cardio trials have always blown my mind with the huge number of patients compared to my world in oncology, but 400,000 people is really taking it to a whole new level we do trials to change practice. will this change practice? no. interesting ideas in here though
One of the reasons this is possible is because the iWatch isn't (to my knowledge) FDA approved. As an electrical engineer I've previously in my career worked on a PET scanner and I can assure you the requirements make the development *insanely* expensive. Now I've read the Therac 25 story and understand the history why we are where we are. Perhaps in the future we could benefit from having one class of equipment for bigger studies like this and another class for diagnostics.
When I watch a Medlife Crisis video, I never know whether I'll get my ribs tickled from humorous content or if I'll get them cracked from heavy compressions of health data. Either way, I love them. They never disappoint. Thanks!
Throw away the thing they were sent by mail and go to a general practitioner most of the time I expect (Apple Watch owners are disproportionately likely to be able to afford healthcare in places where it isn't available free), otherwise, do nothing and hope they are fine (they probably are).
@@Mike-oz4cv "As is to be expected, rate of non-compliance among participants rose as the study progressed. Curiously, rate of non-compliance corresponded to the rate of cardiac death in the control group. We hypothesize that wearing of an AppleWatch confers cardioprotective properties through some as of yet unknown mechanism."
The patch is big challenge to keep on for the week. If you break a sweat exercising, it comes off. It’s Impossible to shower with. And it itches big time.
Neither I remember how I got to this channel nor would I have ever thought I would subscribe to a “medical channel”, but it has become one of my favorites.This guy is compelling, articulate, brilliant and with a razor sharp sense of humor. Keep it up.
@@StoutProper i thought he was Hindi living in London but what doI know? I only watched couple of his videos, listened closely and saw a ducking Indian flag even in this very video.
@@koraptd6085 People don't get a British accent by living there for a couple years, hie's have had to spend some part of his formative years there. He does mention he travels a lot and I've heard him mention being in India. But he assuredly spent quite a bit of time in Britain growing up.
I use a menstrual cycle tracking app and whenever I tell it I'm having a period i get an inordinate amount of ads for Ben and Jerry's and various wearable blankets. I'm not sure I'd be willing to hand over information about my heart health to a tech company. Particularly if I lived somewhere like USA where they advertise prescription drugs to the public
Amber Pask This is not Google. Privacy matters for Apple and that’s why people buy Apple devices. Get a Apple device and you’ll not get the stupid customise ad based on our previous searches
@@stegoshen You're not very technically literate, are you? Google has these options, too. It's not an Apple vs. Google thing. It's just knowing what settings you have enabled on your accounts/device.
a random app would have the incentive to track users for ad revenue. apple wouldn't. it's like you're saying you wouldn't eat at michelin star restaurants because you're concerned about the cleanliness of street food stalls.
I had similar issues, and moved to an open source app that isn't linked to anything (unless you want it to be) and is completely offline. The adverts have stopped since then! The app is called Periodical, and of available on F-Droid, or you can download it separately!
"The knee bone's connected to the something. The something's connected to the red thing. The red thing's connected to my wrist watch... Uh oh." Dr. Nick Riviera, The Simpsons 04x11: Homer's Triple Bypass
That quip about selling your kidney for a new Macbook made me smile. Though one has to wonder how the blind watchmaker came up with a redundant kidney but totally overlooked the possibility of a redundant heart.
2:13 "Apple can't do anything about that": it's great that they're contributing to sceince by spending time on conducting this study. But they could also easily gift people Apple watches to create an unbiased sample and deliver results for a representation of the whole population.
It seems data mining from the affluent is really all they care about... kind of like why we now have two income households from listening to feminists. 😭😭
Health data are sensible information, the most precious type of information about you, and laws are really strict about them, just imagine to hand over this goldmine to the largest company in the world for free.
Indeed. At the very least people should have the option to sell their data. If they are profiting from using the data then it should be up to the users to use those profits how they see fit. Not for some faceless company to just hoard and sell off that data and use it to develop their own products and marketing.
That just happened: "The disclosed documents include highly confidential outlines of Project Nightingale, laying out the four stages or “pillars” of the secret project. By the time the transfer is completed next March, it will have passed the personal data of 50 million or more patients in 21 states to Google, with 10 million or so files already having moved across - with no warning having been given to patients or doctors." Source: www.theguardian.com/technology/2019/nov/12/google-medical-data-project-nightingale-secret-transfer-us-health-information
I think that the potential benefit of this, should outweigh what a certain company might "earn" on this. If this helps us get more reliable data on certain health conditions, then it should not matter I think. Especially if they publish the study, as it seems like they did here. The dataset of occurrences isn't big enough for anything conclusive yet, but it helps. Also, if I remember correctly this data is anonymized. Meaning that they can't determine who you are, so it will not be in conflict with any laws. In addition you as the user would opt into it as well. ("Before your information is sent to Apple, it is processed locally on your device to remove data that may personally identify you") If I have a condition, I would care more about there being a high probability of getting help instead of caring about if apple or any other big company earned lots of money on this data. I might not live in the same country as you, so that might also affect my perspective on this(Norway).
@@jossa90 Jonas Munthe Flønes the earnings are very real for the company, since those sensors where an important part of the advertising of the apple watch. The dataset is already huge, it simply has the wrong people in it to study heart diseases, maybe something else could work. Of course data is anonimized and of course it is legal, but it doesn't mean that Apple couldn't pay their users for partecipating like anyone else does (they are the company with most dividends in the world). There are already many researches that are focusing on real health issues, Apple for now has just found a curiosity, nothing really helpful, it has to prove it is capable to help people yet. I don't think the country matters that much, I'm in Europe too, and I already benefit from healthcare not hindered by the interests of big private companies.
But you are not giving all your health data away to that company. You can opt into specific studies and you are informed which data would be needed for the study. If you are not comfortable with sharing that data, don’t participate. Apple isn’t just leeching everything your devices are collecting about you. And personally, I’d be MUCH more worried if they did pay people for this data. Feel free to be cynical about this, but currently the incentive to participate is to help those studies and therefore possibly help the advancement of medicine in those fields. It’s an exclusively intrinsic motivation, and that also means you are likely to make very deliberate decisions over what to share. If Apple starting paying for the data, however, that new extrinsic motivation (earning a few cents) would overshadow any altruistic motives for consumers and bring the risk that they’d share more freely to make more money. And Apple, of course, would have a vested interest to use the data more freely as well - after all, they paid for it! Though it’s unclear to me what they could or would do with it anyway seeing how they aren’t in the advertising business. As an example, just the other day I saw people on a website being excited over an app by my health insurance company that lets you share your daily steps with them in return for a monetary bonus. What do they do with this data, short-term or long-term? Few of the posts seemed interested in those questions, only in the cash back. That scares me much more than the deliberate sharing of specific health data for a specific study.
I am almost crying actual tears of appreciation for the unbiased perspectives you share with us. Thank you again, you are a light in the muddy waters of media.
@@5yuoxzdgqspjhxswwazhyo227 ------ Exactly right. I've personally read the "kidney comment" at least 1000 times in the youtube comments' section. The ironic part of this particular comment is it's coming from a doctor. He pretends that Apple is "crippling you financially" when in fact his industry/profession are famous for crippling people financially.
@@MedlifeCrisis ---- Right, the country we are referring to is the third most populous in the world as well as the home to lots of major tech companies; the US. The costs in the US are the highest in the world and the quality of care is around #30 in the world. The tech companies look at the poor level of service provided by the current system in the US and lick their chops and feel that they'll be able to do much better. So you're right that it may not be as poor service-wise in other countries, but that's unlikely to stop the tech companies from trying to make it better everywhere.
I don't understand people who get obsessed by saying the name of a product a different way. It does not change the message or content of the video. It just shows who is the real ignorant!
Unreal breakdown and digestible communication of a milestone paper. You do really well to contextualise the paper. Do you work on these yourself? Do you have a team of people?
I had sporadic AF in my 20s, which cleared up later in life. I didn't need am ECG or even a medic to tell me. There is no way I could have not noticed it. I woke up one morning and was instantly aware my heartbeat was wrong. It could be a replacement for a Holter monitor but really you need proper electrodes connected.
It just feels incredibly ironic that this cutting-edge study tackling underdiagnosis is specifically skewed towards rich people when, in the US, people being too poor to go see a physician regularly is an actual problem for diagnosing them early enough
New studio still has an echo...more sound dampening needed. I really like the fact that you are explaining to non-medical professionals how to evaluate the headlines/studies. This is an instrumental skill that will increasingly be needed. Even medical students that I teach find it hard... and dare I say even some medical professionals. Migraine and risk of cardiovascular disease in women, with 115k women (nurses) who were followed over decades, is one of my favorite studies. I like to use it with my students who are learning to write abstracts. Do you have any useful comments or criticisms of this study that could help my students analyze studies? Keep up the great work you are doing! Love how you hide education with humor :-)
As someone becoming more and more curious about health gadgets; what kind of data is most important to track and show or keep absolutey private? How do I avoid medical meta data hurting me as a consumer and my health? (With medical diagnoses becoming more personalized to the epigenome it seems like this question will strongly effect my future health)
Another excellent video- thank you very much. Regarding the tendency to trust studies by Apple or other high-tech companies vs studies by the farming industry, e.g., the degree of bias may be somewhat reduced due to a greater level of "public sentiment sensitivity" typically exercised by high tech companies (the downside risk to revenue is likely much greater if the credibility of a study is found to be low). All-in-all, I'd speculate this new wave of studies using a far greater number of samples and generating truly massive amounts of (hopefully) useful data will mean better and better individualized, customized healthcare. The case for optimism here is further supported by the significant advances in cellular/genetic science in recent years, for one example.
apple should really combine the Watch with the clumsy pager that we use in hospitals. It's much easier to lift your arm than to reach for the damn thing
@Medlife Crisis As a 67 year old male with numerous health issues I'm hoping for an Apple Watch 5 for Christmas to hopefully catch health problems before they become critical. And since there's only me and my dog I worry about falling, which happened last year while I was walking the dog, and I ended up in the hospital for a week with cellulitis and sepsis. I'm lucky to be here writing this after that bout with sepsis.
You are so genuine in your reviews and super hilarious too. I wonder how you got to have those 2 distant opposite traits. LOL. Good work Doc. As always, your fan!
Another great video! I was wondering if you could do a piece about Gilbert’s Syndrome and it’s protective cardiac effects (very low incidence of CAD) which have been proven in many studies including the Framingham Heart Study as well as in meta-analysis. No one seems to give this fact much attention but I think it might be a very important health factor that deserves a lot more exploration and study. Thank you for your entertaining and informative channel!
Hm, i hope that the next generations of (cheaper) smart phones will have more sensors which can be used for gathering medical data for research. I dont know if it is wise in regard of privacy etc., but clothes which collect data (temperature, pulse, transpiration, movement, breathing,...) could be a good idea.
So I respect your intelligence and quality of your videos. That said, I have to disagree with you about the utility of the Apple Watch and AFib. I am a 57-year-old male. Last summer I had a pulmonary embolism brought on a blot clot in my pelvis area (previously un-diagnosed May-Thurner Syndrome). I never drink or smoke, BMI of 23, walk 5 Km/day, sleep 8 hours a night. Subsequent tests early this year have shown my calcium score is zero and contrast CT indicated that all my cardiac arteries are in "excellent" condition (no calcium or calcium-free plaques). A few weeks after my PE I started experiencing a fluttering in my chest that increased in frequency and duration over several months. I did not use my Apple Watch to try to diagnose AFib as I convinced myself that the fluttering was what a PE felt like while you recovering from the blood clots in the lungs. Sometime in late October I had a physical with my general physician and had a normal ECG that morning. Two hours later I felt real dizzy, short of breath and used my Apple Watch to see that my heart rate, while I was at rest, had escalated over 210 beats per minute. That single observation convinced me to go to the hospital. Calcium channel blockers eventually reduced my heart rate and the doctors in the emergency room diagnosed AFib. Before my episode, I had never paid attention to what Apple Watch and the ECG were supposed to monitor or predict. I thought it was for a heart attack only. Now that I know what AFib feels like, I don't need my Apple Watch to tell me when I have AFib. I know when it hits, believe me. Most of the time the Apple Watch is a bit useless for me as my resting heart rate is 39 to 45 and all it does is annoy me when it tells me that the ECG is not reliable when the heart rate is less than 50. What the Apple Watch does for me is let me take an occasional ECG for my cardiologist to at least gain some small amount of low-resolution data for managing my condition. Extra beats are extra beats and even with one sensor, I can see the extra beats as I feel them. I find that my heart and mental condition is "sketchy" when I am falling asleep. Perhaps partially due to the differential pressure on my chest when prone. But this often leads to anxiety and having an Apple Watch is helpful to calm my nerves so that I can see my heart rate isn't increasing and is regular so that I should just chill and fall asleep. All of that said, I understand your point about 30-somethings becoming obsessed with readings and potentially pursuing health treatment that is statistically not in their favor considering their age. In regards to what Stanford and Apple are doing with the data, it is not relevant to me directly as it is above my paygrade. Probably just a marketing strategy more than anything. Stanford and Apple have a history. But for me, the Apple Watch was vital as I am stubborn (ahem, stupid) and may not have gone to the hospital when my heart went bonkers in October. It gives me peace of mind that I can have fall protection, I have a phone with me at all times, and can manage my illness (besides all other widgets that Apple Watch Apps help within my daily life). Sorry for the long post, but I am now locked down in my basement hiding from the coronavirus. I have given up the hope of finding toilet paper ever again and therefore I now have the time to troll excellent RUclipsrs. Keep up the excellent work, stay healthy, and enjoy your family.
Technically it also works under 22, problem being that it is sooooo extremely unlikely to have AF that you don't benefit from it. Furthermore if you are for example still a child, you will have another range of normal Heartrates and you would get warnings which are useless. Also the electrical geometry of the Heart changes in that young age so you could be worried because your "wave" looks "abnormal". Basically there is no point of monitoring this in such a young age. If you are extremely interested in your ecg, it will work just fine because it's electricity, however the algorithms(AF, high and low HR) would be useless.
Simylein I mean I know about the different heart rates and stuff but I’m 21 and I can‘t use them unless I put in an age above 22 on date of birth. And I mean I here in Europe your an adult when you‘re 18 and I have put on ecg‘s on people from the age of 17 that looked pretty normal. So why this specific age. Yeah somewhere you have to set the start but why such an odd age ?
@Simylein excellent answer. I don't know how they chose that cut off, but I assume it was extrapolated from data suggesting the false positive rate becomes unacceptably high. Young active people can put their heart rates up very high physiologically and the detection algorithm uses rate as part its decision-making about whether a rhythm is abnormal.
Blood sugar - tech exists right now (small patch on skin linked to smartphone - no reason it can't be built into a watch), cholesterol - no point, it doesn't change rapidly. Blood pressure - soon. That will be BIG, way more important than checking heart rhythm.
Wow! pretty fascinating results. I feel like they might have used an anomaly detection algorithm. Does the paper mention any study of false negatives amongst those who didn't get the alert for cases that eye-watch couldn't detect?
Google just bought Fitbit presumably for the exact same data sets that the Apple watch collects. Fitbit must be swimming in data due to their much more accessible price point than Apples.....
That price point is precisely why they wont have the same data. ECG is not available on any fit bit even the cheapest Apple Watch has on board GPS for pace, accuracy, etc. None of popular FitBits have onboard GPS. Data by nature cannot be the same.
Awesome! Thanks for this! BTW were you good in statistics during your studies? It seems so, as you don't have any problems reading and explaining the results. Kudos!
I have to say, I'm really not great at stats compared to my colleagues (who also do research - the average doc who is not involved with research might not be the same). But even a little knowledge goes a loooong way. I was OK at stats, nothing special.
I love these duck videos! The headline makes me go 'oh', then the full explanation of the data makes me go 'ohhhhhh'. :D But whose this 'Billy Bob' writing a whole damn essay in your comments?! What's wrong with people?!?!
I really love this video and I think your subscriber count should be multiple times higher than it currently is but it may be helped by improving the audio quality of your videos. I know lapel mics can be a hit on the wallet, but even a shotgun mic would dramatically reduce the level of Lithuanian dance parties.
I've just moved into this studio, it needs extensive acoustic treatment. It's a 5m tall room so not sure how good I'll get it, but yeah - I took the decision to just go ahead for this vid.
I just want to know whether wearing the watch in left or right changes any fact including how one positions the watch in the wrist. Ecg leads need to be properly placed. Only single lead ecg is not the way currently. May be in future.
Yo rohin, you know my dad (dr tom hyde) just treated a patient who diagnosed himself with a heart attack with his apple watch, all i've got to say for now, stay tuned. -C
@@StoutProper The Apple Watch very clearly states that it does not and cannot diagnose heart attacks. But maybe he felt potential symptoms and made a determination based on his heart rate? Would be interested to hear more.
@@mitchlindgren have you got shares in apple? I'm guessing that they could make this technology freely available for the over 55s if they were really worried about detecting heart attacks. Something tells me that they won't
Very informative. My sister had 4 strokes in the past week. she is 69 and up to last week seemed fairly healthy. After CT, MRI , TransE, carotid artery ultrasound and Neurologist consult they could not find origin location or reason for blood clots in the brain. Cardiologist recommended an Apple Watch to monitor for AFib. Her EKG readouts were normal the entire time she was in the hospital and even in the ER. My daughter is a physiotherapist who specializes in Neuro and Cardio patients and said she did not understand why the Cardiologist suggested the watch. Your video explains this in more detail. I was hoping we could find something to help relieve the stress of subsequent strokes but it looks like this will not be of much benefit. Any suggestions would be appreciated. She is on anti-coagulants.
Do you know it the Apple watch would show ECG changes of hyperkalemia. As a kidney pancreas transplant recipient it would be a godd indicator not to go to emergency but for blood work to verify followed by ECG if needed.
I've had symptoms of Afib since early teenage years, but only rarely - a few runs of heavy extra beats. I was diagnosed in early 40s, eventually fitted with a pacemaker and lots of drugs. A cardiologist believe that an ablation would solve the problem, assuming that the problem was due to extra conducting fibers passing unwanted signals. Surgury didn't solve the problem, and I chose not to have another go at that. Question: are most Afib due to extra fibers, a congenital defect in the heart?
I'm an "apple" person and I almost always say iwatch. I'll never know why apple didn't stick with the theme of the "i" in front of everything! KEEP DOING WHAT YOU DO and say what you say!
As the wife of an otherwise healthy man with persistent AF, I really want more research on AF in the young. He ignored his palpitations for years because the two holter monitors he wore in his late teens didn't show any arrythmia. Fast forward to 2013, he felt like he had "bronchitis". Turns out he was in AF with RVR with rates in the 190/200s. He had heart failure with an EF of 5-10% and went into cardiogenic shock. Miraculously his cardiomyopathy has resolved and his current ejection fraction is 60%. However he still struggles with persistent atrial fibrillation. Even after a cryoablation, he still requires metoprolol, cardizem and flecainide to maintain NSR. They want him to do the convergent procedure but he is nervous. They do not have long-term studies on young people and it's hard to know where to go from here.
I didnt have an IWatch but was diagnosed with AF early this year. I underwent an ablation to repair it. Seems I had AF for several years and it had been missed. I am 56 yrs old.
The whole thing with the number of participants actually analyzed in the statistics being way smaller than they first say the have is something I've seen a lot of the papers I've read for my masters and it's so annoying to read how they keep shaving down the number because participants didn't meet inclusion criteria and didn't answer the follow up, etc. JUST STATE HOW MANY PEOPLE WERE IN THE SAMPLE YOU USED STATISTICS ON!!!! That's the only number that really matters!!!
An excellent breakdown. I worry when just about anybody is collecting health data, when research and medical professionals are supposed to follow strict rules of patient confidentiality and data storage.
_Provided they are reported_ studies like the Apple heart study may be most valuable for producing nil results, e.g. people who do A or take drug B or avoid food C have the same health outcomes as people who don't. Regarding health data, I think the majority of people would say that they have never had control over them.
Current pharmacy student here who's interested in cardiology! I find this as a potentially interesting application of modern tech in healthcare screening, but based on your summary and thoughts it sounds like it will take more time and scrutiny before any conclusive evidence will come out that could actually influence treatment guidelines and healthcare practice. Also I have a final exam tomorrow I should be studying lol
As a physician, I loved your skeleton in the background. Did you do that yourself? Or can one order them that way? 😂 The half skulls on the mantle were a bit macabre. 🎃😱👍🏻
3:06 since the population is so big, I wonder what was how many of those 153 where over 40 years old. Because it may be that most of those were over 40.
In the U.S., the new MacBook Pro 16” comes in at the same price as the outgoing 15” model and has a bigger drive and better graphics inside. That price before was pretty high, but this seems fair.
The only good thing about this demolition job is the reference to the NEJM article which I downloaded and read. It's a shame that the large over 65 group who received notification weren't analysed to a greater extent if they are said to be more at risk of Afib and could presumably benefit more from notification..
I think it's great that some companies are finally applying new technology to old health related industries. I believe a lot of old data is either incorrect or incomplete and has been in dire need of updating.
![Flight Attendant: Is There A Doctor On This Flight? Dad: Yeah, Me [It Happened Again]](http://i.ytimg.com/vi/EfsfsZFri9s/mqdefault.jpg)
Remember kids! An Apple a day...will cripple you financially.
this is america
And leave you on tech support duties for the next gazillion years for the older relatives that you end up passing them on to.
Just giving you a message seeing if you'll screen shit it and put it in your next video.
An avocado a day may keep the doctor away, certainly not an apple or an Apple product.
Spoken like a true doctor
Good job covering that iWatch gaff. Too bad you called him Tim Cook and everyone knows his name is Tim Apple
lol! I_understood_that_reference.gif
@HarryMonmouth duh
iTim
Yeah, Fiona Apple's sister, get it right
Austin Hobson. 46209
🎄
cardio trials have always blown my mind with the huge number of patients compared to my world in oncology, but 400,000 people is really taking it to a whole new level
we do trials to change practice. will this change practice? no. interesting ideas in here though
There aren't really 400000 patients here, though. This was more like a cohort study and the number of "patients" we got were actually pretty low.
You are both right. There are comparable numbers in some cardiology trials, true prospectively recruited patients, but they have taken decades.
So nice to see two medical RUclips influencers cross post positively. Feels better than the actual academia.
Apple could easily afford to fund interesting scientific projects by giving/loaning I-watches to different demographics... 400,000 ABCs
One of the reasons this is possible is because the iWatch isn't (to my knowledge) FDA approved. As an electrical engineer I've previously in my career worked on a PET scanner and I can assure you the requirements make the development *insanely* expensive. Now I've read the Therac 25 story and understand the history why we are where we are. Perhaps in the future we could benefit from having one class of equipment for bigger studies like this and another class for diagnostics.
I'm not gonna lie, I was expecting a 2 seconds video of you saying "it doesn't".
How have you got this crazy idea that I'm cynical? Weird.
@@MedlifeCrisis You're right, my conclusions are unfounded, much like alternative medicine.
Rohin posts a new video, I stop what I'm doing and iWatch
You... I like you.
This Comment was good enough for me to respond with comment about how it was good enough to Comment on. Good work.
As a Lithuanian, I can confirm that our dance parties sound like loud vacuum cleaners and drills
The vacuum cleaner is my favorite instrument
As a Lithuanian I must disagree. We're not known for dancing. XD
@@Gaugustas so, do you have house cleaning and home improvement parties?
kartaiss It must have been the same Lithuanian dance party outside my house last night 😖
DOVYDAS would disagree?
When I watch a Medlife Crisis video, I never know whether I'll get my ribs tickled from humorous content or if I'll get them cracked from heavy compressions of health data. Either way, I love them. They never disappoint. Thanks!
...I just want to know what the hell did the remaining 79% do with the patch
Tried to upgrade to macOS Catalina
Throw away the thing they were sent by mail and go to a general practitioner most of the time I expect (Apple Watch owners are disproportionately likely to be able to afford healthcare in places where it isn't available free), otherwise, do nothing and hope they are fine (they probably are).
Maybe they died and the actual detection rate of the iWatch is much higher?
@@Mike-oz4cv "As is to be expected, rate of non-compliance among participants rose as the study progressed. Curiously, rate of non-compliance corresponded to the rate of cardiac death in the control group. We hypothesize that wearing of an AppleWatch confers cardioprotective properties through some as of yet unknown mechanism."
The patch is big challenge to keep on for the week. If you break a sweat exercising, it comes off. It’s Impossible to shower with. And it itches big time.
Thank you for bringing unbiased education to RUclips
There is no such thing as unbiased.
This is true. But I try.
Of course. I know. UwU.
Raising Agent
True, but there are ways to blind any bias.
Neither I remember how I got to this channel nor would I have ever thought I would subscribe to a “medical channel”, but it has become one of my favorites.This guy is compelling, articulate, brilliant and with a razor sharp sense of humor. Keep it up.
thanks to mr tom scott
The Razor he's British, it comes with the territory
The Razor yup!
@@StoutProper i thought he was Hindi living in London but what doI know?
I only watched couple of his videos, listened closely and saw a ducking Indian flag even in this very video.
@@koraptd6085 People don't get a British accent by living there for a couple years, hie's have had to spend some part of his formative years there. He does mention he travels a lot and I've heard him mention being in India. But he assuredly spent quite a bit of time in Britain growing up.
I use a menstrual cycle tracking app and whenever I tell it I'm having a period i get an inordinate amount of ads for Ben and Jerry's and various wearable blankets.
I'm not sure I'd be willing to hand over information about my heart health to a tech company. Particularly if I lived somewhere like USA where they advertise prescription drugs to the public
Amber Pask This is not Google. Privacy matters for Apple and that’s why people buy Apple devices. Get a Apple device and you’ll not get the stupid customise ad based on our previous searches
@@stegoshen eh I still wouldnt trust them completely
@@stegoshen You're not very technically literate, are you? Google has these options, too. It's not an Apple vs. Google thing. It's just knowing what settings you have enabled on your accounts/device.
a random app would have the incentive to track users for ad revenue. apple wouldn't. it's like you're saying you wouldn't eat at michelin star restaurants because you're concerned about the cleanliness of street food stalls.
I had similar issues, and moved to an open source app that isn't linked to anything (unless you want it to be) and is completely offline. The adverts have stopped since then! The app is called Periodical, and of available on F-Droid, or you can download it separately!
"The knee bone's connected to the something. The something's connected to the red thing. The red thing's connected to my wrist watch... Uh oh."
Dr. Nick Riviera, The Simpsons 04x11: Homer's Triple Bypass
Another Simpsons prediction of the future
@@jp4431 you mean like Trump's presidency?
lol are people seriously upset over the fact he said iwatch? who gives af lol we are learning alot from his content
Who gives AF? 153 people out of the 420,000 ;)
Sheep Apple fans that's who 😇
I only checked the comments for a cringy AF pun.
@@Duboraw not even, Tim Cook calls it an iwatch. They're just sheep, not even apple sheep.
@@mycelia_ow iSheep
Apple : I'm having the largest cohort. And looking forward to be the longest one too.
Framingham Heart Study : am I a joke to you.
That quip about selling your kidney for a new Macbook made me smile. Though one has to wonder how the blind watchmaker came up with a redundant kidney but totally overlooked the possibility of a redundant heart.
A random selection of 200,000 iWatch users were sent warfarin in the post. This is what happened to their INR.
2:13 "Apple can't do anything about that": it's great that they're contributing to sceince by spending time on conducting this study. But they could also easily gift people Apple watches to create an unbiased sample and deliver results for a representation of the whole population.
It seems data mining from the affluent is really all they care about... kind of like why we now have two income households from listening to feminists. 😭😭
@@kylina3432 In what way are they similar?
@@DeekshaAshok1 Yeah, I'm not getting that, either.
I like the hip-skull configuration in the background!
Michael, it explains a lot about certain politicians . . . .
Cool af
Health data are sensible information, the most precious type of information about you, and laws are really strict about them, just imagine to hand over this goldmine to the largest company in the world for free.
Indeed. At the very least people should have the option to sell their data. If they are profiting from using the data then it should be up to the users to use those profits how they see fit.
Not for some faceless company to just hoard and sell off that data and use it to develop their own products and marketing.
That just happened:
"The disclosed documents include highly confidential outlines of Project Nightingale, laying out the four stages or “pillars” of the secret project. By the time the transfer is completed next March, it will have passed the personal data of 50 million or more patients in 21 states to Google, with 10 million or so files already having moved across - with no warning having been given to patients or doctors."
Source:
www.theguardian.com/technology/2019/nov/12/google-medical-data-project-nightingale-secret-transfer-us-health-information
I think that the potential benefit of this, should outweigh what a certain company might "earn" on this. If this helps us get more reliable data on certain health conditions, then it should not matter I think. Especially if they publish the study, as it seems like they did here. The dataset of occurrences isn't big enough for anything conclusive yet, but it helps. Also, if I remember correctly this data is anonymized. Meaning that they can't determine who you are, so it will not be in conflict with any laws. In addition you as the user would opt into it as well. ("Before your information is sent to Apple, it is processed locally on your device to remove data that may personally identify you")
If I have a condition, I would care more about there being a high probability of getting help instead of caring about if apple or any other big company earned lots of money on this data. I might not live in the same country as you, so that might also affect my perspective on this(Norway).
@@jossa90 Jonas Munthe Flønes the earnings are very real for the company, since those sensors where an important part of the advertising of the apple watch.
The dataset is already huge, it simply has the wrong people in it to study heart diseases, maybe something else could work.
Of course data is anonimized and of course it is legal, but it doesn't mean that Apple couldn't pay their users for partecipating like anyone else does (they are the company with most dividends in the world).
There are already many researches that are focusing on real health issues, Apple for now has just found a curiosity, nothing really helpful, it has to prove it is capable to help people yet.
I don't think the country matters that much, I'm in Europe too, and I already benefit from healthcare not hindered by the interests of big private companies.
But you are not giving all your health data away to that company. You can opt into specific studies and you are informed which data would be needed for the study. If you are not comfortable with sharing that data, don’t participate. Apple isn’t just leeching everything your devices are collecting about you.
And personally, I’d be MUCH more worried if they did pay people for this data. Feel free to be cynical about this, but currently the incentive to participate is to help those studies and therefore possibly help the advancement of medicine in those fields. It’s an exclusively intrinsic motivation, and that also means you are likely to make very deliberate decisions over what to share. If Apple starting paying for the data, however, that new extrinsic motivation (earning a few cents) would overshadow any altruistic motives for consumers and bring the risk that they’d share more freely to make more money. And Apple, of course, would have a vested interest to use the data more freely as well - after all, they paid for it! Though it’s unclear to me what they could or would do with it anyway seeing how they aren’t in the advertising business.
As an example, just the other day I saw people on a website being excited over an app by my health insurance company that lets you share your daily steps with them in return for a monetary bonus. What do they do with this data, short-term or long-term? Few of the posts seemed interested in those questions, only in the cash back. That scares me much more than the deliberate sharing of specific health data for a specific study.
Lithuanian dance party. :-D
yeeees
malonu matyti 'fellow' lietuvius
Represent
is that an invitation?
davai davai:))
I am almost crying actual tears of appreciation for the unbiased perspectives you share with us. Thank you again, you are a light in the muddy waters of media.
So valuable!
you better heart this comment or else ill become a better cardiologist than you
The automatic blood pressure machine is a better cardiologist than me.
@@MedlifeCrisis I, for one, welcome our new robot overlords.
@@MedlifeCrisis I love how Rohin is encouraging the doctors of the future by hearting his comment.
Ice cream will that be a bad thing?
@@ThisisBarris "heart this comment or else ill become a better cardiologist than you" - nah man, he's just nipping aspiring competition in the bud.
"Hey, I wasn't using that kidney anyways"
WHY is no one else commenting about this genius line?!?
because its not genius at all and a common saying
@@5yuoxzdgqspjhxswwazhyo227 ------ Exactly right. I've personally read the "kidney comment" at least 1000 times in the youtube comments' section.
The ironic part of this particular comment is it's coming from a doctor. He pretends that Apple is "crippling you financially" when in fact his industry/profession are famous for crippling people financially.
@@bruxi78230 Not where I live. In fact, out of the developed world, that is only true in one country.
@@MedlifeCrisis ---- Right, the country we are referring to is the third most populous in the world as well as the home to lots of major tech companies; the US. The costs in the US are the highest in the world and the quality of care is around #30 in the world. The tech companies look at the poor level of service provided by the current system in the US and lick their chops and feel that they'll be able to do much better. So you're right that it may not be as poor service-wise in other countries, but that's unlikely to stop the tech companies from trying to make it better everywhere.
“Big Farmer”. Discharge this patient and mark his record as DO NOT READMIT.
It's called "Big Farmer" in the video, yet his head is noticeably smaller than Rohin's! Fake news exposed, wake up sheeple
I don't understand people who get obsessed by saying the name of a product a different way. It does not change the message or content of the video. It just shows who is the real ignorant!
Dude, that skeleton in the background is genius.
Nick Foxer dickhead
Someone talking out of their arse?
I had to scroll so far down to find one comment about the skeleton! Apparently most people didn't notice it!
Unreal breakdown and digestible communication of a milestone paper. You do really well to contextualise the paper. Do you work on these yourself? Do you have a team of people?
No team, just me! 🙂
“An apple a day will cripple you financially”
Me: That’s why I stick to junk food
I had sporadic AF in my 20s, which cleared up later in life. I didn't need am ECG or even a medic to tell me. There is no way I could have not noticed it. I woke up one morning and was instantly aware my heartbeat was wrong. It could be a replacement for a Holter monitor but really you need proper electrodes connected.
It just feels incredibly ironic that this cutting-edge study tackling underdiagnosis is specifically skewed towards rich people when, in the US, people being too poor to go see a physician regularly is an actual problem for diagnosing them early enough
New studio still has an echo...more sound dampening needed. I really like the fact that you are explaining to non-medical professionals how to evaluate the headlines/studies. This is an instrumental skill that will increasingly be needed. Even medical students that I teach find it hard... and dare I say even some medical professionals.
Migraine and risk of cardiovascular disease in women, with 115k women (nurses) who were followed over decades, is one of my favorite studies. I like to use it with my students who are learning to write abstracts. Do you have any useful comments or criticisms of this study that could help my students analyze studies?
Keep up the great work you are doing! Love how you hide education with humor :-)
As someone becoming more and more curious about health gadgets; what kind of data is most important to track and show or keep absolutey private? How do I avoid medical meta data hurting me as a consumer and my health? (With medical diagnoses becoming more personalized to the epigenome it seems like this question will strongly effect my future health)
I actually googled Lithuanian dance party, don't regret it
come to Vilnius, We will dance till our hearts stop!
Another excellent video- thank you very much. Regarding the tendency to trust studies by Apple or other high-tech companies vs studies by the farming industry, e.g., the degree of bias may be somewhat reduced due to a greater level of "public sentiment sensitivity" typically exercised by high tech companies (the downside risk to revenue is likely much greater if the credibility of a study is found to be low). All-in-all, I'd speculate this new wave of studies using a far greater number of samples and generating truly massive amounts of (hopefully) useful data will mean better and better individualized, customized healthcare. The case for optimism here is further supported by the significant advances in cellular/genetic science in recent years, for one example.
Me: Ooh, a video about data, I’ll be sure to focus really hard on what Rohin says here. Skeleton: Not after you’ve checked me out you won’t.
you should preregister a study in the app store on whether not pedantry over how to refer to iwatches is associated with arrhythmia
3:30 It definitely sounds like a Lithuanian dance party going on outside. Best wishes, Lithuanian :)
LOL !!!!
I laughed ''AF'' at the iwatch remix , thanks
3:52 it would (have) be(en) really nice to see all those numbers on the screen
Why the hell is there an ASMR of laparoscopic squelches window "linked" at the end...and why did I try clicking on it...
That skeleton in the background 2😆😆😆
Apparently the "Torsonic Polarity Syndrome" is not just a south park-thing after all.. :D
It's called "anal-cranial inversion syndrome"
He's a dickhead, ha get it. No wait, an asshat. Must be a shit talker too.
thats exactly what i was thinking
Loved it. Excellent and witty analysis, and not holding any punches.
I love the skeleton in the background. There must be a subtle meaning in its message.
What?!
Trials promoting cereal are not funded by cereal-killers?
* Pikachu face *
apple should really combine the Watch with the clumsy pager that we use in hospitals. It's much easier to lift your arm than to reach for the damn thing
Yes mate! Love the ending.
@Medlife Crisis As a 67 year old male with numerous health issues I'm hoping for an Apple Watch 5 for Christmas to hopefully catch health problems before they become critical. And since there's only me and my dog I worry about falling, which happened last year while I was walking the dog, and I ended up in the hospital for a week with cellulitis and sepsis. I'm lucky to be here writing this after that bout with sepsis.
My dad was just diagnosed with AFIB, fainted twice yesterday :/
You are so genuine in your reviews and super hilarious too. I wonder how you got to have those 2 distant opposite traits. LOL. Good work Doc. As always, your fan!
Another great video! I was wondering if you could do a piece about Gilbert’s Syndrome and it’s protective cardiac effects (very low incidence of CAD) which have been proven in many studies including the Framingham Heart Study as well as in meta-analysis. No one seems to give this fact much attention but I think it might be a very important health factor that deserves a lot more exploration and study. Thank you for your entertaining and informative channel!
Hm, i hope that the next generations of (cheaper) smart phones will have more sensors which can be used for gathering medical data for research. I dont know if it is wise in regard of privacy etc., but clothes which collect data (temperature, pulse, transpiration, movement, breathing,...) could be a good idea.
So I respect your intelligence and quality of your videos. That said, I have to disagree with you about the utility of the Apple Watch and AFib. I am a 57-year-old male. Last summer I had a pulmonary embolism brought on a blot clot in my pelvis area (previously un-diagnosed May-Thurner Syndrome). I never drink or smoke, BMI of 23, walk 5 Km/day, sleep 8 hours a night. Subsequent tests early this year have shown my calcium score is zero and contrast CT indicated that all my cardiac arteries are in "excellent" condition (no calcium or calcium-free plaques). A few weeks after my PE I started experiencing a fluttering in my chest that increased in frequency and duration over several months. I did not use my Apple Watch to try to diagnose AFib as I convinced myself that the fluttering was what a PE felt like while you recovering from the blood clots in the lungs. Sometime in late October I had a physical with my general physician and had a normal ECG that morning. Two hours later I felt real dizzy, short of breath and used my Apple Watch to see that my heart rate, while I was at rest, had escalated over 210 beats per minute. That single observation convinced me to go to the hospital. Calcium channel blockers eventually reduced my heart rate and the doctors in the emergency room diagnosed AFib. Before my episode, I had never paid attention to what Apple Watch and the ECG were supposed to monitor or predict. I thought it was for a heart attack only. Now that I know what AFib feels like, I don't need my Apple Watch to tell me when I have AFib. I know when it hits, believe me. Most of the time the Apple Watch is a bit useless for me as my resting heart rate is 39 to 45 and all it does is annoy me when it tells me that the ECG is not reliable when the heart rate is less than 50. What the Apple Watch does for me is let me take an occasional ECG for my cardiologist to at least gain some small amount of low-resolution data for managing my condition. Extra beats are extra beats and even with one sensor, I can see the extra beats as I feel them. I find that my heart and mental condition is "sketchy" when I am falling asleep. Perhaps partially due to the differential pressure on my chest when prone. But this often leads to anxiety and having an Apple Watch is helpful to calm my nerves so that I can see my heart rate isn't increasing and is regular so that I should just chill and fall asleep. All of that said, I understand your point about 30-somethings becoming obsessed with readings and potentially pursuing health treatment that is statistically not in their favor considering their age. In regards to what Stanford and Apple are doing with the data, it is not relevant to me directly as it is above my paygrade. Probably just a marketing strategy more than anything. Stanford and Apple have a history. But for me, the Apple Watch was vital as I am stubborn (ahem, stupid) and may not have gone to the hospital when my heart went bonkers in October. It gives me peace of mind that I can have fall protection, I have a phone with me at all times, and can manage my illness (besides all other widgets that Apple Watch Apps help within my daily life).
Sorry for the long post, but I am now locked down in my basement hiding from the coronavirus. I have given up the hope of finding toilet paper ever again and therefore I now have the time to troll excellent RUclipsrs.
Keep up the excellent work, stay healthy, and enjoy your family.
But... But... and Listen to me here... Why does this AF detection only works at age 22 and above as well as the „high and low heart rate warning“ ?
Technically it also works under 22, problem being that it is sooooo extremely unlikely to have AF that you don't benefit from it. Furthermore if you are for example still a child, you will have another range of normal Heartrates and you would get warnings which are useless. Also the electrical geometry of the Heart changes in that young age so you could be worried because your "wave" looks "abnormal". Basically there is no point of monitoring this in such a young age. If you are extremely interested in your ecg, it will work just fine because it's electricity, however the algorithms(AF, high and low HR) would be useless.
Simylein I mean I know about the different heart rates and stuff but I’m 21 and I can‘t use them unless I put in an age above 22 on date of birth. And I mean I here in Europe your an adult when you‘re 18 and I have put on ecg‘s on people from the age of 17 that looked pretty normal. So why this specific age. Yeah somewhere you have to set the start but why such an odd age ?
@Simylein excellent answer. I don't know how they chose that cut off, but I assume it was extrapolated from data suggesting the false positive rate becomes unacceptably high. Young active people can put their heart rates up very high physiologically and the detection algorithm uses rate as part its decision-making about whether a rhythm is abnormal.
I hope we can get an all in one watch that checks blood sugar and cholesterol and other important things
Blood sugar - tech exists right now (small patch on skin linked to smartphone - no reason it can't be built into a watch), cholesterol - no point, it doesn't change rapidly. Blood pressure - soon. That will be BIG, way more important than checking heart rhythm.
Other important things? Like blood alcohol and bank balance?
@@myothersoul1953 I can normally tell how much I've been drinking FROM my bank balance
@@MedlifeCrisis Careful on the error in concomitant drunk spending sprees.
Got me good with that Laparoscopic Squelches thumbnail. Thanks for that, Rohin.
I dig the “did you really watch this” colonoscopy add! Otherwise, thoughtful and useful
I love your interesting topics, keep up the videos!
Wow! pretty fascinating results. I feel like they might have used an anomaly detection algorithm. Does the paper mention any study of false negatives amongst those who didn't get the alert for cases that eye-watch couldn't detect?
Google just bought Fitbit presumably for the exact same data sets that the Apple watch collects. Fitbit must be swimming in data due to their much more accessible price point than Apples.....
That price point is precisely why they wont have the same data. ECG is not available on any fit bit even the cheapest Apple Watch has on board GPS for pace, accuracy, etc. None of popular FitBits have onboard GPS. Data by nature cannot be the same.
Awesome! Thanks for this! BTW were you good in statistics during your studies? It seems so, as you don't have any problems reading and explaining the results. Kudos!
Stats is very important to basically any scientist (or rational person even I'd argue). It can be inaccessible and difficult though.
I have to say, I'm really not great at stats compared to my colleagues (who also do research - the average doc who is not involved with research might not be the same). But even a little knowledge goes a loooong way. I was OK at stats, nothing special.
@@MedlifeCrisis You're extremely special, even irrespective of your ability with stats. Great videos always.
9:27 can people really be such sycophants to Apple that this slight slip of nomenclature renders everything you say invalid to them? Cripes.
I love these duck videos! The headline makes me go 'oh', then the full explanation of the data makes me go 'ohhhhhh'. :D
But whose this 'Billy Bob' writing a whole damn essay in your comments?! What's wrong with people?!?!
I'm very saddened by how short your comment is.
@@MedlifeCrisis I'm sorry I let you down (and really, I let myself down), I'll do better next time.
I really love this video and I think your subscriber count should be multiple times higher than it currently is but it may be helped by improving the audio quality of your videos. I know lapel mics can be a hit on the wallet, but even a shotgun mic would dramatically reduce the level of Lithuanian dance parties.
I've just moved into this studio, it needs extensive acoustic treatment. It's a 5m tall room so not sure how good I'll get it, but yeah - I took the decision to just go ahead for this vid.
I just want to know whether wearing the watch in left or right changes any fact including how one positions the watch in the wrist. Ecg leads need to be properly placed. Only single lead ecg is not the way currently. May be in future.
I loved the who's the real fan remark
Yo rohin, you know my dad (dr tom hyde) just treated a patient who diagnosed himself with a heart attack with his apple watch, all i've got to say for now, stay tuned.
-C
Conrad Hyde it took a watch to tell him he'd had a heart attack?
@@StoutProper The Apple Watch very clearly states that it does not and cannot diagnose heart attacks. But maybe he felt potential symptoms and made a determination based on his heart rate? Would be interested to hear more.
@@mitchlindgren have you got shares in apple? I'm guessing that they could make this technology freely available for the over 55s if they were really worried about detecting heart attacks. Something tells me that they won't
@@StoutProper No, the watch saw irregular patterns in the ecg.
Can't tell if your trolling or not. Well played
Very informative. My sister had 4 strokes in the past week. she is 69 and up to last week seemed fairly healthy. After CT, MRI , TransE, carotid artery ultrasound and Neurologist consult they could not find origin location or reason for blood clots in the brain. Cardiologist recommended an Apple Watch to monitor for AFib. Her EKG readouts were normal the entire time she was in the hospital and even in the ER. My daughter is a physiotherapist who specializes in Neuro and Cardio patients and said she did not understand why the Cardiologist suggested the watch. Your video explains this in more detail. I was hoping we could find something to help relieve the stress of subsequent strokes but it looks like this will not be of much benefit. Any suggestions would be appreciated. She is on anti-coagulants.
Do you know it the Apple watch would show ECG changes of hyperkalemia. As a kidney pancreas transplant recipient it would be a godd indicator not to go to emergency but for blood work to verify followed by ECG if needed.
I've had symptoms of Afib since early teenage years, but only rarely - a few runs of heavy extra beats. I was diagnosed in early 40s, eventually fitted with a pacemaker and lots of drugs. A cardiologist believe that an ablation would solve the problem, assuming that the problem was due to extra conducting fibers passing unwanted signals. Surgury didn't solve the problem, and I chose not to have another go at that. Question: are most Afib due to extra fibers, a congenital defect in the heart?
I'm an "apple" person and I almost always say iwatch. I'll never know why apple didn't stick with the theme of the "i" in front of everything! KEEP DOING WHAT YOU DO and say what you say!
Notice the skeleton with the head and pelvis swapped? That's most of us these days I think.
So what was the point of this study?
the iwatch montage at the end was glorious, and I didn't know it was so upsetting for people. I shall endeavour to call all iwatches iwatches now :)
As an AF patient in my 20s diagnosed by a physician from a reputable hospital, I'm looking forward to more content of yours.
🙂🙂🙂🙂🙂🙂🙂🙂
As the wife of an otherwise healthy man with persistent AF, I really want more research on AF in the young. He ignored his palpitations for years because the two holter monitors he wore in his late teens didn't show any arrythmia. Fast forward to 2013, he felt like he had "bronchitis". Turns out he was in AF with RVR with rates in the 190/200s. He had heart failure with an EF of 5-10% and went into cardiogenic shock. Miraculously his cardiomyopathy has resolved and his current ejection fraction is 60%. However he still struggles with persistent atrial fibrillation. Even after a cryoablation, he still requires metoprolol, cardizem and flecainide to maintain NSR. They want him to do the convergent procedure but he is nervous. They do not have long-term studies on young people and it's hard to know where to go from here.
ROFL at "I wasn't using that kidney anyway."
I didnt have an IWatch but was diagnosed with AF early this year. I underwent an ablation to repair it. Seems I had AF for several years and it had been missed. I am 56 yrs old.
What is the name of that slender gentleman in the back left of the screen (not you)
Richard Head
M E
I think it’s the Pink Panther, judging from the skull shape.
The whole thing with the number of participants actually analyzed in the statistics being way smaller than they first say the have is something I've seen a lot of the papers I've read for my masters and it's so annoying to read how they keep shaving down the number because participants didn't meet inclusion criteria and didn't answer the follow up, etc. JUST STATE HOW MANY PEOPLE WERE IN THE SAMPLE YOU USED STATISTICS ON!!!! That's the only number that really matters!!!
An excellent breakdown. I worry when just about anybody is collecting health data, when research and medical professionals are supposed to follow strict rules of patient confidentiality and data storage.
_Provided they are reported_ studies like the Apple heart study may be most valuable for producing nil results, e.g. people who do A or take drug B or avoid food C have the same health outcomes as people who don't.
Regarding health data, I think the majority of people would say that they have never had control over them.
Current pharmacy student here who's interested in cardiology! I find this as a potentially interesting application of modern tech in healthcare screening, but based on your summary and thoughts it sounds like it will take more time and scrutiny before any conclusive evidence will come out that could actually influence treatment guidelines and healthcare practice.
Also I have a final exam tomorrow I should be studying lol
Pharmacy student squad here
As a physician, I loved your skeleton in the background. Did you do that yourself? Or can one order them that way? 😂 The half skulls on the mantle were a bit macabre. 🎃😱👍🏻
Did it myself with a normal cheap skeleton off Amazon
3:48 I can relate. Was first diagnosed with AF at the age of 23. Probably already had it a few years earlier.
I watched your video from beginning to end.
Can you do a video on Fecal Transplants for things like Atheltics and Weight loss? For whatever odd reason its becoming very popular in the States.
Beautiful heart painting in the background!!! Where did you get it?
3:06 since the population is so big, I wonder what was how many of those 153 where over 40 years old. Because it may be that most of those were over 40.
What about all the people who didnt get an alert? For the study to be done properly, shouldn't all subjects be tested clinically for AF?
In the U.S., the new MacBook Pro 16” comes in at the same price as the outgoing 15” model and has a bigger drive and better graphics inside. That price before was pretty high, but this seems fair.
Yeah but my MBP is from 2015
I need that skeleton's pic for my wallpaper. I find it very funny. 😅😅
The only good thing about this demolition job is the reference to the NEJM article which I downloaded and read. It's a shame that the large over 65 group who received notification weren't analysed to a greater extent if they are said to be more at risk of Afib and could presumably benefit more from notification..
3:26 shop vac, hammering, drilling, that definitely is a Lithuanian party!
Ohh, you are just too good! More pragmatism is what the world needs!
86 people is a really powerful study statistically.
Love this guy's sense of humor.
I absolutely love the custom skeleton back there hahahah
That Lithuanian dance party music sounds great!
I think it's great that some companies are finally applying new technology to old health related industries. I believe a lot of old data is either incorrect or incomplete and has been in dire need of updating.
Of course it's an iWatch. It's shorthand for, "I am Watching you."
I'm convinced that was an actual bullet they were trying to dodge.
Jeffrey Quinn durtk
Paranoid much?
@@greebo7857 Every chance I get . . . but you have delusions your fashion accessories AREN'T spying on you.