42vzigoR4baXkNV85KFswouPuLVCDvJx1Q_5MfE8aV3QUEeDaEhYe7BIzKnd0nj_JuM_Gt2rukuJbjSQdNoY4MeNwimcTUGKe6WJkF4Hc2VZNrLy2PRdoCVkyS8/w640-h432/toplist.jpg" width="640" /></a></div><span style="color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: inherit;"><span style="color: rgba(0, 0, 0, 0.9);">About five months previously Gartner had a post related to their changing their measurement methodology for this recognition by adding an ESG (environmental, social, and governance) component. At the time I took a quick look at their methodology, and was surprised to find that </span><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">it did not seem to include any supply chain related KPIs</span><span style="color: rgba(0, 0, 0, 0.9);">. I commented on the entry, but it did not receive any response at that time and I forgot all about it.</span></span></div><div style="text-align: justify;"><span style="color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif;"><br /></span></div><div style="text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghokKTfWZlLet5nHJTAPhuyigL5FNmBpKZWab4m3ZHioF3WTNoAVBw3vWMPsrzsGdr374JSgME9Sd30mymu4Mg3s72WUCxXObQohY0goWmM2UfSfjejxWEcfsKgdXHuALJBvounR1TluAW2NQcW7RQp2tHOb5BgKDpwr8VoIx-p_aeG_6Uj2dMAVVH5CU/s428/earlier.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="160" data-original-width="428" height="150" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghokKTfWZlLet5nHJTAPhuyigL5FNmBpKZWab4m3ZHioF3WTNoAVBw3vWMPsrzsGdr374JSgME9Sd30mymu4Mg3s72WUCxXObQohY0goWmM2UfSfjejxWEcfsKgdXHuALJBvounR1TluAW2NQcW7RQp2tHOb5BgKDpwr8VoIx-p_aeG_6Uj2dMAVVH5CU/w400-h150/earlier.jpg" width="400" /></a></div><span style="color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif;"><br /></span></div><div style="text-align: justify;"><span style="font-family: inherit;"><span style="color: rgba(0, 0, 0, 0.9);">Seeing all the recent entries on this topic reminded me of this, so I went back to view </span><a class="article-editor-content__link article-editor-content__link" href="https://archive.is/wx1IF" rel="noopener noreferrer" style="background-color: var(--artdeco-reset-link-background-color-transparent); border: var(--artdeco-reset-link-border-zero); box-sizing: inherit; cursor: pointer; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); overflow-wrap: break-word; padding: var(--artdeco-reset-base-padding-zero); text-decoration: var(--artdeco-reset-link-text-decoration-none); touch-action: manipulation; vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">the methodology</a><span style="color: rgba(0, 0, 0, 0.9);"> that was used to come up with the "Top 25" list:</span></span></div><div style="text-align: justify;"><span style="color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif;"><br /></span></div><div style="text-align: justify;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-Ax8DtN_LQitWqrfw52Exq2UOz9ONmF-MqbczvP00vNIaomcBy6r4s38HSY-Z9zF67dNUtEBNsRQRdEee0c8iIkC-g4ZpJ6YVf0ILLCt6LyUU-E18t6rAYvhp8icrB06aQMDlbSOu1aAoKqcp9cm_baZbsSmgX7CDYHjg7gBzWFvIfwJ27uMbP7PEPgw/s873/methodology.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="662" data-original-width="873" height="486" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-Ax8DtN_LQitWqrfw52Exq2UOz9ONmF-MqbczvP00vNIaomcBy6r4s38HSY-Z9zF67dNUtEBNsRQRdEee0c8iIkC-g4ZpJ6YVf0ILLCt6LyUU-E18t6rAYvhp8icrB06aQMDlbSOu1aAoKqcp9cm_baZbsSmgX7CDYHjg7gBzWFvIfwJ27uMbP7PEPgw/w640-h486/methodology.jpg" width="640" /></a></div><br /></div><div style="text-align: justify;"><span style="color: rgba(0, 0, 0, 0.9);">T</span><span style="color: rgba(0, 0, 0, 0.9);"><span style="font-family: inherit;">he various components included:</span></span></div><div style="text-align: justify;"><ul><li><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-family: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>Alignment to Quality of Patient Care (20%)</b></span><span style="color: rgba(0, 0, 0, 0.9); font-family: inherit;">: This is listed as being based on IBM Watson Health Top 15 Health Systems Study. Further search on </span><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-family: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">Merative </span><span style="color: rgba(0, 0, 0, 0.9); font-family: inherit;">(Watson Health had been divested by IBM in 2022 and spun-off to a private equity firm, Francisco Partners, that renamed the company Merative) indicated that the measures used here included: risk-adjusted inpatient mortality, risk-adjusted complications, healthcare associated infections, 30-day mortality, 30-day readmissions, severity-adjusted length of stay, Medicare spending per beneficiary, adjusted inpatient expense per discharge, and overall HCAHPS patient rating.</span></li></ul><ul><li><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>Financial Performance (15%)</b></span>: Here they used S&P bond rating as a proxy.</li></ul><ul><li><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>Alignment to Environmental, Social, and Governance (5%)</b></span>: This was measured by the organization <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>belonging</b></span> to <a class="article-editor-content__link article-editor-content__link" href="https://healthcareanchor.network/" rel="noopener noreferrer" style="background-color: var(--artdeco-reset-link-background-color-transparent); border: var(--artdeco-reset-link-border-zero); box-sizing: inherit; cursor: pointer; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); overflow-wrap: break-word; padding: var(--artdeco-reset-base-padding-zero); text-decoration: var(--artdeco-reset-link-text-decoration-none); touch-action: manipulation; vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">the Healthcare Anchor Network</a> ("<span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-style: var(--artdeco-reset-typography-font-style-italic); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><i>a growing nation collaboration of 70+ leading healthcare systems building more inclusive and sustainable local economies</i></span>"), <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>providing</b></span> supplier diversity data to the HAN, and <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>signing</b></span> the HAN Purchasing Impact Commitment. A set of laudable goals no doubt, but not really any <b>measurable results</b> to demonstrate leadership in any ESG areas of focus!</li></ul><ul><li><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>Community Opinion (60%)</b></span>: 30% each from a 'Gartner analyst panel' and a 'Peer panel.'</li></ul></div></span><p class="article-editor-content__paragraph" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">Now while supply chain <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">will</span> have some impact on most of the <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">actual measures </span>used that are listed above and account for <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">35% of the ranking ratings</span>, these are <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">rather<b> indirect measures</b></span> of supply chain effectiveness, efficiency, and impact to the organization. Using this logic these measures could as well be used to rank the healthcare systems by their revenue cycle, by clinical staffing, or by a whole host of other inputs! </span></p><p class="article-editor-content__paragraph" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">Additionally, odd for a supply chain ranking, <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><b>no supply chain-specific measures or KPIs are included</b></span>. For example none of the <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">twenty-nine</span> '<a class="article-editor-content__link article-editor-content__link" href="https://www.ahrmm.org/keys" rel="noopener noreferrer" style="background-color: var(--artdeco-reset-link-background-color-transparent); border: var(--artdeco-reset-link-border-zero); box-sizing: inherit; cursor: pointer; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); overflow-wrap: break-word; padding: var(--artdeco-reset-base-padding-zero); text-decoration: var(--artdeco-reset-link-text-decoration-none); touch-action: manipulation; vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">Health Care Supply Chain Metrics and KPI's</a>' listed by AHRMM are used.</span></p><p class="article-editor-content__paragraph" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">What is left? <b><span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">60% Opinion</span>.</b> Even if this opinion is all qualified as "expert" (which would seem to be a stretch), it it still opinion! And this is not the strongest foundation to build on; for example it would seem to me to have an inherent bias in favor of much larger systems!</span></p><p class="article-editor-content__paragraph" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">OK, so there are numerous ratings systems in health care, for example the U.S. New and World Report annual ranking, the Leapfrog Group ranking, etc., etc. And, almost always, their methodologies usually <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">start off on the rudimentary side</span> before being 'beefed up' and further developed. Not the case here as this is Gartner's <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">15th</span> annual listing! </span></p><p class="article-editor-content__paragraph" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">So, who is hurt by this ranking? No one really, so it's not like this is the end of the world. And, truth be told, the organizations listed are all great organizations and they may well be doing amazing things in their supply chains! However, Gartner may be overlooking other (perhaps smaller) <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">supply network <b>exemplars</b></span> that may be doing great work and <span style="background: var(--artdeco-reset-base-background-transparent); border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; font-size: var(--artdeco-reset-base-font-size-hundred-percent); font-weight: var(--artdeco-reset-typography-font-weight-bold); margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);">should be <b>lauded and emulated</b></span>. And this ranking provides no benchmarks that others can use to improve themselves, unless of course they sign up as Gartner clients!</span></p><p class="article-editor-content__paragraph article-editor-content__has-focus" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"><span style="font-family: inherit;">P.S. I hope I'm not being petty by pointing out that Gartner actually believes strongly in metrics and KPIs itself, apparently just not in this specific case.</span></p><p class="article-editor-content__paragraph article-editor-content__has-focus" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRwSJp-gufLDwXQZLtwyhySeNjOtzkJSpi6K-3tNuFpUjodhfdG4Ls28SSuxqFqSA5d3z2FcXBWTC0WpVqeJBYVTC6ivlM_B0XWtwgNYvpKnL4-6RH50IC3AqyBAZ0Z0PCwQJSD0pCL2fnxdRU8ZbDOPOsyftWBVDTp4Uib2VacbTqLCDz06nbIEBtIao/s447/believes.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="115" data-original-width="447" height="103" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRwSJp-gufLDwXQZLtwyhySeNjOtzkJSpi6K-3tNuFpUjodhfdG4Ls28SSuxqFqSA5d3z2FcXBWTC0WpVqeJBYVTC6ivlM_B0XWtwgNYvpKnL4-6RH50IC3AqyBAZ0Z0PCwQJSD0pCL2fnxdRU8ZbDOPOsyftWBVDTp4Uib2VacbTqLCDz06nbIEBtIao/w400-h103/believes.jpg" width="400" /></a></div><p class="article-editor-content__paragraph article-editor-content__has-focus" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: #f4f2ee; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); font-variant-ligatures: none; line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); text-align: justify; vertical-align: var(--artdeco-reset-base-vertical-align-baseline); white-space-collapse: break-spaces;">P.P.S. Also odd given the inputs, the Composite Score <a href="https://en.wikipedia.org/wiki/False_precision" target="_blank">runs to two decimals</a>!</p><p></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-82193340793485364422023-12-12T21:00:00.003-05:002023-12-12T21:30:55.947-05:00Biological Age Testing II<p style="text-align: justify;"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgd8Nb008YkyFAwWo69JiBHaoZ3a42lqx8-x-7Mb9-RtR2lEyyAH1yWMtcB8iVDjOg1-9c5bZ6uz1nmL1AOIaKhRF6-5300kBNgr8qjFPPmkTjHo70T7UEGUQrjl5JaDmjKY2tt1JIbRolQcS_x6FgemsFsXHNnuIutVDbGLvVCm1KQ-8WaUkRqymbvpzc/s750/biologicalage.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="420" data-original-width="750" height="224" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgd8Nb008YkyFAwWo69JiBHaoZ3a42lqx8-x-7Mb9-RtR2lEyyAH1yWMtcB8iVDjOg1-9c5bZ6uz1nmL1AOIaKhRF6-5300kBNgr8qjFPPmkTjHo70T7UEGUQrjl5JaDmjKY2tt1JIbRolQcS_x6FgemsFsXHNnuIutVDbGLvVCm1KQ-8WaUkRqymbvpzc/w400-h224/biologicalage.jpg" width="400" /></a></div><br />One's chronological age is how long one has been alive, while one's biological age is the age of your cells and systems based on physiological information. The two ages may be the same or they may also differ, sometimes significantly. Your biological age is effected by your genetics and by environmental factors such as stress, exercise, diet, sleep, and other factors. Biological age is a better predictor of possible disease and death than chronological age. <p></p><p style="text-align: justify;">Biological age determination is now readily available, so I decided to give it a try when I first read about it almost four year ago. Here are some good introductory articles on biological testing, focused on Elysium Health's process:</p><p><a href="https://archive.ph/V6LmK#selection-317.0-317.48" target="_blank">Aging clocks aim to predict how long you'll live</a></p><p><a href="https://archive.ph/kSWXb" target="_blank">I found out my biological age - and was annoyed by the result</a></p><p><a href="https://archive.ph/AxMVv" target="_blank">A test told me my brain and liver are older than they should be. Should I be worried?</a></p><p><b>Elysium Health's Index ($299): </b>(<a href="https://www.elysiumhealth.com/products/index" target="_blank">link</a>)</p><p style="text-align: justify;">When you place an order online they send you a kit that you can use to return a saliva sample. Elysium then extracts your DNA and analyzes DNA methylation across your genome to calculate your overall biological age. They now also determine the biological age of various systems in the body (brain, liver, metabolic, immune, hormone, kidney, heart, inflammation, and blood), and also provide science-based lifestyle recommendations. </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijAP8vbh-Pg6-aaYcXY2aG8DSaklb-CiFSiGoEZdpU0kA8wYfzgWxmTqX8iUw8OCm6BhQuwEM-7ujzBfPvGj1_y7jt6dF_nVsLKRdnugsPGx8LFE-2udlrlWDLymHdjX6wu3wfG08awJknspi2IeujQLv5HYjvBVpEW6cS1nTU8YSH6pLKSlBrVZ-aoSg/s466/threeyears.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="344" data-original-width="466" height="236" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijAP8vbh-Pg6-aaYcXY2aG8DSaklb-CiFSiGoEZdpU0kA8wYfzgWxmTqX8iUw8OCm6BhQuwEM-7ujzBfPvGj1_y7jt6dF_nVsLKRdnugsPGx8LFE-2udlrlWDLymHdjX6wu3wfG08awJknspi2IeujQLv5HYjvBVpEW6cS1nTU8YSH6pLKSlBrVZ-aoSg/s320/threeyears.jpg" width="320" /></a></div><br /><p style="text-align: justify;">I first did Elysium's Index Jan 2020, followed by repeating testing in July 2022 and September 2023. As you can see the results were<b> internally consistent over the years</b>, with my biological age running at approximately 90% of my chronological age. Initially Elysium only provided the overall biological age; however, they subsequently refined their process and began to also provide the biological age at a system level. Previously I had felt pretty satisfied with my results since I appeared "younger" than my chronological age; however, <span style="color: red;">when I received the additional detail I was taken aback that the picture wasn't that positive, especially the 'brain' result!</span></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTlx5J9wh_PxYoiTHOLE0AhI4XpV5U3b9lTsahLgDJ78k11yrrUjUbPH0EGc-jbk1EfH5Xlc7BRo8akLQCzT_5NMlhzesy8JRnAzHjZ7MxL6LxsEXw44cWXjLB1UtA8yp0rBJZ6hNFhTDh5yC8SyRnhl2j3qW0gYjBd5eJZMLJ7k6wbFYxiAUQLi_Vtrk/s890/indexALL.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="890" data-original-width="579" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhTlx5J9wh_PxYoiTHOLE0AhI4XpV5U3b9lTsahLgDJ78k11yrrUjUbPH0EGc-jbk1EfH5Xlc7BRo8akLQCzT_5NMlhzesy8JRnAzHjZ7MxL6LxsEXw44cWXjLB1UtA8yp0rBJZ6hNFhTDh5yC8SyRnhl2j3qW0gYjBd5eJZMLJ7k6wbFYxiAUQLi_Vtrk/w416-h640/indexALL.jpg" width="416" /></a></div><p style="text-align: justify;">My state of mind wasn't helped by running across this article, '<a href="https://archive.is/imtYd">Higher Biological Age May increase Stroke and Dementia Risk</a>' which found:</p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1UrS4LYM8R2ZFrti3fOrkhJRiH5fFyaoOvL0QAR-Wbor3LLhOmJ3iODY518gzhUlenLEVXpv3GSOSLlLJl_JHnawiPUBMFB9Wh51SVS4GWA4mWKIU1VuYveqQ3ADXSa_ywtIAYOP4We8pToxofcAgKgQf3SfiqgwP4SlGAxq6-gfTwM5CFL5rFI4E3x4/s771/alzarticle.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="151" data-original-width="771" height="126" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1UrS4LYM8R2ZFrti3fOrkhJRiH5fFyaoOvL0QAR-Wbor3LLhOmJ3iODY518gzhUlenLEVXpv3GSOSLlLJl_JHnawiPUBMFB9Wh51SVS4GWA4mWKIU1VuYveqQ3ADXSa_ywtIAYOP4We8pToxofcAgKgQf3SfiqgwP4SlGAxq6-gfTwM5CFL5rFI4E3x4/w640-h126/alzarticle.jpg" width="640" /></a></div><span style="text-align: justify;"><div><span style="text-align: justify;"><br /></span></div><div style="text-align: justify;">I posted the <a href="http://www.ph2dot1.com/2023/10/biological-age-testing.html" target="_blank">Biological Age Testing</a> entry, and resolved to follow some of the (somewhat general) recommendations. I purchased a <a href="http://www.ph2dot1.com/2023/10/whoop-first-look.html" target="_blank">Whoop 4.0</a> to track and improve my sleep, as well as to significantly increase my activity and exercise levels. To 'exercise' my brain I now conscientiously do brain puzzles (including the NYT's Wordle, Connections, and Spelling Bee ) every day, and have signed up with Babbel to learn a new language while also brushing up my French, Spanish and German (all very rusty with disuse!).</div></span><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgHdykuJ2c7Dp6fIeSHrj98LkBR7pX4rq9IyWxb54G8zFHFt5oqRN-zwVs4lVbgY7cXGtf2CvCUMeY2NeRJLMiKnNjsMsIoOLNB243WhPmiQVYGcxNwmr39YdcWj6dEDhq9b84xDHF22H7diRxST2S74x8oAl8N8rfVuYj8cnhs4ZzojN1_0ofGKUSreU/s320/followup.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="281" data-original-width="320" height="281" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhgHdykuJ2c7Dp6fIeSHrj98LkBR7pX4rq9IyWxb54G8zFHFt5oqRN-zwVs4lVbgY7cXGtf2CvCUMeY2NeRJLMiKnNjsMsIoOLNB243WhPmiQVYGcxNwmr39YdcWj6dEDhq9b84xDHF22H7diRxST2S74x8oAl8N8rfVuYj8cnhs4ZzojN1_0ofGKUSreU/s1600/followup.jpg" width="320" /></a></div><div><br /></div><div style="text-align: justify;">Biological age testing appears to have come into its own, and there are a multitude of companies offering this service, each touting their methodology (DNA methylation, telomere length, etc.) and scientific expertise. I decided to try two other companies to see if they would validate my Elysium Health estimates. </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;"><b>Thorne ($99): </b>(<a href="https://www.thorne.com/" target="_blank">link</a>)</div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Once you purchase <a href="https://www.thorne.com/products/dp/biological-age" target="_blank">the test </a>you first complete an online questionnaire. Then then provide you a lab order that you will have to download and take to a local Quest Diagnostics branch to provide a blood sample. Quest provides you a full blood work-up in a day or two, and a few weeks later you get your results from Thorne. They use <i>"multi-omic testing, artificial intelligence and machine learning to create an in-depth and accurate picture of your biological age."</i> You will receive your overall biological age; your blood, kidney, lipid, liver, and metabolic ages; and information/recommendations related to diet, exercise, lifestyle, and supplements.</div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieFTcp_1AcEZ7aD_vHRoL32bX8n4sQswODyThSVRD-jhZdeIbH46-NKSXt1Z4-hA6OTIDu5HiBkOsNuStoqLNxE6jOsUz8TQxKGSw31TgeMeuQnDwjHTllvzIQu67KSlRK5oehButXoh7FNs5p_PzK94QlhLNvfleNpupBUlBXE3_XaAyRmnAoiwDB5YE/s849/ThorneALL.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="572" data-original-width="849" height="270" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEieFTcp_1AcEZ7aD_vHRoL32bX8n4sQswODyThSVRD-jhZdeIbH46-NKSXt1Z4-hA6OTIDu5HiBkOsNuStoqLNxE6jOsUz8TQxKGSw31TgeMeuQnDwjHTllvzIQu67KSlRK5oehButXoh7FNs5p_PzK94QlhLNvfleNpupBUlBXE3_XaAyRmnAoiwDB5YE/w400-h270/ThorneALL.jpg" width="400" /></a></div><br /><div><b>MyDNAge ($299): </b>(<a href="https://www.mydnage.com/products/blood" target="_blank">link</a>)</div><div><br /></div><div style="text-align: justify;">When you buy the test they send you a kit that you use to send them a (very small) blood sample. Their analysis methodology is based on Dr. Horvath's epigenetic clock - they analyze <i>"DNA methylation patterns of over 2,000 loci on the human genome"</i> and provide your overall biological age, your epimetabolic index, information on your APOE and MTHFR genes, as well as information that can be used to improve your health and wellness. </div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg80TOjknL0KxYqYahFgdqKufYwpdw2Q2jkyLct_dH5VVgx0nLfbnmFVf9lxNlsocj49Wxrf3OjEFGX1h6JiHAMIlccjU-XpsodULJsXxJG17USCif8Hhp5cx-HUTbS4zxxfZ_xCTnNRBPiSXcAisJmAHht0KhM0HyOEcj1dnOy369FsuG9IRW1E_qpHkU/s1378/MyDNAge01.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1378" data-original-width="1116" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg80TOjknL0KxYqYahFgdqKufYwpdw2Q2jkyLct_dH5VVgx0nLfbnmFVf9lxNlsocj49Wxrf3OjEFGX1h6JiHAMIlccjU-XpsodULJsXxJG17USCif8Hhp5cx-HUTbS4zxxfZ_xCTnNRBPiSXcAisJmAHht0KhM0HyOEcj1dnOy369FsuG9IRW1E_qpHkU/w518-h640/MyDNAge01.png" width="518" /></a></div><br /><div><br /></div><div>APOE:</div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj27DdA6YO0Re2HmGNE8RTATZqjFlH4VbhlMRV9St3dv2qNVJ2YgaoWAemSxKDnOSCBoPbrD09DiBwUgLUKdMdGeTpGPIFZe6xdPu-6xd3Uj93TLEXTno801QgB5gko_J7ZiMg7QCAENnzQtSf5h35HlYJPNgZKaSp4RGAk8J4glKtcTXDcHBIJa2todpg/s1344/apoe01.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="685" data-original-width="1344" height="204" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj27DdA6YO0Re2HmGNE8RTATZqjFlH4VbhlMRV9St3dv2qNVJ2YgaoWAemSxKDnOSCBoPbrD09DiBwUgLUKdMdGeTpGPIFZe6xdPu-6xd3Uj93TLEXTno801QgB5gko_J7ZiMg7QCAENnzQtSf5h35HlYJPNgZKaSp4RGAk8J4glKtcTXDcHBIJa2todpg/w400-h204/apoe01.png" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVcG5SQw7ScN2cECQ300fIZP_09Kc9_VM3o5hgS9gF8L7hNRNOX2njcslMZnyjsMQjyePdruhV9Fue-yiyz4l7-r_FXEzoObW1Xs6HLdGfp5YeNmqAd-mbOAwJYG51E59faTzi5Hyl5hkSi6COxOMdjGF39__Fg4DJ8aoEOy7yclGtlP7Hi3SCNRvUWuc/s1040/APOE02.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="764" data-original-width="1040" height="294" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVcG5SQw7ScN2cECQ300fIZP_09Kc9_VM3o5hgS9gF8L7hNRNOX2njcslMZnyjsMQjyePdruhV9Fue-yiyz4l7-r_FXEzoObW1Xs6HLdGfp5YeNmqAd-mbOAwJYG51E59faTzi5Hyl5hkSi6COxOMdjGF39__Fg4DJ8aoEOy7yclGtlP7Hi3SCNRvUWuc/w400-h294/APOE02.png" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWHETaI_rjQ-PFbkncevg18496KpHyOWcX3zCpChF2cyPmS2JxalQdPyv6aho2pBTWw_428Cpy_t9PSfeV9zQqfQtg9P9KkcEW2ynbMU48Rrad-uyDrfz4ZAQ-8eJepSH-84g1_O7Hp2XS6bWIFf_UMLDp5greuTcQ70vlHqqVGzwKjH4y2d932hJMTvc/s1344/APOE03.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1290" data-original-width="1344" height="384" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgWHETaI_rjQ-PFbkncevg18496KpHyOWcX3zCpChF2cyPmS2JxalQdPyv6aho2pBTWw_428Cpy_t9PSfeV9zQqfQtg9P9KkcEW2ynbMU48Rrad-uyDrfz4ZAQ-8eJepSH-84g1_O7Hp2XS6bWIFf_UMLDp5greuTcQ70vlHqqVGzwKjH4y2d932hJMTvc/w400-h384/APOE03.png" width="400" /></a></div><br /><div><br /></div><div>MTHFR: </div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKkTYVxFaVB_dNnKq_kN1w7t5K5ue5aWlrSgdxdp8C7pwTTMa0ftBGyzyGCmRGrbY-gw29brxZZjduORyf3FTM5W3hIow_mPABA-Dajl1QLp85cyxfDpi2DpCtcyjwUk0hI_lQqGLRsMgEhaJWSsNk_peT2RT_8e58MztLQ5s0QO3ZH4bQ4rSzE27qU1c/s1892/mthfr01.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1892" data-original-width="1344" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKkTYVxFaVB_dNnKq_kN1w7t5K5ue5aWlrSgdxdp8C7pwTTMa0ftBGyzyGCmRGrbY-gw29brxZZjduORyf3FTM5W3hIow_mPABA-Dajl1QLp85cyxfDpi2DpCtcyjwUk0hI_lQqGLRsMgEhaJWSsNk_peT2RT_8e58MztLQ5s0QO3ZH4bQ4rSzE27qU1c/w284-h400/mthfr01.png" width="284" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoHgSM5EemT5coaX8iZDyBwKQ6QWkzxJg_n8GNthkOgvsXL-QnEG6HirnsHAu2IiHu0RVksdEY9751bCA1HNsYkuiwLX5wPySZzDojhpp4kZXLWB5yaVbk8z0cO_NsRyjq3zThJUVdjfqcsYm0-xZSBUaaQDI2bffN_b1ePr1B29ADATk1JHoqjHWG1kk/s1079/MTHFR02.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="642" data-original-width="1079" height="238" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoHgSM5EemT5coaX8iZDyBwKQ6QWkzxJg_n8GNthkOgvsXL-QnEG6HirnsHAu2IiHu0RVksdEY9751bCA1HNsYkuiwLX5wPySZzDojhpp4kZXLWB5yaVbk8z0cO_NsRyjq3zThJUVdjfqcsYm0-xZSBUaaQDI2bffN_b1ePr1B29ADATk1JHoqjHWG1kk/w400-h238/MTHFR02.png" width="400" /></a></div><div><br /></div><div><br /></div><div style="text-align: justify;"><span style="color: red;"><b>So, how do the results stack up? </b></span>I have to say that when you compare results for common items (each test yields results for different sets of items!) they're not very consistent at all! For example, the <b><span style="color: red;">estimates of my overall biological age range from 58 to 71! </span></b> When you consider the granular system numbers, of systems reported by Elysium and Thorne, they show <b><span style="color: red;">significant differences for three of four systems. </span></b></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkwruK61bz9I55m6CFH-RfB8QpBHYEH0BqVkjAHg9983YTRRfF-EfB3Zucl_0G-nnVj9udyjVNITGUVzuAcS5s0S5aIhEYVnzzmhQNtpV-xr1dtF0AZCmvOM7RP5YvxPngB0q6YhdE72zqE8NntvQNMwIfVjO3SjSXKCm3w0hb4W50wBjMntIsksY7jAk/s708/COMPARE.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="451" data-original-width="708" height="255" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkwruK61bz9I55m6CFH-RfB8QpBHYEH0BqVkjAHg9983YTRRfF-EfB3Zucl_0G-nnVj9udyjVNITGUVzuAcS5s0S5aIhEYVnzzmhQNtpV-xr1dtF0AZCmvOM7RP5YvxPngB0q6YhdE72zqE8NntvQNMwIfVjO3SjSXKCm3w0hb4W50wBjMntIsksY7jAk/w400-h255/COMPARE.jpg" width="400" /></a></div><div><br /></div><div><br /></div><div style="text-align: justify;">OK, these significant variances would seem to <u>undermine the validity of all of these results</u>, so I am unsure how to take this. <b><span style="color: red;">Unfortunately there seemed to be some concordance related to the brain results</span></b> - Elysium's brain age estimate along with the '<span style="text-align: justify;"><a href="https://archive.is/imtYd" target="_blank">Higher Biological Age May Increase Stroke and Dementia Risk</a>'</span><span style="text-align: justify;"> article created some concern about potential dementia and Alzheimer's. This was accentuated by the APOE gene results from MyDNAge (<i>"Having one APOE e4 gene increases your risk of developing Alzheimer's disease two- to three-fold."</i>) </span></div><div style="text-align: justify;"><span style="text-align: justify;"><br /></span></div><div style="text-align: justify;"><span style="text-align: justify;">Hmm, I guess time will tell!</span></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-89868273026199327852023-10-17T16:30:00.001-04:002023-10-17T16:31:32.501-04:00Whoop - First Look<p></p><div style="text-align: center;"> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixnQMDeUt-4Y3zBxlA4WowuVfl22pBMWOgvUS9T3-HK5rfoXqG3Ri56aJ7v_UD4d2jzPQKPWRzA4lD2IbkLOyj4d5Ktw2xh4LZlhdB-xgPVc9zP6Oo2vZ64Ezxx-89cwtTFsAPYWroZIXDYIYSaED5mhAecI7oJnJaQA48BrfBftZUXdeW7WZjev3sU2o/s415/whoop01.jpg" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="415" data-original-width="357" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEixnQMDeUt-4Y3zBxlA4WowuVfl22pBMWOgvUS9T3-HK5rfoXqG3Ri56aJ7v_UD4d2jzPQKPWRzA4lD2IbkLOyj4d5Ktw2xh4LZlhdB-xgPVc9zP6Oo2vZ64Ezxx-89cwtTFsAPYWroZIXDYIYSaED5mhAecI7oJnJaQA48BrfBftZUXdeW7WZjev3sU2o/w275-h320/whoop01.jpg" width="275" /></a></div><div style="text-align: center;"><br /></div><div style="text-align: justify;"><a href="http://www.ph2dot1.com/2020/10/amazfit-first-look.html" target="_blank">Amazfit - First Look</a> - Oct 20th, 2020</div><div style="text-align: justify;"><a href="http://www.ph2dot1.com/2021/01/amazon-halo-amazfit-x-second-look.html" target="_blank">Amazon Halo & Amazfit X -Second Look</a> - Jan 11, 2021</div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Due to various issues I decided to move away from the crowd-funded <a href="https://carryitlikeharry.com/review-amazfit-x-smart-watch/" target="_blank">Amazfit X</a> that I had been using as an activity tracker for the past few years. Its sleep tracking (my primary use) suddenly became less accurate and it started to consistently misreport my sleep duration. I would go to bed around 10 pm, falling asleep within a few minutes. Then the next day it would show my sleep starting at 1am or 2 am, etc. Clearly, a very undesirable situation. After checking Google and reading about various trackers, I decide to go ahead and sprang for a year's subscription to <a href="https://www.whoop.com/us/en/" target="_blank">Whoop</a>.</div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Another reason to get a working solution is that I am going to be paying a lot more attention to my activity levels and sleep quality, see <a href="http://www.ph2dot1.com/2023/10/biological-age-testing.html" target="_blank">Biological Age Testing</a>.</div><div style="text-align: left;"><br /></div><div style="text-align: left;">The unboxing photos:</div><div style="text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYAesyPD_baEDhsfvy_JiDaOgMlmiOwzBhUYDo-PMXrk9cVxmb5fwN2aDt311rjk1lsOJoz6zYkTYWLCwO94CgTyRpezgM1CXvgABRcsci16HP4oFYfm-QDJsC-AlrkW25INGKavCFw0H15w_KnRm0Z_Q_XmKg_1LvdR7603-PfPs2w4JkONPANfHRkNI/s4032/whoop02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYAesyPD_baEDhsfvy_JiDaOgMlmiOwzBhUYDo-PMXrk9cVxmb5fwN2aDt311rjk1lsOJoz6zYkTYWLCwO94CgTyRpezgM1CXvgABRcsci16HP4oFYfm-QDJsC-AlrkW25INGKavCFw0H15w_KnRm0Z_Q_XmKg_1LvdR7603-PfPs2w4JkONPANfHRkNI/w400-h300/whoop02.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRJ8jdtEaWtFe9kYhkhVH0oR_JWhXEs2lSxLhivnwC4IUux2fe4UFx-zS9iG-mPNvVp7tgG2vHJ97U97QQsGnaVY_8ImU8bksup8U0glm5u1GsJ_o13OVNZApCGafcY57OqeS9MK0Zwz2rbrxYwzndkXRGfVo-lbMAM703cvkCVjn5-TUBLcMP2o0CTkk/s952/whoop03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="677" data-original-width="952" height="285" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiRJ8jdtEaWtFe9kYhkhVH0oR_JWhXEs2lSxLhivnwC4IUux2fe4UFx-zS9iG-mPNvVp7tgG2vHJ97U97QQsGnaVY_8ImU8bksup8U0glm5u1GsJ_o13OVNZApCGafcY57OqeS9MK0Zwz2rbrxYwzndkXRGfVo-lbMAM703cvkCVjn5-TUBLcMP2o0CTkk/w400-h285/whoop03.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoojmJ3fw-Sj3j8jzH6ekki6fmjB09bDecDHbz-x_by6bPL7HHL8869Adj8WtRz0BzAGUbYrk13LcF947shBBkko83NW40ifNBv8HgwD9lEW_sMWvPxutaVCQPRENq7e1wvI-nBgEShsxr95Aq1yCLD7b4JRpKnkEs94Ke7U6_hBqesRWX3Fr-sPKGaXE/s635/whoop04.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="635" data-original-width="401" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhoojmJ3fw-Sj3j8jzH6ekki6fmjB09bDecDHbz-x_by6bPL7HHL8869Adj8WtRz0BzAGUbYrk13LcF947shBBkko83NW40ifNBv8HgwD9lEW_sMWvPxutaVCQPRENq7e1wvI-nBgEShsxr95Aq1yCLD7b4JRpKnkEs94Ke7U6_hBqesRWX3Fr-sPKGaXE/w253-h400/whoop04.jpg" width="253" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_Z1hwO7VSNvjFy61duYih0igUDkQXZimXntkhMYjCKvqC0r0_O9EDwfjPNofEl5QX4HyV_5_rH5J9LwBBT1BrkPKSfa5jx1yLtGlSs2TGuN7gxpEnJ481gixCS1reNXLa3aU1X31qQI65YGRuM2fU6wSsYksNEW4LNfALwI_gtouBZG2h0hGbdsU9aAQ/s4032/whoop09.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="4032" data-original-width="3024" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_Z1hwO7VSNvjFy61duYih0igUDkQXZimXntkhMYjCKvqC0r0_O9EDwfjPNofEl5QX4HyV_5_rH5J9LwBBT1BrkPKSfa5jx1yLtGlSs2TGuN7gxpEnJ481gixCS1reNXLa3aU1X31qQI65YGRuM2fU6wSsYksNEW4LNfALwI_gtouBZG2h0hGbdsU9aAQ/w300-h400/whoop09.jpg" width="300" /></a></div><div><br /></div><div style="text-align: justify;">The companion app is downloaded from Google Play:</div><div><br /></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDU8tTh5fmt-ac-vcQibeDpHISSyzXgSTJB3UbuavLbAkFDy54_StIa7zAieo1vKiqrfPgSYtxnYcsNGFYwSqRMlHFmLE3fQhHmSjg87zM4lV3kLXN-9ytHSlq9yUMaeRosxMiFEvmd_H1uTDBiFUhnTpE9r2CLqgNBpS2lHWdxWF-z-MLFS5V1kxjUUE/s1892/whoop20.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1892" data-original-width="1344" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDU8tTh5fmt-ac-vcQibeDpHISSyzXgSTJB3UbuavLbAkFDy54_StIa7zAieo1vKiqrfPgSYtxnYcsNGFYwSqRMlHFmLE3fQhHmSjg87zM4lV3kLXN-9ytHSlq9yUMaeRosxMiFEvmd_H1uTDBiFUhnTpE9r2CLqgNBpS2lHWdxWF-z-MLFS5V1kxjUUE/w284-h400/whoop20.png" width="284" /></a></div><br /><div style="text-align: justify;">You need to charge the Whoop, pair it with your phone, and then it starts collecting your information and <b>building a baseline over your first 30 days</b>... More to come once this has taken place!</div><div style="text-align: left;"><br /></div><div style="text-align: left;"><b>Whoop Reviews:</b></div><div style="text-align: left;"><a href="https://www.sleepfoundation.org/best-sleep-trackers/whoop-band-review" target="_blank">Whoop Band Review</a> (Sleepfoundation)</div><div style="text-align: left;"><a href="https://michaelkummer.com/health/whoop-strap-review/" target="_blank">Whoop 4.0 Review (After 3 Years of Daily Use)</a></div><div style="text-align: left;"><a href="https://www.theverge.com/22957195/whoop-review-fitness-tracker-wearables" target="_blank">Only athletes should give a whoop about Whoop</a> (The Verge)</div><div style="text-align: left;"><a href="https://www.digitaltrends.com/mobile/whoop-4-review/" target="_blank">Whoop 4.0 review: more whimper than whoop</a> (Digital Trends)</div><div style="text-align: left;"><a href="https://www.garagegymreviews.com/whoop-4-review" target="_blank">Whoop 4.0 Review (2023): The Best Fitness Tracker out There?</a> (Garage Gym Reviews)</div><div style="text-align: left;"><br /></div><div style="text-align: left;"><b>Whoop YouTube Reviews:</b></div><div style="text-align: left;"><a href="https://www.youtube.com/watch?v=bVBmAd2zPpg" target="_blank">I tested Whoop 4.0 for 30 days</a></div><div style="text-align: left;"><a href="https://www.youtube.com/watch?v=K3wSkR671ic" target="_blank">Is Whoop 4.0 worth the hype?</a></div><div style="text-align: left;"><a href="https://www.youtube.com/watch?v=aONvraD6DUM" target="_blank">Apple Watch vs. Whoop 4.0: (Best fitness tracker)</a></div><div style="text-align: left;"><a href="https://www.youtube.com/watch?v=1pAyD1jbap4" target="_blank">Whoop 4.0 In-depth review: Accuracy and the algorithm</a></div><div style="text-align: left;"><br /></div><div style="text-align: left;"><br /></div><br /><p></p></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-59422869830237956742023-10-13T20:00:00.005-04:002023-10-14T17:35:46.135-04:00Amazon & One MedicalAmazon's One Medical integration is still in "early days," see <a href="https://www.fiercehealthcare.com/health-tech/why-one-medicals-cmo-believes-amazon-health-can-make-big-impact-tackling-chronic">Why One Medical's CMO believes Amazon Health can make a big impact tackling chronic diseases</a>.<div><br /></div><div>How they envisage eventually/potentially leveraging One Medical is what I suggested be the value-added part of 𝐇𝐚𝐯𝐞𝐧 - see <a href="https://www.linkedin.com/pulse/prognosticating-taking-hungry-tapeworm-suresh-nirody/">my Apr 2018 article</a>. <br /><br />P.S. Note, with Haven their reach would have been 𝐦𝐮𝐜𝐡 𝐛𝐫𝐨𝐚𝐝𝐞𝐫.<div><span style="background-color: white; color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif; font-size: 14px;"><br /></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKaBIxzVpbVlduSkeqPNIe7LUhDhm6Hzu_zE2dPG3BOjyb5i09FHGEJHg_r8yAsbpJ_rwXOmc86IB0IHB2v_n2IXW3EQ-yBJtTYQvD1iepRquR1zhnAmEkUxsgcITVeOQ-hLuX299FoHttnFyZ4PmQo_wwzl1ELRPM-GPvPeaDGTcpr56S2HU7nfIG4mw/s506/OM.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="506" data-original-width="493" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKaBIxzVpbVlduSkeqPNIe7LUhDhm6Hzu_zE2dPG3BOjyb5i09FHGEJHg_r8yAsbpJ_rwXOmc86IB0IHB2v_n2IXW3EQ-yBJtTYQvD1iepRquR1zhnAmEkUxsgcITVeOQ-hLuX299FoHttnFyZ4PmQo_wwzl1ELRPM-GPvPeaDGTcpr56S2HU7nfIG4mw/s16000/OM.jpg" /></a></div><br /><span style="background-color: white; color: rgba(0, 0, 0, 0.9); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif; font-size: 14px;"><br /></span></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-46916584099854795042023-10-12T20:00:00.002-04:002023-10-12T20:25:00.798-04:00Biological Age Testing<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHDcCgVc4HT8et8u6ujXJ28XtYs4cicyMjfR7Vb-ffoG1v_1pnXsl_Ujw2yxKG8kYhv-2NT0NpiDeXcOafwga502h6JfkZJmxitlTZ_hpfTp73crN2OD3oNsmWGCtFtgcObYyg3xUUnUuISA1xe-vEvyL8iwC6LAHqCWnu6DXrw1czQCHXRev4ZtbJogU/s535/index.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="374" data-original-width="535" height="224" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHDcCgVc4HT8et8u6ujXJ28XtYs4cicyMjfR7Vb-ffoG1v_1pnXsl_Ujw2yxKG8kYhv-2NT0NpiDeXcOafwga502h6JfkZJmxitlTZ_hpfTp73crN2OD3oNsmWGCtFtgcObYyg3xUUnUuISA1xe-vEvyL8iwC6LAHqCWnu6DXrw1czQCHXRev4ZtbJogU/s320/index.jpg" width="320" /></a></div><br /><div style="text-align: justify;">I recently took Elysium's 𝐈𝐧𝐝𝐞𝐱 𝐛𝐢𝐨𝐥𝐨𝐠𝐢𝐜𝐚𝐥 𝐚𝐠𝐞 𝐭𝐞𝐬𝐭 - <a href="https://t.co/ImnSQdpvAX">https://elysiumhealth.com/products/index</a> - and just received the results. It started off well - overall my 'biological age' is lower than my chronological age. Then I looked at the system age scores, and 𝐘𝐈𝐊𝐄𝐒!</div><p></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4ir1JcLVzMKF5MiZDzoTksUsLZurpFMN2DUAU5Zo6Acgj2W74APa2pAtoUyHxiqAy7f-2ut42kZxw_0SaBcuEeYNWvzijdjodcRFgufqC457DK1ybF5Tz8Bm4DLd6wfElE5Ne0phI5FtIAoVvCwdDBOXNpZO9ZvlveUbSTAE6pIzBEJ32qKV1iPMisWc/s680/results.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="503" data-original-width="680" height="237" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4ir1JcLVzMKF5MiZDzoTksUsLZurpFMN2DUAU5Zo6Acgj2W74APa2pAtoUyHxiqAy7f-2ut42kZxw_0SaBcuEeYNWvzijdjodcRFgufqC457DK1ybF5Tz8Bm4DLd6wfElE5Ne0phI5FtIAoVvCwdDBOXNpZO9ZvlveUbSTAE6pIzBEJ32qKV1iPMisWc/s320/results.jpg" width="320" /></a></div><br />How concerned should I be about the 'brain' score? Well, enough that I've decided to <b>do more</b> of a few of the recommended follow-up actions:<div><ul style="text-align: left;"><li>Greatly increase my activity and exercise levels!</li><li>Try to improve my sleep - levels and quality</li><li>Learn something new - I've signed up with Babbel to learn a new language. </li></ul><p></p><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBgJ7DjsC9M0LtjGU5VCSfcM2SsowtxZZ5DxeqCvM5d48DrWzaX9UYH3E5s3i1G4YoPvClJ3TztkYrfOu9ic_SsAjtkL11hOS0s2JI-N4kvX3-9YaPjqC7uHUUZbj85gk_C7kxwqTGj7XohgUwPMlnRgDy1ImeTudYgTUfDd5Ek3TPa8dKwTb3AJonyeI/s415/followup.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="365" data-original-width="415" height="281" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBgJ7DjsC9M0LtjGU5VCSfcM2SsowtxZZ5DxeqCvM5d48DrWzaX9UYH3E5s3i1G4YoPvClJ3TztkYrfOu9ic_SsAjtkL11hOS0s2JI-N4kvX3-9YaPjqC7uHUUZbj85gk_C7kxwqTGj7XohgUwPMlnRgDy1ImeTudYgTUfDd5Ek3TPa8dKwTb3AJonyeI/s320/followup.jpg" width="320" /></a></div><br /></div><div>I'll redo the Index test in 12 months and report back if any of this has made a difference.</div><div><br /><div><b>References: </b></div><div><br /></div><a href="https://archive.ph/mUcsm" target="_blank">How old are you really? New tests want to tell you</a><br /><a href="https://archive.ph/AxMVv" target="_blank">A test told me my brain and liver are older than they should be. Should I be worried?</a><div><a href="https://www.technologyreview.com/2022/08/22/1057660/strong-muscles-healthy-brain/" target="_blank">How do strong muscles keep your brain healthy? There’s a robust molecular language being spoken between your muscles and your brain</a></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-19767783250731582192023-10-05T15:29:00.001-04:002023-10-05T15:31:11.921-04:00Hospital-At-Home Thoughts/Worries<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1fGdhfKCfblt3kKchk0eED1finclpICcUDZqBr-JuqP3v6X2RYLlKoLf-O0e3qfbCSJGndd0ZHrTHrN8rSCb7cNJwLW-_d-jofTkX4FFLedF6kV_LDvncmjNWBzz-Tnyiy6GeW_5JZP-D-YNUz8g2hpSN9UYFxI64xDvJ1KrZJvdMEybAvaUJw-v-jvk/s741/hah01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="741" data-original-width="548" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1fGdhfKCfblt3kKchk0eED1finclpICcUDZqBr-JuqP3v6X2RYLlKoLf-O0e3qfbCSJGndd0ZHrTHrN8rSCb7cNJwLW-_d-jofTkX4FFLedF6kV_LDvncmjNWBzz-Tnyiy6GeW_5JZP-D-YNUz8g2hpSN9UYFxI64xDvJ1KrZJvdMEybAvaUJw-v-jvk/w474-h640/hah01.jpg" width="474" /></a></div><div><br /></div><a href="https://twitter.com/snirody/status/1468310801341632512" target="_blank">First Thread</a><div><a href="https://twitter.com/snirody/status/1597293571237109762" target="_blank">Second Thread</a><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEgCkmEwYoaeJTPzUu-YvGt1DWCeLdedEkufPU598G6u_uaQLAUzCCNZCa2XokvrVP4REEqaw6w8ufU7P0JrEOCRnJiFmRAuuYg1lCoZwi6oEqw3YeFYBS7VCaP0xpLekBgdt6c4cuAbFaM8x4rJrqXSdcZl-fD5vyawnWMs73uM7YfIqXqUX3_1PMgHk/s826/hah02a.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="826" data-original-width="518" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEgCkmEwYoaeJTPzUu-YvGt1DWCeLdedEkufPU598G6u_uaQLAUzCCNZCa2XokvrVP4REEqaw6w8ufU7P0JrEOCRnJiFmRAuuYg1lCoZwi6oEqw3YeFYBS7VCaP0xpLekBgdt6c4cuAbFaM8x4rJrqXSdcZl-fD5vyawnWMs73uM7YfIqXqUX3_1PMgHk/w402-h640/hah02a.jpg" width="402" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtn__47YjlkMKTezOVLJ6ubuRN7ISOIaSCNQ3FjmFN9UeoysTAsJh4MXN-R89FOJgP3hreydJIkv0TdMN3rmoL6CtDoji5SErYYCyweFSR57bRiJnJADgFVAntUKhNVs7P0y8defj7xHV-4LFBgKezorEmvLRS1rV5F6lS4drEwtR6o_uAgjpEMVTspgM/s663/hah02b.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="663" data-original-width="519" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtn__47YjlkMKTezOVLJ6ubuRN7ISOIaSCNQ3FjmFN9UeoysTAsJh4MXN-R89FOJgP3hreydJIkv0TdMN3rmoL6CtDoji5SErYYCyweFSR57bRiJnJADgFVAntUKhNVs7P0y8defj7xHV-4LFBgKezorEmvLRS1rV5F6lS4drEwtR6o_uAgjpEMVTspgM/w500-h640/hah02b.jpg" width="500" /></a></div><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9fOUbrX_ZMVn2iSKjRA22hiNPeLvhm4KnlVEFiE8v6aDudkIPsEH9U4ud5tVjvf8lPbv2rRH9E02foM66RzF8t5AXPcMC2OazxJCt7upJb2aJ_PnEUf2ddSvXw6O0tYhsKIXuF5yNdazlL6qqA-BE8gv3RRbLuCAEh3j64kmtx3doEMUwr-IIjVFKa1Y/s814/hah02c.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="814" data-original-width="525" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9fOUbrX_ZMVn2iSKjRA22hiNPeLvhm4KnlVEFiE8v6aDudkIPsEH9U4ud5tVjvf8lPbv2rRH9E02foM66RzF8t5AXPcMC2OazxJCt7upJb2aJ_PnEUf2ddSvXw6O0tYhsKIXuF5yNdazlL6qqA-BE8gv3RRbLuCAEh3j64kmtx3doEMUwr-IIjVFKa1Y/w412-h640/hah02c.jpg" width="412" /></a></div><br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-21202101116086578852023-10-03T17:00:00.004-04:002023-10-04T14:43:15.936-04:00Random Thought<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUcDTlNYlmzLBSLSLmTbf3FNxZ4SXtL4Pgv26m7eEYT0Bm4pHrQdSTIxFc7OMc6GKhCFqmqEWVPaF8gSNG6DRNl-t1tzLxqlfKQYkhPf4nymCpnubOV1OdwEI-n6UcJw9TcMYZne64dCy1uNa1cASjkPfzuCULNK8qW6D6r4RDZD1f-QjZ21iT4MyOk14/s390/randomthought.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="390" data-original-width="278" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhUcDTlNYlmzLBSLSLmTbf3FNxZ4SXtL4Pgv26m7eEYT0Bm4pHrQdSTIxFc7OMc6GKhCFqmqEWVPaF8gSNG6DRNl-t1tzLxqlfKQYkhPf4nymCpnubOV1OdwEI-n6UcJw9TcMYZne64dCy1uNa1cASjkPfzuCULNK8qW6D6r4RDZD1f-QjZ21iT4MyOk14/w229-h320/randomthought.jpg" width="229" /></a></div><div><br /></div>𝐑𝐚𝐧𝐝𝐨𝐦 𝐭𝐡𝐨𝐮𝐠𝐡𝐭: Want to sell pharmaceuticals in the U.S.? The government should require that 𝐚𝐥𝐥 such entities develop a ‘𝐦𝐚𝐧𝐮𝐟𝐚𝐜𝐭𝐮𝐫𝐢𝐧𝐠 𝐚𝐧𝐝 𝐬𝐮𝐩𝐩𝐥𝐲 𝐜𝐡𝐚𝐢𝐧 𝐝𝐢𝐠𝐢𝐭𝐚𝐥 𝐭𝐰𝐢𝐧’ for their operations. A standard model to be developed (in cooperation with pharmaceutical manufacturers, etc.) by NIST who will define the data elements, etc., definitions, metrology/measurement, information collection, reporting, technology used, etc., etc. <div><br /></div><div>Data from the various manufacturers’ digital twins would regularly (e.g. daily) ‘feed’ a government-controlled ‘𝐩𝐡𝐚𝐫𝐦𝐚 𝐢𝐧𝐝𝐮𝐬𝐭𝐫𝐲 𝐦𝐚𝐧𝐮𝐟𝐚𝐜𝐭𝐮𝐫𝐢𝐧𝐠 𝐚𝐧𝐝 𝐬𝐮𝐩𝐩𝐥𝐲 𝐜𝐡𝐚𝐢𝐧 𝐝𝐢𝐠𝐢𝐭𝐚𝐥 𝐭𝐰𝐢𝐧.’ </div><div><br /></div><div>This will require enabling legislation e.g. to overcome manufacturer claims of proprietary information, trade secrets, etc. that they historically have used to not provide information. A wide variety of “carrots” and "sticks" will need to be used to gain industry cooperation, for example the government underwriting the costs of development, deployment, and implementation, with the benefits of having such a system accruing to the manufacturers. </div><div><br /></div><div>Once the FDA’s QMMP is deployed to manufacturers its data can then also be folded into the digital twin. With the resulting complete transparency and end-to-end visibility across the entire industry now available to the government (manufacturing information, quality information, supply chain information, etc.), the use of AI, ML, and other such tools should support the ability to forecast and anticipate problems, issues, disruptions, etc. so that the appropriate efforts at prevention, mitigation, etc. can be carried out successfully. <br /><br /><a href="https://www.linkedin.com/pulse/drug-shortages-part-1-suresh-nirody/" target="_blank">6-part article of which the above is a sub-part</a></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMYYxjFhmatkrderNo18TtoVVjyhrqnvN46dLp3EG6dIbcqzyaEz1mWhtS3yRxu7jW8gw03ZTW5KsLjFrfi986ETbVNe9uou-bcoxC8Gpt1eDz9FEDQ3rsCE21BONviQB7zjzcrOqypfaQ_5hjd3zzlO6inQzkh_8Lo1Jf-GBmQhxdwr-uR78NdqA5Zi8/s1208/EX03.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="669" data-original-width="1208" height="354" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjMYYxjFhmatkrderNo18TtoVVjyhrqnvN46dLp3EG6dIbcqzyaEz1mWhtS3yRxu7jW8gw03ZTW5KsLjFrfi986ETbVNe9uou-bcoxC8Gpt1eDz9FEDQ3rsCE21BONviQB7zjzcrOqypfaQ_5hjd3zzlO6inQzkh_8Lo1Jf-GBmQhxdwr-uR78NdqA5Zi8/w640-h354/EX03.jpg" width="640" /></a></div><br /><div><br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-61732722463858553152023-08-10T19:01:00.007-04:002023-10-04T14:41:23.850-04:00Book Review: The Death of Death<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7TnKQPB_jX3LBEz9YGKCIUHINkUgUFW38Dq4ytHT-5GWwAdWDLqMaH87vGp4ID6wJQ4Pa9aO9jxZGkmMe8wLPqQV19Ln0qCdLVQpyU3gln21P8c-rKZZ1f1ef1iLNBsOD-QEFUFgYKVvy5p_bZQIPEXwXSrQy3rzxF912sMJtgcs6brdRBSo5qQvNUW8/s749/DoDJLC.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="420" data-original-width="749" height="358" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7TnKQPB_jX3LBEz9YGKCIUHINkUgUFW38Dq4ytHT-5GWwAdWDLqMaH87vGp4ID6wJQ4Pa9aO9jxZGkmMe8wLPqQV19Ln0qCdLVQpyU3gln21P8c-rKZZ1f1ef1iLNBsOD-QEFUFgYKVvy5p_bZQIPEXwXSrQy3rzxF912sMJtgcs6brdRBSo5qQvNUW8/w640-h358/DoDJLC.jpg" width="640" /></a></div><span style="font-size: xx-small;"><div style="text-align: center;">𝕻𝖎𝖈𝖙𝖚𝖗𝖊 𝕮𝖗𝖊𝖉𝖎𝖙: 𝕾𝕹𝖎 𝖚𝖘𝖎𝖓𝖌 '𝕴𝖒𝖆𝖌𝖊 𝕲𝖊𝖓𝖊𝖗𝖆𝖙𝖔𝖗 𝖇𝖞 𝕸𝖎𝖈𝖗𝖔𝖘𝖔𝖋𝖙 𝕭𝖎𝖓𝖌' 𝖎𝖓 𝖙𝖍𝖊 𝖘𝖙𝖞𝖑𝖊 𝖔𝖋 𝕵𝖔𝖍𝖓 𝕭𝖚𝖓𝖞𝖆𝖓'𝖘 '𝕿𝖍𝖊 𝕻𝖎𝖑𝖌𝖗𝖎𝖒'𝖘 𝕻𝖗𝖔𝖌𝖗𝖊𝖘𝖘.'</div></span><div style="text-align: center;"><br /></div><div style="text-align: left;">Here I review <b>“The Death of Death: The Scientific Possibility of Physical Immortality and its Moral Defense”</b>. The authors are José Luis Cordeiro and David Wood; and you can scroll to the bottom where (in the interest of complete transparency) I provide some background information on my connection to one of the authors.</div><br />From the back cover: <i>“Is death inevitable? Until now, nothing has been more certain... But according to José Luis Cordeiro and David Wood, the prospect of death is no longer inevitable... Cordeiro and Wood not only present the major developments, initiatives, and ideas for eternal life, but also share powerful arguments for seeing death for what it is: the last undefeated disease."</i><br /><br /><div style="text-align: center;"><img src="https://media.licdn.com/dms/image/D5612AQFW2ptthKKJeQ/article-inline_image-shrink_1500_2232/0/1691626858553?e=1701907200&v=beta&t=8v-4oaogzMsIhPdZ3-tAa9SPeUcW8XmiUS20g3-KjQc" />The Table of Contents</div><br /><b>Preliminary Warning:</b> Even before I get into my review, I would like to preface it with this warning: This is not a quick or light read! A little over two hundred pages, this book is “dense!” Dense in the sense of encyclopedic, as it crams in an incredible amount of data and information from areas as diverse as history, philosophy, theology, geopolitics, and the sciences – general chemistry biology, and physics; cell biology, cryonics, genetics, etc. I read the book over a three-week period, and I’m a <i>“2-3 books every weekend”</i> type of guy! In reality, if a reader were to follow up by reviewing the copious notes (in the form of links) provided at the end of each chapter and dipping into the 9-page bibliography this could easily take several months to get through. <p></p><p><i>Suggestion to the authors: perhaps you should talk to someone about turning this into a university course!</i><br /><br />Despite having a density approaching that of a black hole, the authors are masterful in pulling off the feat of integrating everything and delivering it with a logical, coherent “flow” that enlightens while not overwhelming the reader. Finish the book and you will have been introduced to concepts and theories as diverse as ‘negligible senescence,’ ‘Malthusian trap,’ ‘longevity escape velocity,’ ‘terror management theory,’ the Pyszczyncki paradox,’ and many, many others. And you may find yourself convinced by the book's message... Or perhaps not.<br /><br /><b>So, what is in the book? I</b>t starts off discussing the possibility of biological immortality, providing examples of this in several lower life forms and speculating if this can be extended to man. This is followed by the scientific study of aging - what it is, what are the factors that affect it, and much more. Next up is a look at a new, developing anti-aging "industry," which traces the ecosystem of groups that have developed. It dives into 'scientific rejuvenation' and highlights eminent researchers/organizations and some of their successes and advancements in various related fields. A quick side trip ventures into the importance of and examples of exponential thinking, providing additional information on investors and different scientific approaches. Next up is a discussion of costs - the existing costs related to aging and death (for example, costs related to the burden of age-related disease); looking at research, etc. costs; and a discussion of the quantification of financial benefits that could theoretically result from a 'longevity dividend.' Then back to the subject of 'the end of death,' looking at many of the objections to this proposition and providing counterpoints. Current medical skepticism on this subject is compared to historical examples where medical thoughts and beliefs that had lasted for decades and centuries were eventually proven incorrect (two examples being medicine's reaction to Semmelweis and his ideas, and the practice of bloodletting, respectively). Next is a brief side trip into the subject of cryopreservation, set up as a Plan B "bridge" to the future. The authors then discuss the path forward, discussing potential obstacles on the 'abolition of aging' pathway. <b>Finally</b>, they conclude that the elimination of aging and death is an idea whose time is now upon us! Their final clarion call? <i>"The future begins today. The future begins here. The future begins with us. The future begins with you today. Who if not you? When if not now? Where if not here? Join the revolution against aging and death! Death to Death!"</i><br /><br /><b>Conclusion:</b> I definitely recommend that everyone read this book. <b><u>You will not regret it. </u></b>Even if not fully convinced you will still be greatly informed and 'up to speed' on where the world currently stands on this very interesting subject that effects everyone!<br /><br />As for me, I started out very skeptical, see my tweet of July 13th below:<br /><br /></p><div style="text-align: center;"><img src="https://media.licdn.com/dms/image/D5612AQEER2_iniyGyg/article-inline_image-shrink_1500_2232/0/1691697596944?e=1701907200&v=beta&t=xVDrcRwb3IrVxx-GDCbAfNqsoCbDVGezceLeeBLMUQY" /></div><br />And now? I remain skeptical regarding 'the death of death.' Somewhat paradoxically, the more I read about the multiple scientific areas being pursued (senolytics, telomeres, stem cells, etc., etc.) the less I felt that the overall proposition was valid. The very multiplicity of approaches merely reinforced in my mind the astounding complexity of the endeavor and the difficulty of attaining the goal! Of course, this could just be an indication of a paucity of imagination on my part!<br /><br /><br /><br /><p></p><p><br /></p><p>In the interest of full transparency, here is some 𝐛𝐚𝐜𝐤𝐠𝐫𝐨𝐮𝐧𝐝 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧:<br /><br />I first met José Luis while both of us were attending The Fund for American Studies’ Institute on Comparative Political and Economic Systems summer program. It was what now seems like eons ago (in 1988!) and was held at Georgetown University in Washington, D.C. We struck up a friendship back then that has lasted, even though we are in touch rather infrequently via email, and have only met four or five times over the intervening years. My last email to Jose was probably six plus months ago, and I haven’t see him ‘in the flesh’ for several years. Below is a reference I gave José Luis on LinkedIn almost a decade ago, it still describes him to ‘T.” I do not know, and have never met, the co-author, David Wood.<br /><br />This review is entirely my own, I purchased the book via Amazon when the English edition became available, then read the book.<br /><br /></p><div style="text-align: center;"><img height="583" src="https://media.licdn.com/dms/image/D5612AQGBhA9wGlWc_Q/article-inline_image-shrink_1000_1488/0/1691621462080?e=1701907200&v=beta&t=JkSSZDrR7zN4zXsanksPuyL_AuMoIt6hlwsl7-0on8c" width="640" /></div><br /><br /><p></p><p>I'm not exactly sure why, but as I was about to read "The Death of Death" it brought to my mind the tale of Christian in John Bunyan's "The Pilgrim's Progress."<br /><br />In this case, Mr. and Mrs. Tout-le-Monde are weighed down by great burdens (here their impending old age and death), but seek to shed them and get to life eternal in the Celestial City. I used "<a href="https://www.bing.com/create">Image Creator by Microsoft Bing, powered by DALL-E</a>" to generate some relevant images that I then combined to produce the header picture.<br /><br />Additionally, the picture also includes some of their travails along the way - their transit of The Slough of Despond; having to choose the correct path, one of three at the Hill of Difficulty (the correct path being the most difficult-looking one, with the easier-looking byways leading to "Danger" and "Destruction"); having to pass on the path between the two lions; and having to defeat Apollyon (a huge demonic creature with fish's scales, the mouth of a lion, feet of a bear, second mouth on his belly, and dragon's wings). I also included a LEV (Longevity Escape Velocity) signpost! Completing the analogy, José Luis Cordeiro and David Wood fill the roles of the Evangelist and the Interpreter.<br /><br /></p><div style="text-align: center;"><img src="https://media.licdn.com/dms/image/D5612AQFEpUzhs3S9Tg/article-inline_image-shrink_1500_2232/0/1691626909908?e=1701907200&v=beta&t=aqqTx5l-NHZnWOSgRhpjb0KLlXTYIzzgtBMDabnkhAA" /></div><p></p><p style="text-align: center;"><span style="font-size: x-small;">Covers of various editions (English, French, German, Spanish, Chinese, Turkish, Bulgarian)</span></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-32214692352330361952023-07-04T18:09:00.007-04:002023-10-04T14:40:24.632-04:00Drug Shortages - Part VI (Putting It All Together)<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9hUCpTMpiqyuibldJPfsBjhsX-vayJksQZDr4R-U2Xf33ocIzjFju7rteePs-Yo-QoQStMp2nm3P5kZXe7GyJq91oAwCfFqtQ9EetjUUOKojLjUKujI3EafU_CzFawI2V7EcuAL7qAo6s7pTsxethAjWaMpXnGpa_DlaLYZsPZo-o8IbGH8bFyDQ77Qk/s752/drugshortages.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9hUCpTMpiqyuibldJPfsBjhsX-vayJksQZDr4R-U2Xf33ocIzjFju7rteePs-Yo-QoQStMp2nm3P5kZXe7GyJq91oAwCfFqtQ9EetjUUOKojLjUKujI3EafU_CzFawI2V7EcuAL7qAo6s7pTsxethAjWaMpXnGpa_DlaLYZsPZo-o8IbGH8bFyDQ77Qk/w400-h225/drugshortages.jpg" width="400" /></a></div><br /><div>Putting it all together:</div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivrwOhWisuZY1k_bc3jXrN-reRqbpyayYcMudwj4MY-snrf9yQlXFJL5PaSh66wpY6m5o6NafcI2gxdmR84fUQu6HoeD6NCnfo2gX8tRuKklHzWNiNqd0JVN5NzOxVL_1uRFy8tq0eE8CUkNqxi0HOzeaORLHvHViHkY78acCUmscemL6iZSU3hDq1row/s1711/EX06.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="665" data-original-width="1711" height="248" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivrwOhWisuZY1k_bc3jXrN-reRqbpyayYcMudwj4MY-snrf9yQlXFJL5PaSh66wpY6m5o6NafcI2gxdmR84fUQu6HoeD6NCnfo2gX8tRuKklHzWNiNqd0JVN5NzOxVL_1uRFy8tq0eE8CUkNqxi0HOzeaORLHvHViHkY78acCUmscemL6iZSU3hDq1row/w640-h248/EX06.jpg" width="640" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><br /></div><b>The Framework Elements: </b><div><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-i-new-capacity-and.html" target="_blank">I - Development/Implementation of New Capacity and Capabilities</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-ii-quality-program.html" target="_blank">II - FDA Quality Program</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">III - Transparency & End-to-End Visibility</a><br /><br />I<a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-iv-reaction.html" target="_blank">V - Ongoing Oversight and Reaction</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts</a></div>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-84643841049454875962023-07-04T18:06:00.018-04:002023-10-04T14:40:07.793-04:00Drug Shortages - Part V (Coordination of Efforts)<div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvQTTSoVjUAEOqt6qFlmFezSfHj6BuO_0AAxAOn3aQNV0Q2fq7ICus-rDhzoHu7n0sBFX-YllkhNcGfQibwsyGCt5URTyNoKqtOkzDo4GDB4ZTlMJC-4q703cf8gepYNvMbOEkbuZGN-xgIqG8-rxXoipChWa_9MGelaavoylTr06wBWKunz1kNSY95-w/s752/drugshortages.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjvQTTSoVjUAEOqt6qFlmFezSfHj6BuO_0AAxAOn3aQNV0Q2fq7ICus-rDhzoHu7n0sBFX-YllkhNcGfQibwsyGCt5URTyNoKqtOkzDo4GDB4ZTlMJC-4q703cf8gepYNvMbOEkbuZGN-xgIqG8-rxXoipChWa_9MGelaavoylTr06wBWKunz1kNSY95-w/w400-h225/drugshortages.jpg" width="400" /></a></div><br /></div><b>Note: </b>This article is the fifth entry of a series of mind maps listing actions that can be taken in various areas, that if/when taken and implemented collectively can contribute to systematically improving the situation. <br /><br /><b>Framework Needed:</b><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-i-new-capacity-and.html" target="_blank">I - Development/Implementation of New Capacity and Capabilities</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-ii-quality-program.html" target="_blank">II - FDA Quality Program<br /></a><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">III - Transparency & End-to-End Visibility</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">IV - Ongoing Oversight and Reaction</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts</a><br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXGn3JOqKkYSZXdpEA2srZ505GgGcShNY_pAHswynGB6-XlcbLDgg4YYrFYv0hIGnFg5_DJEa-nUWRn1KknDCsVYsL8kzGRuXpsMLE2rA-RHZBJG_PkXXrCBs1upO_UoWq-QgJexCrAmXN_OcC6jKgplwnR8NUZOuxwEkkQf_8nlbwFEIsIvzzwQ3rJz8/s1112/EX05.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="758" data-original-width="1112" height="436" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhXGn3JOqKkYSZXdpEA2srZ505GgGcShNY_pAHswynGB6-XlcbLDgg4YYrFYv0hIGnFg5_DJEa-nUWRn1KknDCsVYsL8kzGRuXpsMLE2rA-RHZBJG_PkXXrCBs1upO_UoWq-QgJexCrAmXN_OcC6jKgplwnR8NUZOuxwEkkQf_8nlbwFEIsIvzzwQ3rJz8/w640-h436/EX05.jpg" width="640" /></a></div><br /><div style="text-align: center;"><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank"><br /></a></div><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank">VI - Putting It All Together</a>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-67645383132152194342023-07-03T18:01:00.005-04:002023-10-04T14:39:48.410-04:00Drug Shortages - Part IV (Reaction)<div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcKc6tR7u63pWu0vAJS2WmKnVvjxRxMxTCLrJgM90fVjQqa1fjkfVfImheZi7h-OH7KXig3JOzkqmbHpm_QUQFUs0_XUQzKgLFuudl4CBayDAcy_WvL8Jtcm3UKlQTEtvysIPdoMgfHjkicmZXJLEHQSb4Oem1i7BTX-0TMOGCDTmlHEC-JvmawRK2Ip0/s752/drugshortages.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcKc6tR7u63pWu0vAJS2WmKnVvjxRxMxTCLrJgM90fVjQqa1fjkfVfImheZi7h-OH7KXig3JOzkqmbHpm_QUQFUs0_XUQzKgLFuudl4CBayDAcy_WvL8Jtcm3UKlQTEtvysIPdoMgfHjkicmZXJLEHQSb4Oem1i7BTX-0TMOGCDTmlHEC-JvmawRK2Ip0/w400-h225/drugshortages.jpg" width="400" /></a></div></div><div><b style="font-weight: bold;">Note:</b> This article is the fourth entry of a series of mind maps listing actions that can be taken in various areas, that if/when taken and implemented collectively can contribute to systematically improving the situation.</div><br /><b>Framework Needed:</b><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-i-new-capacity-and.html" target="_blank">I - Development/Implementation of New Capacity and Capabilities</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-ii-quality-program.html" target="_blank">II - FDA Quality Program</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">III - Transparency & End-to-End Visibility</a><br /><br />IV - Ongoing Oversight and Reaction<br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCYDI6QH_V09Fa5VSLovw0cX33QfzQy4GF3WcDQ3ZQyqNHtePsrbK4icCAk1moAoqx8GL4ylVvLZuDM94xsGKe4JCJSJ7X7413d85a_ez8iRJOJVf74JBWUxx0SLkeKyKI-81EEY65YG4KCpTDkV83k3LfXRjpMiyKckQn9NCbc0gmFITCh2j5jmldOUo/s944/EX04.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="944" height="286" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCYDI6QH_V09Fa5VSLovw0cX33QfzQy4GF3WcDQ3ZQyqNHtePsrbK4icCAk1moAoqx8GL4ylVvLZuDM94xsGKe4JCJSJ7X7413d85a_ez8iRJOJVf74JBWUxx0SLkeKyKI-81EEY65YG4KCpTDkV83k3LfXRjpMiyKckQn9NCbc0gmFITCh2j5jmldOUo/w640-h286/EX04.jpg" width="640" /></a></div><br /><div style="text-align: left;"><br /></div><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts<br /></a><br /><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank">VI - Putting It All Together</a>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-49998772625162454042023-06-14T17:55:00.031-04:002023-10-04T14:39:30.561-04:00Drug Shortages - Part III (Transparency & End-to-End Visibility)<div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz_uyNaCnMli_2NbVjC8I4cG835jQ98qh4SY24xUhuujBvagsLz_w6H39l5IJGDAvecvMCDQGGkcmWUXj9i0iHuQ7BEHdMvGI2Va5x02lWTaUK49A4uFyELc9fd2x6nWxv8zFMi9ED58kIDLfoA8aZ6My8a3MT1tRW1rjJllPU0WVm5NF9yC3w8TC8hYg/s752/drugshortages.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz_uyNaCnMli_2NbVjC8I4cG835jQ98qh4SY24xUhuujBvagsLz_w6H39l5IJGDAvecvMCDQGGkcmWUXj9i0iHuQ7BEHdMvGI2Va5x02lWTaUK49A4uFyELc9fd2x6nWxv8zFMi9ED58kIDLfoA8aZ6My8a3MT1tRW1rjJllPU0WVm5NF9yC3w8TC8hYg/w400-h225/drugshortages.jpg" width="400" /></a></div><b><br /></b></div><b>Note:</b> This article is the third entry of a series of mind maps listing actions that can be taken in various areas, that if/when taken and implemented collectively can contribute to systematically improving the situation. <br /><br /><b>Framework Needed:</b><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-i-new-capacity-and.html" target="_blank">I - Development/Implementation of New Capacity and Capabilities</a><br /><br />I<a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-ii-quality-program.html" target="_blank">I - FDA Quality Program</a><br /><br />III - Transparency & End-to-End Visibility<div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSWAYIJHeez8AGnI_0kNRhYPlkO0_oBHBrCLqG-yluC3NHJv8Gw1U-GmacMjHr5YWUWi0Peh_sNXdSiRzNoih93FnGjjPYTpodfhEq79RoHaifRLs2JzutjFMWtSeM33OCM_lot88hU616inqpY4-G5w-2oTcn2XilCMi5tQhveTufuY-lYjIDKuvMnQY/s1208/EX03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="669" data-original-width="1208" height="354" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSWAYIJHeez8AGnI_0kNRhYPlkO0_oBHBrCLqG-yluC3NHJv8Gw1U-GmacMjHr5YWUWi0Peh_sNXdSiRzNoih93FnGjjPYTpodfhEq79RoHaifRLs2JzutjFMWtSeM33OCM_lot88hU616inqpY4-G5w-2oTcn2XilCMi5tQhveTufuY-lYjIDKuvMnQY/w640-h354/EX03.jpg" width="640" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div></div><div><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-iv-reaction.html" target="_blank">IV Ongoing Oversight and Reaction</a></div><div><br /></div><div><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts</a></div><div><br /></div><div><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank">VI - Putting It All Together</a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-87257591415304118312023-06-13T17:43:00.009-04:002023-10-04T14:39:14.629-04:00Drug Shortages - Part II (Quality Program)<div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz9x7HlqH3ZNnPJ3cXTW0jnNBBjhCdWOFTuLoMbQn8V6oyMe9sRFnwzfueXxDkainQ-vA3e7-9IPkwNc3Ci_PmsWn-Y4B7ik32qtKyhWCKZaq3qdDj36tRM7_TPa02sbk-EFmsmsKDlSy1jNFQsDEgZQZ_8-jUXDaQyDg0yUi1TuXJB9ldnIserPClzXE/s752/drugshortages.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz9x7HlqH3ZNnPJ3cXTW0jnNBBjhCdWOFTuLoMbQn8V6oyMe9sRFnwzfueXxDkainQ-vA3e7-9IPkwNc3Ci_PmsWn-Y4B7ik32qtKyhWCKZaq3qdDj36tRM7_TPa02sbk-EFmsmsKDlSy1jNFQsDEgZQZ_8-jUXDaQyDg0yUi1TuXJB9ldnIserPClzXE/w400-h225/drugshortages.jpg" width="400" /></a></div><b>Note: </b>This article is the second entry of a series of mind maps listing actions that can be taken in various areas, that if/when taken and implemented collectively can contribute to systematically improving the situation.</div><br /><b>Framework Needed:</b><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-i-new-capacity-and.html" target="_blank">I - Development/Implementation of New Capacity and Capabilities</a><br /><br />II - FDA Quality Program<br /><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioQ9IRUGFei_wBZlo7K449YiTuebbDSa-1ZTB7HwsGAI0LMXmNc-PoKdl25IT8MXClv5yOski-8fLHrhm0N-9C8cD7RTULqFCNnt9PpQPgw5uwLqtLsSkQyQIVrxoF1V0HCN1NALQBxQRIQt9Qr0dRIMJd4rJNEVpNWPH_4ARNUVfG6EhlZgWoknOhXcg/s1325/EX02.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="760" data-original-width="1325" height="368" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioQ9IRUGFei_wBZlo7K449YiTuebbDSa-1ZTB7HwsGAI0LMXmNc-PoKdl25IT8MXClv5yOski-8fLHrhm0N-9C8cD7RTULqFCNnt9PpQPgw5uwLqtLsSkQyQIVrxoF1V0HCN1NALQBxQRIQt9Qr0dRIMJd4rJNEVpNWPH_4ARNUVfG6EhlZgWoknOhXcg/w640-h368/EX02.jpg" width="640" /></a></div><br /><div style="text-align: center;"><br /></div><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">III - Transparency & End-to-End Visibility</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-iv-reaction.html" target="_blank">IV - Ongoing Oversight and Reaction</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank">VI - Putting It All Together</a><div><br /></div><b><div><b><br /></b></div>Update: </b>Interesting development: Valisure and DoD Signed a Cooperative Research & Development Agreement to Conduct a Pharmaceutical Quality Risk Assessment Pilot Study <a href="https://www.prnewswire.com/news-releases/valisure-signs-agreement-with-department-of-defense-to-independently-test--quality-score-drugs-301895301.html">https://www.prnewswire.com/news-releases/valisure-signs-agreement-with-department-of-defense-to-independently-test--quality-score-drugs-301895301.html</a>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-421627737048763522023-06-04T17:17:00.023-04:002023-10-04T14:38:54.281-04:00Drug Shortages - Part I (New Capacity and Capability)<div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWbKC2OlOWLSepM-nPgsWMczaOVFx2HmWpS6vKl2qnoeS7CZVu60_ufmtj92zHYCbf1wirh75WqNU_DilQIcIFymKdcbikVmbmmnil7BvzF5Um37sbZWJPGcMsiWvKyW_VGJcNvuIPn8y2SLLEABOJWSH8zxpO2PsKZmbAZGUf5tyx2sUaWsgMaNWcU3s/s752/drugshortages.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="422" data-original-width="752" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWbKC2OlOWLSepM-nPgsWMczaOVFx2HmWpS6vKl2qnoeS7CZVu60_ufmtj92zHYCbf1wirh75WqNU_DilQIcIFymKdcbikVmbmmnil7BvzF5Um37sbZWJPGcMsiWvKyW_VGJcNvuIPn8y2SLLEABOJWSH8zxpO2PsKZmbAZGUf5tyx2sUaWsgMaNWcU3s/w400-h225/drugshortages.jpg" width="400" /></a></div><br /></div><b>Background:</b> Drug shortages are back in the news. This time it is a shortage of some essential cancer-fighting drugs such as cisplatin and carboplatin, see: <a href="https://archive.is/JoVNR#selection-2031.0-2031.83" target="_blank">FDA allows temporary import of unapproved Chinese cancer drug to ease U.S. shortage</a>. Although there are multiple factors that can occur to cause drug shortages (see the list of possible causes I put together in 2002 with contemporaneous examples, republished <a href="https://ph2dot1.blogspot.com/2011/03/whys-of-drug-shortages.html" target="_blank">on my blog in 2011</a> and <a href="https://www.linkedin.com/pulse/drug-shortages-continue-suresh-nirody-mba-fache/?trackingId=Ro%2FRAs2yTAeswDTuLL3fzA%3D%3D&lipi=urn%3Ali%3Apage%3Ad_flagship3_pulse_read%3BnL%2F6t0b1R62yqRe6vY5muQ%3D%3D" target="_blank">on LinkedIn in 2015</a>.), <u>in this case</u> the issue was caused by an Indian manufacturer (Intas) halting production at one manufacturing site following the discovery of quality deficiencies during an FDA inspection. This then snowballed, threatening lives, and leading to the FDA's emergency approval of the import of 'unapproved' versions of the drugs from China. <div><br /></div><div>According to the New York Times - <a href="https://archive.is/GAS1j#selection-283.0-283.58" target="_blank">Drug Shortages Near an All-Time High, Leading to Rationing</a> - "The shortages are so acute that they are commanding the attention of the White House and Congress, which are examining the underlying causes of the faltering generic drug market, which accounts for about 90 percent of domestic prescriptions. The Biden administration has assembled a team to find long-term solutions for shoring up the pharmaceutical supply chain..." Unfortunately, we have heard this many times before. For example in 2018, the FDA (once again) put together a drug shortages task force to produce solutions. <b>I expressed skepticism at the time!</b></div><div><b><br /></b></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi15_Ff41SDKr3AyynXbYTFW6u58cKv1FvG61UYbdgeHbPtQOfN5XnpLVUixue57n3QiY1FthLRTYRwPgZ-T8QRTQMcNk3jk4ousXBTG5EbAfD-EaPNhgCJ502NjngFz2KlTmYxL7LoQrLfHk3NkbQnpvKNW60QdFCMKzu4_Slf0PcU7u94bCqKenR2WAw/s861/T01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="861" data-original-width="409" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi15_Ff41SDKr3AyynXbYTFW6u58cKv1FvG61UYbdgeHbPtQOfN5XnpLVUixue57n3QiY1FthLRTYRwPgZ-T8QRTQMcNk3jk4ousXBTG5EbAfD-EaPNhgCJ502NjngFz2KlTmYxL7LoQrLfHk3NkbQnpvKNW60QdFCMKzu4_Slf0PcU7u94bCqKenR2WAw/s16000/T01.jpg" /></a></div><br />It's long been clear to me that there has been a market failure and that a root cause for many of our drug shortage problems is that the segment of our drugs ("old," long-available, off-patent and generic sterile injectable drugs) that are disproportionately responsible for drug shortages are priced too low. As such, the usual 'article of faith' that is <a href="https://archive.is/7CZD7#selection-485.163-485.289">so often served up as a supposed solution to the issue</a> (example from the NYT, 2017) i.e. "<i>Increasing the number of competitors for a given drug in the marketplace will also help prevent and mitigate future shortages</i>" is <b>nonsensical!</b><br /><br /><div style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJM5AOXiy4D_RqLMoZVj2GiprljlWkKNRQpBPkCVgPiWAcAXfYmsKZsKEpNz3QTB2nNUQiwetJJ4-D337-6SZ1OTWpva8tfXXIf0b4CygYCVLCL_PdCpCgLHq8rU7TYaX8Js8PhnglBVWHHJ_li3b-Cpj4OE0YSmONLJnlnuWjJyE0lZVRR8dTS8clEpc/s576/T02.jpg"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJM5AOXiy4D_RqLMoZVj2GiprljlWkKNRQpBPkCVgPiWAcAXfYmsKZsKEpNz3QTB2nNUQiwetJJ4-D337-6SZ1OTWpva8tfXXIf0b4CygYCVLCL_PdCpCgLHq8rU7TYaX8Js8PhnglBVWHHJ_li3b-Cpj4OE0YSmONLJnlnuWjJyE0lZVRR8dTS8clEpc/s16000/T02.jpg" /></a></div><br />The below, <a href="https://www.linkedin.com/pulse/game-changer-issues-suresh-nirody/?lipi=urn%3Ali%3Apage%3Ad_flagship3_pulse_read%3BnL%2F6t0b1R62yqRe6vY5muQ%3D%3D">from January 2018</a>, is exactly why we just have had the availability issues for cisplatin and carboplatin!</div><div><span color="rgba(0, 0, 0, 0.9)" face="-apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif" style="background-color: white; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; margin: var(--artdeco-reset-base-margin-zero); outline: var(--artdeco-reset-base-outline-zero); padding: var(--artdeco-reset-base-padding-zero); vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"><br /></span></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNQqZHwe6NX4U9N9zb6dduw-MjqvqYN5-Slwas6xkWx6YBv9X2-22LwztEqc3gnylLUn950MXwLWU2Zb2m2zXI955sGVaplOiatiFbK2gvB52bCD5H0t5qq80dsgG9Q-p1Fe_N4HVEHAiFCV9Kw-cn-N4gerS3GePUS_WhQo7NGf4Ks4Qv4TzU7S5gYz4/s560/EX01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="530" data-original-width="560" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNQqZHwe6NX4U9N9zb6dduw-MjqvqYN5-Slwas6xkWx6YBv9X2-22LwztEqc3gnylLUn950MXwLWU2Zb2m2zXI955sGVaplOiatiFbK2gvB52bCD5H0t5qq80dsgG9Q-p1Fe_N4HVEHAiFCV9Kw-cn-N4gerS3GePUS_WhQo7NGf4Ks4Qv4TzU7S5gYz4/s16000/EX01.jpg" /></a></div><div><br /></div><br /><br />Unfortunately, as I observed, a solution that requires higher prices is not very palatable. The fact is that many (most) people think of drug manufacturers as a monolith, instead of recognizing that there are distinct segments that operate under very divergent conditions. <a href="https://www.linkedin.com/pulse/simple-answers-suresh-nirody-mba-fache-cpps/?trackingId=6MylShomSPKP%2FnfxqgPUJg%3D%3D&lipi=urn%3Ali%3Apage%3Ad_flagship3_pulse_read%3BnL%2F6t0b1R62yqRe6vY5muQ%3D%3D">In February 2019</a> I asked the question: "<i>Drug pricing- is there a topic more fraught with <a href="https://www.dictionary.com/browse/simplism?s=t">simplism</a> in this day and age?</i>" Unfortunately, the answer was and continues to be "<b>no!</b>"<br /><br /><b>The bottom line? </b>We will need to eschew simplistic thinking if we are to make any lasting progress in this area. Additionally, looking to the FDA to come up with a solution is flat out wrong. The solution to decreasing the frequency of drug shortages and mitigating their effects is <b>multifactorial</b> and will require a 'Whole of Government' approach that also includes collaboration and partnerships with industry, scientific organizations, public-private partnerships, academic organizations, and non-profits.<br /><br /><b>Note: </b>This article is the first entry of a series of mind maps listing actions that can be taken in various areas, that if/when taken and implemented collectively can contribute to systematically improving the situation. First up, we need to improve pharmaceutical manufacturing capacity and capability!</div><div><br /><p class="ember-view reader-content-blocks__paragraph" id="ember47" style="--artdeco-reset-typography_getfontsize: 1.6rem; --artdeco-reset-typography_getlineheight: 1.5; background-color: white; border: var(--artdeco-reset-base-border-zero); box-sizing: inherit; color: rgba(0, 0, 0, 0.9); font-size: var(--font-size-large); line-height: 1.75; margin: 1.6rem 0px; padding: var(--artdeco-reset-base-padding-zero); pointer-events: all; vertical-align: var(--artdeco-reset-base-vertical-align-baseline);"></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjANJPdlVAu0xzVCvbG8RfXOyFiEh7ndhGG2i5AATrTiUizW_8py_UnQ_gPzpDx0hYq_n8OXhVdemoBGSQoX5iBcEu_A60yBEe-SaOepJRb1_vccP1qzPZaK2otRnpW5OU-GpWLX99Q4Bwz17epnVaIQykX_hz3AwLr4nH_8OoYGt50zbGUaLvDDP9l9pg/s1260/MM01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="497" data-original-width="1260" height="253" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjANJPdlVAu0xzVCvbG8RfXOyFiEh7ndhGG2i5AATrTiUizW_8py_UnQ_gPzpDx0hYq_n8OXhVdemoBGSQoX5iBcEu_A60yBEe-SaOepJRb1_vccP1qzPZaK2otRnpW5OU-GpWLX99Q4Bwz17epnVaIQykX_hz3AwLr4nH_8OoYGt50zbGUaLvDDP9l9pg/w640-h253/MM01.jpg" width="640" /></a></div><br /><p></p><b>Framework Needed:</b><br /><br />I - New Capacity & Capability - the development and implementation of needed new capacity (e.g. plant, inventory) and new capabilities (e.g. advanced manufacturing technology) for drug manufacturing:<br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-ii-quality-program.html" target="_blank">II - FDA Quality Program</a><br /><br /><a href="http://www.ph2dot1.com/2023/06/drug-shortages-part-iii-transparency.html" target="_blank">III - Transparency & End-to-End Visibility</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-iv-reaction.html" target="_blank">IV - Ongoing Oversight and Reaction</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/drug-shortages-part-v-coordination-of.html" target="_blank">V - Overall Coordination of Efforts</a><br /><br /><a href="http://www.ph2dot1.com/2023/07/blog-post.html" target="_blank">VI - Putting It All Together</a><br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-22653690527593406062023-05-18T19:19:00.005-04:002023-10-04T14:41:52.014-04:00The Tipping Point?<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlHjBWILS9OAS_VIyLUbgx_ItxbfUQ3dGqr8HEUke2i4iCqahJtwzLvyeus58PVsudo54DY9q0fAp2jOL7NPek6aed2YAGAo3UMmTG4CVVfXZgIeo-mcnaD-C9Nrluib3bu73bqEE7YjzGJtZel08JGEVTXKO0BHTQje9HoM0FHQnwL1TQSDgWLp1eqNU/s844/tsmcx2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="516" data-original-width="844" height="391" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlHjBWILS9OAS_VIyLUbgx_ItxbfUQ3dGqr8HEUke2i4iCqahJtwzLvyeus58PVsudo54DY9q0fAp2jOL7NPek6aed2YAGAo3UMmTG4CVVfXZgIeo-mcnaD-C9Nrluib3bu73bqEE7YjzGJtZel08JGEVTXKO0BHTQje9HoM0FHQnwL1TQSDgWLp1eqNU/w640-h391/tsmcx2.jpg" width="640" /></a></div><span style="background-color: white; color: rgba(0, 0, 0, 0.6); font-family: -apple-system, system-ui, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", "Fira Sans", Ubuntu, Oxygen, "Oxygen Sans", Cantarell, "Droid Sans", "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Lucida Grande", Helvetica, Arial, sans-serif; font-size: 12px; text-align: center;"><div style="text-align: center;">TSMC & TSMC-AZ in the scales. Image credit: SNi 5/23</div></span><div><br /></div><div><a href="https://en.wikipedia.org/wiki/Taiwan">Taiwan</a> (Republic of China) and <a href="https://en.wikipedia.org/wiki/China">China</a> (People's Republic of China) have been in the news recently as tensions between the two have increased recently. The U.S. ostensibly agreed to a "<a href="https://www.csis.org/analysis/what-us-one-china-policy-and-why-does-it-matter">One China</a>" policy with <a href="https://history.state.gov/historicaldocuments/frus1969-76v17/d203">The Shanghai Communique of 1972</a>.<br /><br /><div style="text-align: center;"><img src="https://media.licdn.com/dms/image/D5612AQFqn_gNBgUQKQ/article-inline_image-shrink_1500_2232/0/1684435265818?e=1701907200&v=beta&t=SgnlxEC6H-nlaEmsDOE-vCDfV3rKMmn8fB6voac_Tnw" /></div><div style="text-align: center;"><br /></div><div style="text-align: center;">FOREIGN RELATIONS OF THE UNITED STATES, 1969–1976, VOLUME XVII, CHINA, 1969–1972 203. Joint Statement Following Discussions With Leaders of the People’s Republic of China1 Shanghai, February 27, 1972.</div><br />The U.S. has always maintained some level of ambiguity, acknowledging there is only one China while simultaneously expressing opposition to any unilateral changes of the (undefined) status quo. And there are variations on how the U.S. views Taiwan which have varied depending on who is speaking or acting on the subject e.g. see '<a href="https://gjia.georgetown.edu/2022/11/07/the-one-china-policy-in-transition/">The One-China Policy in Transition</a>.'<br /><br />OK, given this background, let's focus on semiconductors. Here is <a href="https://www.mckinsey.com/featured-insights/mckinsey-explainers/what-is-a-semiconductor?utm_source=dlvr.it&utm_medium=twitter">a backgrounder by McKinsey & Co</a>. One of the most important and valuable companies that designs and manufactures cutting-edge semiconductors is the <b>Taiwan Semiconductor Manufacturing Company Limited</b> (<a href="https://en.wikipedia.org/wiki/TSMC">TSMC</a>) with the majority of its facilities located on the island of Taiwan. This items plays an important role in considerations related to Taiwan, China, and any potential military solution initiated by the Chinese leadership. For example, "𝐁𝐫𝐨𝐤𝐞𝐧 𝐧𝐞𝐬𝐭" is the idea that if China invades Taiwan 𝑡ℎ𝑒 𝑈.𝑆. 𝑠ℎ𝑜𝑢𝑙𝑑 𝑑𝑒𝑠𝑡𝑟𝑜𝑦 𝑇𝑆𝑀𝐶 𝑡𝑜 𝑝𝑟𝑒𝑣𝑒𝑛𝑡 𝐶ℎ𝑖𝑛𝑎 𝑓𝑟𝑜𝑚 𝑔𝑎𝑖𝑛𝑖𝑛𝑔 𝑐𝑜𝑛𝑡𝑟𝑜𝑙. This was <a href="https://insidehpc.com/2022/01/chip-geopolitics-if-china-invades-make-taiwan-unwantable-by-destroying-tsmc-suggest-military-paper/">first mooted in 2021</a> in a scholarly journal, Parameters (U.S. Army War College); however, this has been picked up and similar thoughts have been expressed by various U.S. officials, politicians, etc.<br /><br />However, adherents of this supposedly 'deterrent' suggestion appear not to have seriously thought through this scenario! Since China is already cut off from TSMC chips by U.S. sanctions (see <a href="https://www.protocol.com/enterprise/chip-export-restrictions-tsmc-intel">here</a> and <a href="https://www.atlanticcouncil.org/in-depth-research-reports/issue-brief/united-states-china-semiconductor-standoff-a-supply-chain-under-stress/">here</a>), this would only effect China 𝐥𝐨𝐧𝐠-𝐭𝐞𝐫𝐦 while being a huge and immediate blow to the U.S. (and world) economy. As such, this threat may 𝐧𝐨𝐭 be quite the deterrent some think it is! In fact this could, perversely, 𝐛𝐞 𝐚𝐧 𝐢𝐧𝐜𝐞𝐧𝐭𝐢𝐯𝐞 for China to take action sooner!<br /><br />Meanwhile, there is another 'wild card' at play in this consideration - following pressure by the U.S. government, <a href="https://pr.tsmc.com/english/news/2977">TSMC is currently building</a> a huge fab/foundry in the U.S. ( in Arizona) which when completed (initial production is forecast to begin in 2024, with a second fab coming online in 2026) would ensure a safe and sufficient supply of chips for the U.S. So, what might be some of the consequences of this new plant (which I will refer to as TSMC-AZ) to the various parties? There are both beneficial and adverse possibilities.<br /><br /><ul style="text-align: left;"><li>What effect might this have on the U.S. commitment to and support of Taiwan? With its reliance on Taiwan-based production eliminated, the opportunity cost to the U.S. of a Chinese takeover of Taiwan would be greatly reduced, and it is conceivable that this could lessen the likelihood of the U.S. choosing to take military action in support of Taiwan!</li></ul></div><div><br /><ul style="text-align: left;"><li>What effect might this have on the Chinese calculus with respect to their timeline to 'incorporate' Taiwan? This could depend on their forecast of what the U.S. might do. If they come to believe that the U.S. would indeed be more likely to follow through with a 'broken nest' approach once they were insulated by the Arizona-based manufacturing, then China might feel the need to move on Taiwan before TMSC-AZ achieves critical mass. However, if they come to believe that U.S. support for Taiwan would 'soften' after TMSC-AZ comes online and that 'broken nest' would not be implemented, that might cause the Chinese leadership to opt for a longer time frame before taking any action.</li></ul><br />With TMSC-AZ coming along, we might know sooner rather than later!<br /><br />On a side note, simply destroying the main fabs/foundries in Taiwan, while certainly dealing China a major setback, would not necessarily eliminate the associated knowledge, expertise, and know-how. To really cause a decades-long setback it would be necessary to also destroy all the design facilities, online documentation, knowledge repositories, etc., and also the associated human capital. If I were a Taiwan-based semiconductor engineer/expert, I might be more than a little uncomfortable in the near future.</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-71115199764463185802022-07-14T13:08:00.003-04:002022-07-14T13:08:39.456-04:00Microsoft Surface Duo II<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCgQQjLoQWVAs17M5zuTMpEyZt0uJZHVVP4mwBhQGrYkxc9uhcwj_g86lwUZSvN-cJfGsJk8T__R5ayCrKA62786TBu3w_sxBcbQHTpNwiggoaV3s2hoWhjx9SgAtnImVLvCCGKU_xwBO8GYMP4LOYWCRWEYEl49bKEAOPmQN1ujFeO3xjHRG6rWvx/s412/MSDII.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="268" data-original-width="412" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCgQQjLoQWVAs17M5zuTMpEyZt0uJZHVVP4mwBhQGrYkxc9uhcwj_g86lwUZSvN-cJfGsJk8T__R5ayCrKA62786TBu3w_sxBcbQHTpNwiggoaV3s2hoWhjx9SgAtnImVLvCCGKU_xwBO8GYMP4LOYWCRWEYEl49bKEAOPmQN1ujFeO3xjHRG6rWvx/w200-h130/MSDII.jpg" width="200" /></a></div><br /><p></p><p style="text-align: justify;">OK, so I have been using (and enjoying) a <a href="https://ph2dot1.blogspot.com/2020/09/microsoft-surface-duo-first-look.html" target="_blank">Microsoft Surface Duo </a>since September 2020, and Microsoft recently came out with an updated version, the Microsoft Surface Duo 2. Reading the reviews it <b>did not</b> seem that there was a compelling reason to 'upgrade,' but eventually this technophile succumbed and ordered one. Initial pictures below (the black one is the Duo 2):</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5xkUjqetF-zKNzkdmGDunec_AXEZ-P8kwwfxpOOiibXSjQc5E4SJtgRn84mmWFvw_QgTDREEsnEW0NqgnipjLaG8Zw-79NYLPv_U1TNL5i-BpWPE9uH_EraKhD8GtaJm4-Ihmav2TOQlMJds7TOSt8UK_NMZlU7c5Am4DT-ESL8nm7wo0onswK1qB/s4032/IMAG4955.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5xkUjqetF-zKNzkdmGDunec_AXEZ-P8kwwfxpOOiibXSjQc5E4SJtgRn84mmWFvw_QgTDREEsnEW0NqgnipjLaG8Zw-79NYLPv_U1TNL5i-BpWPE9uH_EraKhD8GtaJm4-Ihmav2TOQlMJds7TOSt8UK_NMZlU7c5Am4DT-ESL8nm7wo0onswK1qB/w400-h300/IMAG4955.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0oaAuTUSjIxa0tbrzqXYEPt3i8jVCpgI2UmJG2K0uBY19RBmFJ9QXHXCKcsZMAL--TI7QlpATJIgoKKwCfdSQ5q8tkYOgyu5AgT1L0oRYfoEJAAGXUvxsQtYcIe7KaW6p5aY7XBj3bTdtIcYPqzSqAHx8URxZo6CEGcU1RZE6F_Z-RvkPOmpqT63u/s4032/IMAG4956%20(1).jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0oaAuTUSjIxa0tbrzqXYEPt3i8jVCpgI2UmJG2K0uBY19RBmFJ9QXHXCKcsZMAL--TI7QlpATJIgoKKwCfdSQ5q8tkYOgyu5AgT1L0oRYfoEJAAGXUvxsQtYcIe7KaW6p5aY7XBj3bTdtIcYPqzSqAHx8URxZo6CEGcU1RZE6F_Z-RvkPOmpqT63u/w400-h300/IMAG4956%20(1).jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg99FT0IpX41j20He8o4OVLXWOhA345rAKmwkLUrZH8nqyPwW5gPLqjL_1da7-GI6ZTg8Fb0YnNqQEhVyJSPeiJFxa4B1LED5RYIuAowYMtmM_AO19XmoeUGGIkDmAhHOka61IYAsLJ9hBjCYWB8-Eh7OG372iVndISsAALRhew7a_JQGN2t_jnRxu2/s4032/IMAG4957.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg99FT0IpX41j20He8o4OVLXWOhA345rAKmwkLUrZH8nqyPwW5gPLqjL_1da7-GI6ZTg8Fb0YnNqQEhVyJSPeiJFxa4B1LED5RYIuAowYMtmM_AO19XmoeUGGIkDmAhHOka61IYAsLJ9hBjCYWB8-Eh7OG372iVndISsAALRhew7a_JQGN2t_jnRxu2/w400-h300/IMAG4957.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIz7C3Q8IqLleqkvNDCRtmzQpuVF-IEb8Z-iT2LHwxbfBCslKXcQGEpY3kiNfCBLODcx1hcje4WTWt3hRXEjfVG8p1hqvRk2dDF_Jd1nJy7d7IxkdNYeyjxBURGXeF_yzZyEygkeWzY5CaQtdG6d9MHxrtOS3LVJ54kV6HjV5V_RghlWneiOw9Sriy/s4032/IMAG4959.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIz7C3Q8IqLleqkvNDCRtmzQpuVF-IEb8Z-iT2LHwxbfBCslKXcQGEpY3kiNfCBLODcx1hcje4WTWt3hRXEjfVG8p1hqvRk2dDF_Jd1nJy7d7IxkdNYeyjxBURGXeF_yzZyEygkeWzY5CaQtdG6d9MHxrtOS3LVJ54kV6HjV5V_RghlWneiOw9Sriy/w400-h300/IMAG4959.jpg" width="400" /></a></div><br /><p style="text-align: justify;">The specifications: <a href="https://www.phonearena.com/phones/compare/Microsoft-Surface-Duo-2,Microsoft-Surface-Duo/phones/11822,11482" target="_blank">comparing the Surface Duo and Surface Duo 2</a>. That's all for now (which is why this is titled 'first look.')</p><p><b><br /></b></p><p><b>Previous related entries:</b></p><p><a href="https://ph2dot1.blogspot.com/2020/09/microsoft-surface-duo-first-look.html" target="_blank">Microsoft Surface Duo - First look</a></p><p><b>Online Resources:</b></p><p><a href="https://forum.xda-developers.com/c/microsoft-surface-duo.9341/" target="_blank">XDA Microsoft Duo Forums</a></p><p><a href="https://forums.windowscentral.com/microsoft-surface-duo/" target="_blank">Windows Central - Microsoft Duo Forums</a></p><p><a href="https://support.microsoft.com/en-us/surface/different-ways-to-use-surface-duo-2d8854da-a49f-ecaf-a99d-9f571a696d6e" target="_blank">Microsoft: Different ways to use Surface Duo</a></p><p><b>Online Reviews:</b></p><p><a href="https://www.tomsguide.com/reviews/microsoft-surface-duo-2#xenforo-comments-493115" target="_blank">Microsoft Duo 2 review: Vastly improved and still flawed</a></p><p><a href="https://www.pcmag.com/reviews/microsoft-surface-duo-2" target="_blank">Microsoft Duo 2 review: A unique device for your multitasking life</a></p><p><b>YouTube (video) reviews:</b></p><p><a href="https://www.youtube.com/watch?v=n9-HCAKU4Ng" target="_blank">Microsoft Duo 2 Review</a></p><p><a href="https://www.youtube.com/watch?v=7WjuMTEKuQw" target="_blank">Surface Duo 2 Long-Term Review: Revisiting A Different Kind of Foldable</a></p><p><a href="https://www.youtube.com/watch?v=Wy4H9vKXzVg" target="_blank">Surface Duo 2 1-Week Later | Productivity At Its finest</a></p><p><a href="https://www.youtube.com/watch?v=amoqByrVthc" target="_blank">Surface Duo vs. Surface Duo 2 after 6 months: Which to buy</a></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-16577699573186391322022-07-13T11:24:00.002-04:002022-07-13T11:24:23.111-04:00Astro Slide 5G - First look<p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7rBzICFpCRsNtIG1aCmKNgN_RlRaK1-yLfqbE_lY7uOwO7aOsOn_9gso7gZxgtmsFuDDdT3aFxmmHMVxMf5ANUAKeT9D8vET6ldg146XkANLHvWcy0yzrB8zxG20ZDbN4Lv9dcSy0ECKBrgG0nHCsUHLdD6mkVLikWx0msitoRjS6HZnuj0Y4K_LZ/s318/astroslide.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="318" data-original-width="201" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7rBzICFpCRsNtIG1aCmKNgN_RlRaK1-yLfqbE_lY7uOwO7aOsOn_9gso7gZxgtmsFuDDdT3aFxmmHMVxMf5ANUAKeT9D8vET6ldg146XkANLHvWcy0yzrB8zxG20ZDbN4Lv9dcSy0ECKBrgG0nHCsUHLdD6mkVLikWx0msitoRjS6HZnuj0Y4K_LZ/w126-h200/astroslide.jpg" width="126" /></a></div><br /><div style="text-align: justify;">Finally received the <b>Astro Slide 5G Transformer</b> phone I had <a href="https://www.indiegogo.com/projects/astro-slide-5g-transformer#/" target="_blank">backed on Indiegogo</a> in March of 2020. </div><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSwzF737eRSxicVdwzcIGqstt-pNnzq3XFcC1me08NT-BtfsX_Om1YmjHQjTYQbERe6GUKv1QFARmWDVMFbMIia2pFiFlyMv44y72BJOZZ0_OK91PCO7fXfLHhE4JpXcEFYOxxSk3znJfcXrK3UnScImIn8ipHQRnyP_9a_EYK6XvJHPTAaT0BhLFy/s4032/open01.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhSwzF737eRSxicVdwzcIGqstt-pNnzq3XFcC1me08NT-BtfsX_Om1YmjHQjTYQbERe6GUKv1QFARmWDVMFbMIia2pFiFlyMv44y72BJOZZ0_OK91PCO7fXfLHhE4JpXcEFYOxxSk3znJfcXrK3UnScImIn8ipHQRnyP_9a_EYK6XvJHPTAaT0BhLFy/w400-h300/open01.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhhIfPSJLR9RTccsal92rrHoAATyV-qzW--yOFQ8pZgembKFmePzCIDH8pqkmQkp9kASDCfbAlY7PZNuPWVTXJGWJi_m8ys3KEauFtuvNXjHJ1u-2WeNGvpIKHHiNuWJ5Ax5epu6alEPGCwKdglIsXEzX7nfVy9xsL_J8cvcTGjI7ck_etTT8Kfkxz/s4032/open02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhhIfPSJLR9RTccsal92rrHoAATyV-qzW--yOFQ8pZgembKFmePzCIDH8pqkmQkp9kASDCfbAlY7PZNuPWVTXJGWJi_m8ys3KEauFtuvNXjHJ1u-2WeNGvpIKHHiNuWJ5Ax5epu6alEPGCwKdglIsXEzX7nfVy9xsL_J8cvcTGjI7ck_etTT8Kfkxz/w400-h300/open02.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIO3FLhEpYFGisJP6jy5pZCqYlt4dTJbKmiHT3dptxaa_tnKgDY-z23D5y2ObF4zO5cvKA_zrcWab__P82F-m6dAn1yYCEiqxXKvxkdlQq-ztgG3jY9Ij9Z5qCZ3ARZzb2namGS02W8I8iVka1qiu5wCIN0BcxWb8b37m5h8r2AwH0qNOyBSb4rm7c/s4032/open03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIO3FLhEpYFGisJP6jy5pZCqYlt4dTJbKmiHT3dptxaa_tnKgDY-z23D5y2ObF4zO5cvKA_zrcWab__P82F-m6dAn1yYCEiqxXKvxkdlQq-ztgG3jY9Ij9Z5qCZ3ARZzb2namGS02W8I8iVka1qiu5wCIN0BcxWb8b37m5h8r2AwH0qNOyBSb4rm7c/w400-h300/open03.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNMw01ToQqhyuvKIuGStfN8jC4-eWFTn0XS6I5QrIp4SVzi-3s3pfz-4KglQ4v4MuUXcePX0wOcWmEv3TnbZdUmgj7RPgyCQt_cMFaos3r5q5mukC_2yF8FVDmcao6O5POISwAvWG7zPBtdldZyWsm9Ma3kgU2RE9UdplZqkOrIXf8mQNtCu7J1qsW/s4032/open04.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiNMw01ToQqhyuvKIuGStfN8jC4-eWFTn0XS6I5QrIp4SVzi-3s3pfz-4KglQ4v4MuUXcePX0wOcWmEv3TnbZdUmgj7RPgyCQt_cMFaos3r5q5mukC_2yF8FVDmcao6O5POISwAvWG7zPBtdldZyWsm9Ma3kgU2RE9UdplZqkOrIXf8mQNtCu7J1qsW/w400-h300/open04.jpg" width="400" /></a></div><br /><p style="text-align: justify;">This is <a href="https://www.www3.planetcom.co.uk/" target="_blank">Planet Computer's</a> third offering in the series - starting with the Gemini (reviews <a href="https://ph2dot1.blogspot.com/2018/05/gemini-first-look.html" target="_blank">here</a>, <a href="https://ph2dot1.blogspot.com/2018/05/gemini-second-look.html" target="_blank">here</a>, <a href="https://ph2dot1.blogspot.com/2018/05/gemini-third-look.html" target="_blank">here</a>, <a href="https://ph2dot1.blogspot.com/2018/06/gemini-fourth-look.html" target="_blank">here</a>, <a href="https://ph2dot1.blogspot.com/2018/07/some-more-gemini.html" target="_blank">here</a>, <a href="https://ph2dot1.blogspot.com/2018/07/gemini-fifth-look.html" target="_blank">here</a>, and <a href="https://ph2dot1.blogspot.com/2018/08/gemini-and-verdict-is.html" target="_blank">here</a>) , followed by the Cosmo Communicator (<a href="https://ph2dot1.blogspot.com/2019/11/cosmo-communicator-first-look.html" target="_blank">review</a>), and now the Astro Slide 5G Transformer (all three shown left to right below):</p><p style="text-align: justify;"><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpU3MQI4NAgsBzOx3E8eEn9VY3jln0Z0iAX37c_i44yOWTlcDxiYSHcITFtlaH6B_Iohs7Fk6x2YAx3BuPYjaYlXidiYIKf9BChAxy0Fc18-DJFESuZbBD7Ix4T-h5haKiIa2evoTeDIqX_0shO8ZhGPBntS5oh6RLMY-1uyhYWy9tVUgG2h80ZtW_/s4032/three01.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpU3MQI4NAgsBzOx3E8eEn9VY3jln0Z0iAX37c_i44yOWTlcDxiYSHcITFtlaH6B_Iohs7Fk6x2YAx3BuPYjaYlXidiYIKf9BChAxy0Fc18-DJFESuZbBD7Ix4T-h5haKiIa2evoTeDIqX_0shO8ZhGPBntS5oh6RLMY-1uyhYWy9tVUgG2h80ZtW_/s320/three01.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-R-_c6yL1Lz4JCFwDZt7_cJSJZmWfIGZ0lwVrPTmKaQAaalzIFMzRQPDTUR30y1snzORhtl6ut55LuM-77RH5H_FOeGM-8H8zcDIt6oKw0H_IFQFHcA6uSU5GeBAyX87C38UQ85-uMilz4HAZVjW9qm-s35r_I45cMHsPuT-vMGYP1UFaKmuiAJ5Y/s4032/three02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-R-_c6yL1Lz4JCFwDZt7_cJSJZmWfIGZ0lwVrPTmKaQAaalzIFMzRQPDTUR30y1snzORhtl6ut55LuM-77RH5H_FOeGM-8H8zcDIt6oKw0H_IFQFHcA6uSU5GeBAyX87C38UQ85-uMilz4HAZVjW9qm-s35r_I45cMHsPuT-vMGYP1UFaKmuiAJ5Y/s320/three02.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyUoajtJFWz5ZLal-usbHTcrHUZWRfNnovCwJp6xaFxwoBu7TgGU9ZZvViTiYIi0Nj-ieVdq-0A-VxRgp3YUYxLD1mQwuFvrXVHWMtoC9Gvhq_bphwP_41NlEjP2LKaASzJdGSLcwWd5yDOFjWz_Q-TTS6j7coGcyJbt1Zru9xtz3XOKJ6jxjnyYTA/s4032/three03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyUoajtJFWz5ZLal-usbHTcrHUZWRfNnovCwJp6xaFxwoBu7TgGU9ZZvViTiYIi0Nj-ieVdq-0A-VxRgp3YUYxLD1mQwuFvrXVHWMtoC9Gvhq_bphwP_41NlEjP2LKaASzJdGSLcwWd5yDOFjWz_Q-TTS6j7coGcyJbt1Zru9xtz3XOKJ6jxjnyYTA/s320/three03.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfAQG_-yfLDKSk3mSRKLbakM1-cYfISBERmMrh5iQ-Bh_ky5nV9owWUMQOE7rcbQardDBCad84Wi-7KQ6mIwsoMvXaHiEUnIz9kYLLAs9QhCAiIdwuQg5mMdi46B9thyP5Oo_qzDLpt-_CWl5_8ZifZL4ZUCPQBpn_LQo6NugpkeEAuuo53LMlS7o9/s4032/three04.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="3024" data-original-width="4032" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfAQG_-yfLDKSk3mSRKLbakM1-cYfISBERmMrh5iQ-Bh_ky5nV9owWUMQOE7rcbQardDBCad84Wi-7KQ6mIwsoMvXaHiEUnIz9kYLLAs9QhCAiIdwuQg5mMdi46B9thyP5Oo_qzDLpt-_CWl5_8ZifZL4ZUCPQBpn_LQo6NugpkeEAuuo53LMlS7o9/s320/three04.jpg" width="320" /></a></div><br /><p style="text-align: justify;">Here's a shot showing the Astro Slide Transformer with keyboard open, along with some other keyboard PDAs:</p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJK_wkqcYmRvIbmYqMwcw7KViwjCdg66W9Z_V6GAxU5uYRlqbt5e4Kf9CaZPZgxFXnlNDsZmGP1ffcqEls6ExkgCO5AKlahD7ab_HYVOwU4pF5VppvVu4ynUQXauTl4N2yQhsTka-dvQRjCZB2EUlxrdvQMWkqMyxnqrUxdjzYaHPt1vK1JGlo2sB-/s1199/multicomp.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="739" data-original-width="1199" height="394" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJK_wkqcYmRvIbmYqMwcw7KViwjCdg66W9Z_V6GAxU5uYRlqbt5e4Kf9CaZPZgxFXnlNDsZmGP1ffcqEls6ExkgCO5AKlahD7ab_HYVOwU4pF5VppvVu4ynUQXauTl4N2yQhsTka-dvQRjCZB2EUlxrdvQMWkqMyxnqrUxdjzYaHPt1vK1JGlo2sB-/w640-h394/multicomp.jpg" width="640" /></a></div><br /><p><a href="https://www.www3.planetcom.co.uk/devices-specification" target="_blank">Full specifications</a></p><p><b>Online Resources:</b></p><p><a href="https://www.oesf.org/forum/index.php?PHPSESSID=b9hd5qh9usulaacub0hn4k8i4l&board=215.0">Astro Slide OESF Forums</a></p><p><a href="https://www.youtube.com/playlist?list=PLw_xzkKoihPOAWz7tJrTJqlwnX2eXAFPt" target="_blank">Planet Computers YouTube Playlist - Astro Slide 5G Transformer</a></p><p><b>Astro Slide Reviews:</b></p><p><a href="https://www.techradar.com/in/reviews/planet-computers-astro-slide-5g" target="_blank">Planet Computers Astro Slide 5G review </a>(Techradar)</p><p><a href="https://www.xda-developers.com/astro-slide-5g-hands-on/" target="_blank">Hands-on with the Astro Slide 5G: Slider in your hand, Debian in your pocket</a></p><p><a href="https://www.zdnet.com/article/planet-computers-astro-slide-5g-review/" target="_blank">Planet Computers Astro Slide 5G review: A keyboard-equipped 5G phone with retro appeal </a>(ZDNet)</p><p><b>Astro Slide YouTube Reviews:</b></p><p><a href="https://www.youtube.com/watch?v=2k43TB1QDfw" target="_blank">Unboxing - Planet Computers Astro Slide 5G</a> </p><p><a href="https://www.youtube.com/watch?v=rnOrcmT2W_Y" target="_blank">Astro Slide 5G Unboxing (Japanese)</a></p><p><a href="https://www.youtube.com/watch?v=BcRXe59Qp8I" target="_blank">Astro Slide 5G Smartphone - Dual Boot Android and Linux</a></p><p><a href="https://www.youtube.com/watch?v=jV96EGcxb-k" target="_blank">Most Powerful 5G Smartphone Pocket Computer Hybrid | Astro Slide</a></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2ihsaWcjQ3I_YS2M0BcnnsT4htytuCFOM-dBqjR-0WH2RtUW0RQCYLPUCUST94GIC6hQFt-p1Hu2HzbBnS7hTUczLxweTnscPCYu6Jc67VwaT8h-4QBYd0-ytSgYIfFVsFlS7QkATEttzq6a4OFZja0p8wM7bxlTgYaQiioNf1LdqK3DxUPu7GzOq/s915/captioned.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="630" data-original-width="915" height="440" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2ihsaWcjQ3I_YS2M0BcnnsT4htytuCFOM-dBqjR-0WH2RtUW0RQCYLPUCUST94GIC6hQFt-p1Hu2HzbBnS7hTUczLxweTnscPCYu6Jc67VwaT8h-4QBYd0-ytSgYIfFVsFlS7QkATEttzq6a4OFZja0p8wM7bxlTgYaQiioNf1LdqK3DxUPu7GzOq/w640-h440/captioned.jpg" width="640" /></a></div><br /><p><br /></p><p><br /></p>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-4983007694964924295.post-14343133813839910232022-01-30T13:50:00.011-05:002022-01-30T14:41:47.939-05:00Novalis - Nachtraum (Neumond)<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgT0ys0Xad1KBPMRPXOw_-C0sm-5m3F49RgpyCHeZQhOzlmzdzAPpx5CH5fJzvJeZ3lYjSZkevlBpX0-98odJExdikMRh3IJYr9uvWLlZHin6cK3mWc00Jl9X1LRKh1jcsNRIyNFMrGlrp88E8IZTBgUiHvwm6L4WEmLmegFIQe4HV7ew2DLMwv3igI=s534" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="534" data-original-width="426" height="320" src="https://blogger.googleusercontent.com/img/a/AVvXsEgT0ys0Xad1KBPMRPXOw_-C0sm-5m3F49RgpyCHeZQhOzlmzdzAPpx5CH5fJzvJeZ3lYjSZkevlBpX0-98odJExdikMRh3IJYr9uvWLlZHin6cK3mWc00Jl9X1LRKh1jcsNRIyNFMrGlrp88E8IZTBgUiHvwm6L4WEmLmegFIQe4HV7ew2DLMwv3igI=s320" width="255" /></a></div><br /><div>
Und wieder verging ein tag so als ob heute schon einmal war</div>
Dieselben straßen dieselben gesichter das warten im regen auf die bahn<br />
<br />
Heut’ abend fühle ich wie sehr mein alltag geregelt ist<br />
Er macht much so stark und sicher<br />
Trotzdem bin ich unzufrieden – irgendwie<br />
<br />
Die nacht nimmt mich und fliegt mit mir fort<br />
Ich schlümpfe durch wolken davon<br />
Die erde wird kleiner sterne kommen mir nah’<br />
Ich rase immer tiefer ins all<br />
<br />
Plötzlich sitze ich auf einem stern mir ist alles so unendlich fern<br />
Die erde gleicht einem spielball<br />
Aufgeregt blitzen meine augen hin und her<br />
<br />
Da erscheint aus dem nichts eine gestalt und kommt auf mich zu<br />
Streckt mir wortlos ihre hand entgegen<br />
Entsetzt merke ich, der fremde bin ich<br />
Ich reiss’ mich los von meinem traum<br />
Spüre noch diese hand, suche mein zimmer<br />
Die lampe, das bett ,she’ mich noch von mir steh’n<br />
<br />
Nachttraum – Verloren im Traum<br />
Nachttraum – Verloren im Trau<o:p></o:p><div><span 16px="" center="" color:="" e="" face="tahoma, arial, helvetica, sans-serif" font-size:="" text-align:=""><br /></span></div><div><span 16px="" center="" e="" face="tahoma, arial, helvetica, sans-serif" font-size:="" text-align:=""><a href="https://www.youtube.com/watch?v=8493iOqhc5g">Novalis - Neumond - Nachtraum</a></span></div>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-36578647057730407442022-01-01T06:00:00.001-05:002022-01-01T06:00:00.233-05:00Random charts - health<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEiNRADc8b9JaAT923iFnQ5NemOW48ACqZtuhDmpVI9arqnhLi8_by2-HqDfI3mY8ujQNtfSOvBp7H-BGbLjmDFanUBavUyjzJB6_gBv3Z9b6MiHXGxve_IfPhCrw5J76tZFtQT7P7h7Zutrggsva-nUpAwKkXZUx9EnfwaNS49UX4oMHHp8QzNo82kN=s491" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="491" data-original-width="269" height="400" src="https://blogger.googleusercontent.com/img/a/AVvXsEiNRADc8b9JaAT923iFnQ5NemOW48ACqZtuhDmpVI9arqnhLi8_by2-HqDfI3mY8ujQNtfSOvBp7H-BGbLjmDFanUBavUyjzJB6_gBv3Z9b6MiHXGxve_IfPhCrw5J76tZFtQT7P7h7Zutrggsva-nUpAwKkXZUx9EnfwaNS49UX4oMHHp8QzNo82kN=w219-h400" width="219" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgQ1k0DiR58mgVCJJOV74hJ5wWK95C3ht8e8JINc7FNw7DDDjeQJcGo0Yb8cdaUZOtxfvTcTcbcuy6gUTA5rIDPFxErZ91kUCCHqbXLHTjm40kN-C1VdmgChUEB6GQfRiV8yFJ7q7vGjbGc_y088kzkEq6MdWYlPKKCbcQegsDke9RZgndYLLlUGxvb=s691" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="543" data-original-width="691" height="314" src="https://blogger.googleusercontent.com/img/a/AVvXsEgQ1k0DiR58mgVCJJOV74hJ5wWK95C3ht8e8JINc7FNw7DDDjeQJcGo0Yb8cdaUZOtxfvTcTcbcuy6gUTA5rIDPFxErZ91kUCCHqbXLHTjm40kN-C1VdmgChUEB6GQfRiV8yFJ7q7vGjbGc_y088kzkEq6MdWYlPKKCbcQegsDke9RZgndYLLlUGxvb=w400-h314" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEg9tVodJm9-zq1SP71h3X-jwainLKPbFRZw6aNGH1ZiEDmV_WtxxdpjQ9m1WMxduYQ6-_rl_XlMXoNmekFB0u23hpIthngPUtCG2SvRqxiBxLUDeap-3IJi-mauY1AhH8XuZ5v1RgFvPZFHeh8y_-KqEO7PQGzczfMOQHH96oAeeQkuE4rs4J5i7d9Y=s659" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="332" data-original-width="659" height="201" src="https://blogger.googleusercontent.com/img/a/AVvXsEg9tVodJm9-zq1SP71h3X-jwainLKPbFRZw6aNGH1ZiEDmV_WtxxdpjQ9m1WMxduYQ6-_rl_XlMXoNmekFB0u23hpIthngPUtCG2SvRqxiBxLUDeap-3IJi-mauY1AhH8XuZ5v1RgFvPZFHeh8y_-KqEO7PQGzczfMOQHH96oAeeQkuE4rs4J5i7d9Y=w400-h201" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjn8vnDDsyDFm93Fnkc_ukRzPyOBwAeoYHnHstxYyfm_F4wIGpW_i2v-KD7O9FT10YUWxqGlgkRfYAC6OE0L4ZeKD7C5hVDBoRa8w0iw2WwhhGxRS8tOqYNwVannFeMEzJEDshXDBqJ_UTRd71jnL-t4QFRuDGRj7dqMaFJ334uEL0NHDCpgR0UvwFn=s590" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="590" data-original-width="237" height="400" src="https://blogger.googleusercontent.com/img/a/AVvXsEjn8vnDDsyDFm93Fnkc_ukRzPyOBwAeoYHnHstxYyfm_F4wIGpW_i2v-KD7O9FT10YUWxqGlgkRfYAC6OE0L4ZeKD7C5hVDBoRa8w0iw2WwhhGxRS8tOqYNwVannFeMEzJEDshXDBqJ_UTRd71jnL-t4QFRuDGRj7dqMaFJ334uEL0NHDCpgR0UvwFn=w161-h400" width="161" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEihbDByOx0mL3sso2KCxpynY6Bh4_O4d2dFUYLDVtF3ALjFODCC9JVfxF26tg5HmXxgJTWWaNyZXz4gjE8pkUj4Zht5K_1CnhcP-iE2i4hQN14Rujiu0ZqkeGczLMlzG2mKONh-EFqAWCn2JXDGGSNAJeFep6qO9LZBrxPzEOU-Q3oS3-FsvIfiUFcK=s644" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="271" data-original-width="644" height="169" src="https://blogger.googleusercontent.com/img/a/AVvXsEihbDByOx0mL3sso2KCxpynY6Bh4_O4d2dFUYLDVtF3ALjFODCC9JVfxF26tg5HmXxgJTWWaNyZXz4gjE8pkUj4Zht5K_1CnhcP-iE2i4hQN14Rujiu0ZqkeGczLMlzG2mKONh-EFqAWCn2JXDGGSNAJeFep6qO9LZBrxPzEOU-Q3oS3-FsvIfiUFcK=w400-h169" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgUiE6FEHiBnhAut8tH7wx_2OJ8Huj2SHvrsmxkn-BmmMs22Y1Hq9IGEac91ci7fpEIJGu6oMl7Apw0-2FMCurClDJ9cmF0PdGzX2jnAVdCXfz8X04rAaCLhVYi_cuTTbB2RWIDDfxJz3HPG5yVawog20--ZLVG7yUctMNYBH7sBZrVuEhJCLwVZd2k=s604" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="399" data-original-width="604" height="264" src="https://blogger.googleusercontent.com/img/a/AVvXsEgUiE6FEHiBnhAut8tH7wx_2OJ8Huj2SHvrsmxkn-BmmMs22Y1Hq9IGEac91ci7fpEIJGu6oMl7Apw0-2FMCurClDJ9cmF0PdGzX2jnAVdCXfz8X04rAaCLhVYi_cuTTbB2RWIDDfxJz3HPG5yVawog20--ZLVG7yUctMNYBH7sBZrVuEhJCLwVZd2k=w400-h264" width="400" /></a></div>Source: <a href="https://assets.americashealthrankings.org/app/uploads/americashealthrankings2021annualreport.pdf">America's Health Rankings 2021 </a>(110-pg PDF)<p></p>Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4983007694964924295.post-40118168099077707902021-01-11T19:00:00.002-05:002021-01-12T16:17:12.603-05:00Echo Frames - First look<div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-KeqXChXYCCw/X_y7Hoe-mTI/AAAAAAAAkbE/RMKJWwqpSxcot2Lfn6pEKJxpFebW6E6hwCLcBGAsYHQ/s505/echo01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="388" data-original-width="505" height="154" src="https://1.bp.blogspot.com/-KeqXChXYCCw/X_y7Hoe-mTI/AAAAAAAAkbE/RMKJWwqpSxcot2Lfn6pEKJxpFebW6E6hwCLcBGAsYHQ/w200-h154/echo01.jpg" width="200" /></a></div><br /><div class="separator" style="clear: both; text-align: justify;">I ordered a pair of <a href="https://www.amazon.com/dp/B083C58VDP/ref=sxts_spkl_1_0_a9c20fb1-4aaf-4a19-80d9-64fe96d2ff88?pd_rd_w=RZsJm&pf_rd_p=a9c20fb1-4aaf-4a19-80d9-64fe96d2ff88&pf_rd_r=JFRV3FEJBGQXWE0XH5TT&pd_rd_r=ff5eeca5-5e95-41f4-80f8-e9089b749153&pd_rd_wg=LG5mB&qid=1610399828" target="_blank">Echo Frames from Amazon</a>... and <a href="https://lensesrx.com/53278-prescription-lenses-for-amazon-echo-frames-eye-glasses/" target="_blank">prescription lenses specifically to fit Echo Frames via LensesRx</a>. Note: to do the latter you'll need <b>your prescription</b> - numbers for the Sph, Cyl, Axis, and Add for OS and OD (your left and right eye -oculus sinister and oculus dexter), as well as <a href="https://www.eyebuydirect.com/guides/how-to-measure-your-pd?channel=cpc&source=google&matchtype=b&kw=&adid=445592018849&addisttype=g&gclid=CjwKCAiAi_D_BRApEiwASslbJ7jVCpol_Zw5eYtp0YP9XbI9cePYVLxxoJG238RZ_btYT42bxMj5zRoCsl4QAvD_BwE" target="_blank">your PD</a>, or <b>pupillary distance</b>. </div><div class="separator" style="clear: both; text-align: left;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-bffAF94MOs4/X_y97JzbRbI/AAAAAAAAkcc/tICuhNBRZTANaf8F4v6yh3xsNKbVa-9owCLcBGAsYHQ/s1028/echo02.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="691" data-original-width="1028" height="269" src="https://1.bp.blogspot.com/-bffAF94MOs4/X_y97JzbRbI/AAAAAAAAkcc/tICuhNBRZTANaf8F4v6yh3xsNKbVa-9owCLcBGAsYHQ/w400-h269/echo02.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-15655QXS2BY/X_y9gsBdFRI/AAAAAAAAkb8/Q9V--cIdMAodMFS350ZuhUAnXKb4B2PPACLcBGAsYHQ/s978/echo03.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="907" data-original-width="978" height="371" src="https://1.bp.blogspot.com/-15655QXS2BY/X_y9gsBdFRI/AAAAAAAAkb8/Q9V--cIdMAodMFS350ZuhUAnXKb4B2PPACLcBGAsYHQ/w400-h371/echo03.jpg" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-G0vl92dpfwY/X_y9g1Yj_yI/AAAAAAAAkcA/n2OLxX5amkIRBWUPHIk48O1AWHz-zrjUwCLcBGAsYHQ/s1064/echo04.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="794" data-original-width="1064" height="299" src="https://1.bp.blogspot.com/-G0vl92dpfwY/X_y9g1Yj_yI/AAAAAAAAkcA/n2OLxX5amkIRBWUPHIk48O1AWHz-zrjUwCLcBGAsYHQ/w400-h299/echo04.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-DKE2n3KhO7Q/X_y9h1bPPOI/AAAAAAAAkcE/gwA03i5GboUNrOkbzk14artLg05KSchMgCLcBGAsYHQ/s1210/echo05.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="736" data-original-width="1210" height="244" src="https://1.bp.blogspot.com/-DKE2n3KhO7Q/X_y9h1bPPOI/AAAAAAAAkcE/gwA03i5GboUNrOkbzk14artLg05KSchMgCLcBGAsYHQ/w400-h244/echo05.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-wrySabRzOLc/X_y9h94FjtI/AAAAAAAAkcI/fr1Rbn3eekMNQIcYsF7xkDq4eJvW7jDcwCLcBGAsYHQ/s1212/echo06.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="563" data-original-width="1212" height="186" src="https://1.bp.blogspot.com/-wrySabRzOLc/X_y9h94FjtI/AAAAAAAAkcI/fr1Rbn3eekMNQIcYsF7xkDq4eJvW7jDcwCLcBGAsYHQ/w400-h186/echo06.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-PufJdvgufkM/X_y-OW1JI8I/AAAAAAAAkck/ZEw2jiI9c4czVQ42oeYtkPcLJH4UjOhDACLcBGAsYHQ/s847/lensesrx.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="847" data-original-width="824" height="400" src="https://1.bp.blogspot.com/-PufJdvgufkM/X_y-OW1JI8I/AAAAAAAAkck/ZEw2jiI9c4czVQ42oeYtkPcLJH4UjOhDACLcBGAsYHQ/w389-h400/lensesrx.jpg" width="389" /></a></div><div><br /></div><div style="text-align: justify;">The prescription lenses are easily popped in. Next you 'add' your charged Echo Frames to 'Your Devices' in the Alexa app and off you go... </div><div><br /></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-4-otUFPHVd0/X_zC7QdHn7I/AAAAAAAAkdA/puU_aNMggoczys0ome7Vl-3ds-lTth8JACLcBGAsYHQ/s923/ef.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="923" data-original-width="689" height="400" src="https://1.bp.blogspot.com/-4-otUFPHVd0/X_zC7QdHn7I/AAAAAAAAkdA/puU_aNMggoczys0ome7Vl-3ds-lTth8JACLcBGAsYHQ/w299-h400/ef.jpg" width="299" /></a></div><br /><div style="text-align: justify;">You don't get much of a choice (back, blue, tortoise versions of the basic frame) while buying the Echo frames, but it looks fine, albeit slightly on the "chunky" side.</div></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-HTfcuIhBZDM/X_4RtF-O3NI/AAAAAAAAkhU/MtUikGjY4RsFJUtD0lnV05fD2dlMnS6dACLcBGAsYHQ/s538/chunky.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="304" data-original-width="538" src="https://1.bp.blogspot.com/-HTfcuIhBZDM/X_4RtF-O3NI/AAAAAAAAkhU/MtUikGjY4RsFJUtD0lnV05fD2dlMnS6dACLcBGAsYHQ/s16000/chunky.jpg" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div>The technical specifications:</div><div><br /></div><div><b><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-HUFetoouSmo/X_zEm1p0KGI/AAAAAAAAkdQ/1PADS1iEBdAlkaHQP1MKF4y7GdhSxy7lwCLcBGAsYHQ/s851/frames.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="320" data-original-width="851" height="151" src="https://1.bp.blogspot.com/-HUFetoouSmo/X_zEm1p0KGI/AAAAAAAAkdQ/1PADS1iEBdAlkaHQP1MKF4y7GdhSxy7lwCLcBGAsYHQ/w400-h151/frames.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-_JSkgpxrYlI/X_zEntpgI5I/AAAAAAAAkdU/Y5iTO_hJhqg8-dqudk0BHoom_l56gTqAgCLcBGAsYHQ/s1342/techspecs.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="507" data-original-width="1342" height="151" src="https://1.bp.blogspot.com/-_JSkgpxrYlI/X_zEntpgI5I/AAAAAAAAkdU/Y5iTO_hJhqg8-dqudk0BHoom_l56gTqAgCLcBGAsYHQ/w400-h151/techspecs.jpg" width="400" /></a></div><br /></b></div><div><b><br /></b></div><div><b><span style="font-size: x-small;">Echo Frames Reviews:</span></b></div><div><br /></div><div><a href="https://www.amazon.com/All-new-Echo-Frames/product-reviews/B083C58VDP/ref=cm_cr_dp_d_show_all_btm?ie=UTF8&reviewerType=all_reviews" target="_blank">Reviews on Amazon</a></div><div><a href="https://www.pcmag.com/reviews/amazon-echo-frames" target="_blank">Amazon Echo Frames review</a></div><div><a href="https://www.theverge.com/22197463/amazon-echo-frames-review-alexa" target="_blank">Amazon Echo frames review - Listen to these specs</a></div><div><a href="https://www.digitaltrends.com/smart-home-reviews/amazon-echo-frames-2nd-gen-review/" target="_blank">Amazon Echo Reviews (2nd Gen): Alexa all the time, every time</a></div><div><a href="https://www.engadget.com/amazon-echo-frames-review-alexa-glasses-open-ear-speaker-133017197.html" target="_blank">Amazon Echo frames review - Alexa on your face is both helpful and annoying</a></div><div><br /></div><div><b><span style="font-size: x-small;">Echo Frames YouTube Reviews:</span></b></div><div><br /></div><div><a href="https://www.youtube.com/watch?v=QXgJd6RuiYs" target="_blank">Amazon Echo Frames explained</a></div><div><a href="https://www.youtube.com/watch?v=g5cQqSKrYMU" target="_blank">Echo Frames 60-day review - A difference maker</a></div><div><a href="https://www.youtube.com/watch?v=Dv8dM6GtYkc" target="_blank">These smart glasses let you take Alexa everywhere</a></div><div><a href="https://www.youtube.com/watch?v=KW1AXZXEsWw" target="_blank">Amazon Put ALEXA in WHAT? Echo Frames Review</a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-505845858854619422021-01-11T18:18:00.001-05:002021-01-11T18:20:09.922-05:00Amazon Halo & Amazfit X -- Second look<div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-BN79nA41IUg/X_zN6WvZlRI/AAAAAAAAkdw/HqXWu_csfpEcFgpckPuXzaXp75Z4VBh1QCLcBGAsYHQ/s400/both.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="300" data-original-width="400" height="150" src="https://1.bp.blogspot.com/-BN79nA41IUg/X_zN6WvZlRI/AAAAAAAAkdw/HqXWu_csfpEcFgpckPuXzaXp75Z4VBh1QCLcBGAsYHQ/w200-h150/both.jpg" width="200" /></a></div><br /><div style="text-align: justify;">October 2020 I got my Indiegogo-backed <a href="https://ph2dot1.blogspot.com/2020/10/amazfit-first-look.html" target="_blank">Amazfit X</a>, then in December I got a <a href="https://ph2dot1.blogspot.com/2021/01/amazon-halo-first-look.html">Amazon Halo</a> band, and they both seem like pretty cool gadgets. There is some overlap in what they measure, including both steps and sleep quality. </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">In sleep they both provide an overall sleep score and how long you slept, and then sub-details such as the time spent in each phase of sleep i.e. light sleep, REM, and deep sleep. The data and information is supplied numerically and graphically. To check out how close the two sets of measurements were I compared the daily records for one week. </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Right from the first day there were indications of a problem, the two sets of numbers diverged widely! For example for the first night: </div><div style="text-align: justify;"><br /></div><div style="text-align: left;"><ul style="text-align: left;"><li style="text-align: justify;">The Halo said that I had slept for <b>4 hours 48 minutes</b>, the Amazfit X for <b>7 hours 44 minutes</b></li><li style="text-align: justify;">Halo had <b>3 hours 40 minutes (63%) of light sleep</b>; Amazfit X reported <b>3 hours 50 minutes, <u>or 49%</u></b></li><li style="text-align: justify;">Halo had <b>1 hour eight minutes (24%) of REM</b>; Amazfit X had <b>2 hours four minutes (27%)</b></li><li style="text-align: justify;">The Halo showed <b><span style="color: red;">zero deep sleep</span></b>; the Amazfit X had <b><span style="color: red;">1 hour 50m minutes (24%)</span></b></li></ul></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-s7rkbl0j3go/X_zP8o_25aI/AAAAAAAAkd4/q3MXWX7lOssjgF5KH0cfaL_egx_6jTvEACLcBGAsYHQ/s680/EpKToM-WEAMBOVx.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="440" data-original-width="680" height="259" src="https://1.bp.blogspot.com/-s7rkbl0j3go/X_zP8o_25aI/AAAAAAAAkd4/q3MXWX7lOssjgF5KH0cfaL_egx_6jTvEACLcBGAsYHQ/w400-h259/EpKToM-WEAMBOVx.jpg" width="400" /></a></div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">The differences were as startling every night of the seven days that I compared! So now I found myself in a quandary and unsure of my sleep numbers - was the Halo correct, was the Amazfit X correct, or were both of them perhaps wrong?! </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">In the end <a href="https://twitter.com/snirody/status/1338521316866076678" target="_blank">I decided that it was the Halo that had to be incorrect </a>mostly because it claimed that I only slept <u>below 5 hours a night for the entire week</u> while the Amazfit X reported that I slept <u>between seven and eight hours every night</u>. </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Given that I generally went to bed between 10 and 10:30 pm while getting up at around 7 a.m. (i.e. a period of eight and a half hours), for the Halo to be right I'd have to be awake over three and a half hours every night. And while it is true that I did get up several times (interestingly, here they agreed I was up 6 times) every night, each was for a very few minutes and I always fell back asleep in a very few minutes!</div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">More importantly, the <b><u>deep sleep</u></b> time reported by the Halo <b><span style="color: red;">TOTALED one hour and 20 minutes for the ENTIRE WEEK.</span></b> <a href="https://www.healthline.com/health/how-much-deep-sleep-do-you-need#takeaway" target="_blank">I looked it up</a> and apparently "<i><span style="color: #38761d;">The average health adult gets roughly one to 2 hours of deep sleep per 8 hours of <b>nightly </b>sleep."</span></i> The AmazfitX showed a few days where my deep sleep was on the low side (15%), and others where it was higher (up to 30%), which seemed much more likely!</div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-ktzxhGnctuw/X_zXNMu454I/AAAAAAAAkeA/F_a0-F_0Q3QFSZMoEYEgV_TY4P2u2KsNACLcBGAsYHQ/s680/steps.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="440" data-original-width="680" height="259" src="https://1.bp.blogspot.com/-ktzxhGnctuw/X_zXNMu454I/AAAAAAAAkeA/F_a0-F_0Q3QFSZMoEYEgV_TY4P2u2KsNACLcBGAsYHQ/w400-h259/steps.jpg" width="400" /></a></div><div><br /></div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">Next, while the step counts were closer, they still occasionally showed quite different numbers, for example on this date they <b>diverged by a significant 20%!</b> </div><div style="text-align: justify;"><br /></div><div><div style="text-align: justify;">The Halo also can measure body fat percentage; you take photos of yourself and it uses an algorithm to calculate body fat. I tried this out, and was appalled by the result. Now I'm not in particularly good shape but at 5 foot nine and 160 pounds I am in the 'normal' range for BMI... True, it's closer to the top of the normal range (18.5% o 25%), but still. My scale reports my body fat percentage as 19.5%, however, the Halo estimate came back at 31%... more than 55% higher! </div><div style="text-align: justify;"><br /></div><div><div style="text-align: justify;"><span style="color: #2b00fe;">The end result? The Amazon Halo has been relegated to the "closet of misfit gadgets!"</span></div></div></div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-WJtaJegwg-A/X_zat9MjnTI/AAAAAAAAkeI/3wodRo3OGMIcTpFY_BMxZPEArdQKEwdQQCLcBGAsYHQ/s400/misfit.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="400" data-original-width="298" height="320" src="https://1.bp.blogspot.com/-WJtaJegwg-A/X_zat9MjnTI/AAAAAAAAkeI/3wodRo3OGMIcTpFY_BMxZPEArdQKEwdQQCLcBGAsYHQ/s320/misfit.jpg" /></a></div><br /><div><br /></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-24119940350265350682021-01-06T14:57:00.108-05:002021-01-11T15:43:28.072-05:00Amazon Halo - First look<div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-gUe4cygc2xc/X_ywmvjiLbI/AAAAAAAAkaI/2xRt8cA-LkkJawZdT-eT_ss36j3j-BLtQCLcBGAsYHQ/s287/halo.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="263" data-original-width="287" height="183" src="https://1.bp.blogspot.com/-gUe4cygc2xc/X_ywmvjiLbI/AAAAAAAAkaI/2xRt8cA-LkkJawZdT-eT_ss36j3j-BLtQCLcBGAsYHQ/w200-h183/halo.jpg" width="200" /></a></div><br /><p style="text-align: justify;">I decided to try out the <a href="https://www.amazon.com/Amazon-Halo-Fitness-And-Health-Band/dp/B07QKPCQKW/ref=sr_1_3?dchild=1&keywords=halo&qid=1610395561&sr=8-3" target="_blank">Amazon Halo</a> sports band, so I entered my information and waited for an "invitation." Sprang for a 'Winter + Silver' version:</p><p style="text-align: justify;"><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-TT59YlSYeU0/X_yua3X28sI/AAAAAAAAkZc/CYkvSLtwaF8PCA5Xc3FnmBudW4wJMwVcgCLcBGAsYHQ/s2048/halo01.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-TT59YlSYeU0/X_yua3X28sI/AAAAAAAAkZc/CYkvSLtwaF8PCA5Xc3FnmBudW4wJMwVcgCLcBGAsYHQ/w400-h300/halo01.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-Jqq1_9va4vA/X_yuWUTgTTI/AAAAAAAAkZY/EUgi2I_aGqIGofsX-vKfIn8l3TERPE6PACLcBGAsYHQ/s2048/halo02.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-Jqq1_9va4vA/X_yuWUTgTTI/AAAAAAAAkZY/EUgi2I_aGqIGofsX-vKfIn8l3TERPE6PACLcBGAsYHQ/w400-h300/halo02.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-e-FLPglpwPQ/X_yuVdZ1UEI/AAAAAAAAkZU/ll3eWZsZFa4q6RkzT5_JJecVWgY_2m-gwCLcBGAsYHQ/s2048/halo03.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-e-FLPglpwPQ/X_yuVdZ1UEI/AAAAAAAAkZU/ll3eWZsZFa4q6RkzT5_JJecVWgY_2m-gwCLcBGAsYHQ/w400-h300/halo03.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-6U2DHr2KKlE/X_yu24OCSwI/AAAAAAAAkZ0/4AWzgeVlsO8B2zeIFuw0YnHAPw6hY2IYwCLcBGAsYHQ/s2048/halo04.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-6U2DHr2KKlE/X_yu24OCSwI/AAAAAAAAkZ0/4AWzgeVlsO8B2zeIFuw0YnHAPw6hY2IYwCLcBGAsYHQ/w400-h300/halo04.jpg" width="400" /></a></div><div><br /></div>And on my wrist, next to the <a href="https://ph2dot1.blogspot.com/2020/10/amazfit-first-look.html" target="_blank">Amazfit X</a>:<div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-zpNxFZPZbD4/X_yuzgqmY9I/AAAAAAAAkZw/e1QUNMBbSBciXmten2KIw_taUiGxuGRzwCLcBGAsYHQ/s2048/halo21.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1536" data-original-width="2048" height="300" src="https://1.bp.blogspot.com/-zpNxFZPZbD4/X_yuzgqmY9I/AAAAAAAAkZw/e1QUNMBbSBciXmten2KIw_taUiGxuGRzwCLcBGAsYHQ/w400-h300/halo21.jpg" width="400" /></a></div><div style="text-align: justify;"><br /></div></div><div style="text-align: justify;">The Halo measures basic activity tracking (steps, activity scoring, sleep, etc.), as well as your body composition (fat percentage) and tone ("Analyze qualities of your voice like energy and positivity to help strengthen communication.") </div><div style="text-align: justify;"><br /></div><div style="text-align: justify;">The technical specifications (click to enlarge):</div><div><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-vla0L6F1qzs/X_yyfEWGdQI/AAAAAAAAkaQ/n9XJfBe1GOQOl3sy_ZspLOL9p2ZutCI-ACLcBGAsYHQ/s1139/tecspecs.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="339" data-original-width="1139" height="119" src="https://1.bp.blogspot.com/-vla0L6F1qzs/X_yyfEWGdQI/AAAAAAAAkaQ/n9XJfBe1GOQOl3sy_ZspLOL9p2ZutCI-ACLcBGAsYHQ/w400-h119/tecspecs.jpg" width="400" /></a></div><br /><div>Charge it up, download and install the app, pair it to your phone, and off you go...</div><div><br /></div><div><b><span style="font-size: x-small;">Amazon Halo Reviews:</span></b></div><div><br /></div><div><a href="https://www.tomsguide.com/reviews/amazon-halo" target="_blank">Amazon Halo Review </a> (Tom's guide)</div><div><a href="https://www.amazon.com/Amazon-Halo-Fitness-And-Health-Band/product-reviews/B07QKPCQKW/ref=cm_cr_dp_d_show_all_btm?ie=UTF8&reviewerType=all_reviews" target="_blank">Amazon Halo buyer reviews on Amazon</a></div><div><a href="https://www.androidcentral.com/amazon-halo-review" target="_blank">Amazon halo Review: This fitness tracker knows you inside and out.</a></div><div><a href="https://www.cnn.com/2020/12/23/cnn-underscored/amazon-halo-review/index.html" target="_blank">Amazon Halo review: A good fitness tracker — but is it too personal?</a></div><div><a href="https://appleinsider.com/articles/20/12/02/review-amazon-halo-is-incredibly-invasive-but-helps-you-learn-about-yourself" target="_blank">Review: Amazon halo is incredibly invasive, but helps you learn about yourself</a></div><div><b><span style="font-size: x-small;"><br /></span></b></div><div><b><span style="font-size: x-small;">Amazon Halo YouTube Reviews:</span></b></div><div><br /></div><div><a href="https://www.youtube.com/watch?v=EQKKLvr5rmg" target="_blank">Amazon Halo Review</a> | Blondes and Bagels</div><div><a href="https://www.youtube.com/watch?v=zckdF9ZD_t0" target="_blank">The Amazon Halo | BEST fitness tracker of 2020/2021?</a></div><div><a href="https://www.youtube.com/watch?v=JddYbStGng4" target="_blank">NEW Amazon Halo - A new kind of health and fitness band</a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-33882026112429987342020-10-27T05:00:00.001-04:002020-10-27T05:00:04.924-04:00Random charts - The vote<p> </p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-6iK5dFGHhR0/X5dwUzgw-nI/AAAAAAAAjGg/iqce9H26BWUVRHE8rY0iNJDVz8SMmJpzwCLcBGAsYHQ/s524/vote02.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="524" data-original-width="453" height="400" src="https://1.bp.blogspot.com/-6iK5dFGHhR0/X5dwUzgw-nI/AAAAAAAAjGg/iqce9H26BWUVRHE8rY0iNJDVz8SMmJpzwCLcBGAsYHQ/w346-h400/vote02.png" width="346" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-t7-2B0BcfSY/X5dwVEO7jDI/AAAAAAAAjGk/ZRgSPOtN50w-KgL29xbepyONTnQvzs85wCLcBGAsYHQ/s655/vote01.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="655" data-original-width="450" height="400" src="https://1.bp.blogspot.com/-t7-2B0BcfSY/X5dwVEO7jDI/AAAAAAAAjGk/ZRgSPOtN50w-KgL29xbepyONTnQvzs85wCLcBGAsYHQ/w275-h400/vote01.png" width="275" /></a></div><br /><p></p><p><a href="https://www.pewresearch.org/fact-tank/2020/10/22/election-night-marks-the-end-of-one-phase-of-campaign-2020-and-the-start-of-another/" rel="nofollow" target="_blank">Election night marks the end of one phase of campaign 2020 – and the start of another</a></p>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4983007694964924295.post-20357725091871187052020-10-26T20:39:00.002-04:002020-10-26T20:39:38.324-04:00PhoneBook - First Look<p> The <a href="https://www.kickstarter.com/projects/johnsheng/phonebook-turn-any-smartphone-into-a-laptop-computer?ref=discovery&term=phonebook" rel="nofollow" target="_blank">PhoneBook I backed on Kickstarter</a> came in. Here are some pictures and the specifications:</p><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-T9pqBGkEgpI/X5drMg3pb2I/AAAAAAAAjFo/mCAZZeW4SDAdffGyx4pt9Rw3aFswLT3lwCLcBGAsYHQ/s1012/phn01.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="654" data-original-width="1012" height="259" src="https://1.bp.blogspot.com/-T9pqBGkEgpI/X5drMg3pb2I/AAAAAAAAjFo/mCAZZeW4SDAdffGyx4pt9Rw3aFswLT3lwCLcBGAsYHQ/w400-h259/phn01.jpg" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-g_U-9BvwRjg/X5drNjxU7qI/AAAAAAAAjFw/1FTwlm6ZLhsOl4b6rgcp1VFuzIku0pIaACLcBGAsYHQ/s915/phn02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="882" data-original-width="915" height="385" src="https://1.bp.blogspot.com/-g_U-9BvwRjg/X5drNjxU7qI/AAAAAAAAjFw/1FTwlm6ZLhsOl4b6rgcp1VFuzIku0pIaACLcBGAsYHQ/w400-h385/phn02.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-ZbrRTo71-bI/X5drNRv_ZCI/AAAAAAAAjFs/eZ_EUNIouMswGEy_gDmZKUs5f4tmn8CGgCLcBGAsYHQ/s1088/phn03.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="735" data-original-width="1088" height="270" src="https://1.bp.blogspot.com/-ZbrRTo71-bI/X5drNRv_ZCI/AAAAAAAAjFs/eZ_EUNIouMswGEy_gDmZKUs5f4tmn8CGgCLcBGAsYHQ/w400-h270/phn03.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-NZm4mHnNIMg/X5drN2YTRlI/AAAAAAAAjF0/EoM3XY5PHtAvW1xXPGMzvaw4_s_72aHAACLcBGAsYHQ/s717/phn04.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="425" data-original-width="717" height="238" src="https://1.bp.blogspot.com/-NZm4mHnNIMg/X5drN2YTRlI/AAAAAAAAjF0/EoM3XY5PHtAvW1xXPGMzvaw4_s_72aHAACLcBGAsYHQ/w400-h238/phn04.jpg" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-ClHJnLL7nWU/X5drNwbAm8I/AAAAAAAAjF4/1ODcIWYUOlc2Nz3IRGTrF3jVqv798HzigCLcBGAsYHQ/s784/phn05.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="739" data-original-width="784" height="378" src="https://1.bp.blogspot.com/-ClHJnLL7nWU/X5drNwbAm8I/AAAAAAAAjF4/1ODcIWYUOlc2Nz3IRGTrF3jVqv798HzigCLcBGAsYHQ/w400-h378/phn05.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-2QMfH-at5oo/X5drOJIsc2I/AAAAAAAAjF8/G-kt5nPXKWAap79rnNH3WGC2w_A_vfW2gCLcBGAsYHQ/s883/phn06.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="883" data-original-width="829" height="400" src="https://1.bp.blogspot.com/-2QMfH-at5oo/X5drOJIsc2I/AAAAAAAAjF8/G-kt5nPXKWAap79rnNH3WGC2w_A_vfW2gCLcBGAsYHQ/w375-h400/phn06.jpg" width="375" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-lwvfwHGkBzU/X5drOkQLZbI/AAAAAAAAjGA/5ptDNRzTRhIfMeRVzm3RisnyHKRK5EVhwCLcBGAsYHQ/s873/phn07.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="870" data-original-width="873" height="399" src="https://1.bp.blogspot.com/-lwvfwHGkBzU/X5drOkQLZbI/AAAAAAAAjGA/5ptDNRzTRhIfMeRVzm3RisnyHKRK5EVhwCLcBGAsYHQ/w400-h399/phn07.jpg" width="400" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-7eI6EwYQFcY/X5drPIkklII/AAAAAAAAjGE/m1p0FRlCS1URt7VW0fGN1qVHVBH7VujAQCLcBGAsYHQ/s1218/phn08.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="772" data-original-width="1218" height="254" src="https://1.bp.blogspot.com/-7eI6EwYQFcY/X5drPIkklII/AAAAAAAAjGE/m1p0FRlCS1URt7VW0fGN1qVHVBH7VujAQCLcBGAsYHQ/w400-h254/phn08.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://1.bp.blogspot.com/-meWH6-CFfjM/X5drQKn3heI/AAAAAAAAjGI/KKJtia8MxrQ0zyoa0-IUwBMWq6eTQB6DwCLcBGAsYHQ/s1007/phn09.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="892" data-original-width="1007" height="354" src="https://1.bp.blogspot.com/-meWH6-CFfjM/X5drQKn3heI/AAAAAAAAjGI/KKJtia8MxrQ0zyoa0-IUwBMWq6eTQB6DwCLcBGAsYHQ/w400-h354/phn09.jpg" width="400" /></a></div><br /><p><br /></p>Unknownnoreply@blogger.com0