The Specialist Forum May 2017 | Page 5

www.specialistforum.co.za NEWS High-tech wearables: life-saving devices E ntrepreneur Russel Pengelly lives a high- energy and driven lifestyle. In February 2017, the Capetonian found himself between meetings during the sort of fast-paced day typical of running his educational software business. A gym-goer, he’d developed a habit of regularly checking his Apple watch. “My pulse reading was 160 beats per minute. I put it down to my excitement over developments at work including an overseas trip the following week,” Russel explained. “It was also hot and I’d had about five or six Coke Zeros,” he adds. “But, in the back of my mind, I knew something was wrong.” Russel’s concern was justified. His pulse remained elevated all afternoon, through the night and well into his return to Cape Town about 36 hours after his Apple watch had first alerted him to a potential cardiac problem. After urgent consultation with his GP, an ECG and emergency meds, Russel found himself opposite his cardiologist, who, to Russel’s shock, couldn’t believe he was still alive and ticking. His patient was in a state of extreme Atrial Fibrillation - a quivering or irregular heart beat that can lead to poor blood flow, clots, stroke, heart failure and more. Cardioversion, a technique that uses electricity to treat an abnormal heart rate, returned Russel’s cardiac rhythm to normal levels. Russel’s vigilance and ability to measure his heart rate in real-time on his Apple watch, proved the ultimate game-changer. “I wanted to use my Apple watch to get healthier through Discovery Vitality, but it ended up saving my life,” reflected Russel. No limit to high-tech wearables potential for tracking health Tracking devices are increasingly able to monitor and store a plethora of data points about the person wearing them. For example, the capacity for continual ECG-like measurements aims to see several devices soon predict whether someone is likely to have a heart attack or stroke and give ample warning. Though not yet on the market, a device similar to the Apple watch and designed to detect atrial fibrillation through a complex algorithm, does in fact exist. The system monitors a user and sends an alert as soon as the threat of stroke or heart attack is detected. In fact, blood oxygen meter programmes are incubating in the latest versions of the Apple The Specialist Forum | Vol. 17 No. 4 watch and will be activated once medical experts and techies have reached cons ensus on the details. Compression shorts, shirts and other such products designed by companies like Athos and Spire are also about to hit global markets. These do everything from tracking blood flow to breathing patterns and correlating readings with levels of anxiety or mindfulness. “Behaviour modification is most effective when it’s in real time, and we’re just starting to crack that nut,” says top US medical device innovator and founder of Augmedix, Pelu Tran. Pioneered by non-healthcare companies like Google and Amazon, these data-rich innovations, are also set to uncover patterns and causes of disease as well as predict longevity, in ways yet to be imagined. “I wanted to use my Apple watch to get healthier through Vitality, but it ended up saving my life” - Russel Pengelly, Discovery Vitality member If Vitality Active Rewards has been such a powerful driver for making members healthier, what can it do for doctors? Vitality Active Rewards for Doctors will soon be available, an incentive programme aimed at encouraging our country’s doctors to be healthier. “We’re making it easier for doctors themselves to get active and healthy,” explains Dr Maurice Goodman, Chief Medical Officer at Discovery Health. “Doctors lead busy and stressful lives and often don’t have the time to take proper care of themselves. We care about our country’s doctors and are going to help them to get healthier.” Modelled on the popular Vitality Active Rewards programme, it will reward doctors for taking care of their own health. “It also incentivises them to do point-of-care screening for chronic conditions for their patients,” adds Goodman. “Healthcare economics and NCDs worldwide will bankrupt every medical system in the world in next five years. The antidote is leadership,” says Prof Martin Schwellnus. “Every single doctor has to lead by example and inspire younger and older doctors and patients in that way.” Dr Nossel added that when business puts its weight and resources behind business strategy that addresses social issues, everyone wins. He added, “Helping people to be healthier has always been fundamental to Discovery’s business.” Nossel explained that this is what helps to create value for all stakeholders, and a principle that forms the foundation of Discovery’s shared-value insurance model. SF May 2017 | 5