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TAMING COMPLEXITY
Making self care easier
Rajiv Mehta
Tonic • Self Care Assistant
Inescapable Complexity
... of real world health




                           2
Inescapable Complexity
A medication ...




                         3
Inescapable Complexity
... and associated metrics & symptoms ...




                                            4
Inescapable Complexity
... and everything else prescribed ...




                                         5
Inescapable Complexity
... plus other health practices ...




                                      Meds: ~13
                                      Other: ~7
                                      Times: ~18
                                                   6
Inescapable Complexity
... that change over time ...




                                7
Inescapable Complexity
... for everyone in the family




                                 8
Tonic
Remember and keep track of everything in your
health regimen




                                                9
Julie
Cystic Fibrosis
 • ~50; retired MD; wellbeing consultant
                                                     Meds: ~13
Regimen                                              Other: ~6
 • 8 Rx (pills, inhaler, aerosolized) & 5 OTC meds   Times: ~20
 • Eat every 2-3 hours
 • Vest, exercise, meditation; weight; med/device prep
 • Recent past: in-home IV treatment — more complexity




                                                                  10
Yamini
Breast Cancer
• ~30
                                                             Meds: ~11
Chemotherapy Regimen                                         Other: ~19
                                                             Times: ~20
• 11 medications & supplements
 - 3-week cycle; as few as 3 — as many as 9, depending on the day

• Treatments; exercises; biometrics; 12 symptoms to observe

Radiation Therapy Regimen                                    Meds: ~3
• Less complicated; daily radiation session (M-F)            Other: ~11
                                                             Times: ~12
Next: Hormone Therapy

                                                                          11
Sara
Parkinson’s Disease
• ~40; engineer; business owner; health student; parent

Regimen                                           Meds: ~6
                                                  Other: ~3
• 6 meds; different combinations; 6 times a day
                                                  Times: ~8
• physical therapist; gym; stretching program
• weight




                                                              12
Andreas
Child w/ Cystic Fibrosis
 • ~40; lawyer; leads a CF patient group
 • Daughter has CF; 4,500 hours of in-home care to-date
 • 5 regular caregivers
                                                  Meds: ~12
Regimen                                           Other: ~7
 • 8-10 Rx; enzyme supplements; sunflower oil      Times: ~12
 • Diet journal; pain journal
 • Therapy exercises; spirometry; weight; med/device prep




                                                               13
Steven
Wellness Program
• ~40s; health care designer & developer; educator

Regimen                                              Meds: 4
• PAGG fat-loss regimen (The 4-Hour Body)            Other: 1
                                                     Times: ~4




                                                                 14
Tonic • Self Care Assistant
Remember and keep track of everything in your health regimen
	                     ... make it easier to take care of yourself




                                         Rajiv Mehta
                                         rajivzume@gmail.com
                                         (440) 941-6251             15

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Tonic mobile health 2011

  • 1. TAMING COMPLEXITY Making self care easier Rajiv Mehta Tonic • Self Care Assistant
  • 2. Inescapable Complexity ... of real world health 2
  • 4. Inescapable Complexity ... and associated metrics & symptoms ... 4
  • 5. Inescapable Complexity ... and everything else prescribed ... 5
  • 6. Inescapable Complexity ... plus other health practices ... Meds: ~13 Other: ~7 Times: ~18 6
  • 7. Inescapable Complexity ... that change over time ... 7
  • 8. Inescapable Complexity ... for everyone in the family 8
  • 9. Tonic Remember and keep track of everything in your health regimen 9
  • 10. Julie Cystic Fibrosis • ~50; retired MD; wellbeing consultant Meds: ~13 Regimen Other: ~6 • 8 Rx (pills, inhaler, aerosolized) & 5 OTC meds Times: ~20 • Eat every 2-3 hours • Vest, exercise, meditation; weight; med/device prep • Recent past: in-home IV treatment — more complexity 10
  • 11. Yamini Breast Cancer • ~30 Meds: ~11 Chemotherapy Regimen Other: ~19 Times: ~20 • 11 medications & supplements - 3-week cycle; as few as 3 — as many as 9, depending on the day • Treatments; exercises; biometrics; 12 symptoms to observe Radiation Therapy Regimen Meds: ~3 • Less complicated; daily radiation session (M-F) Other: ~11 Times: ~12 Next: Hormone Therapy 11
  • 12. Sara Parkinson’s Disease • ~40; engineer; business owner; health student; parent Regimen Meds: ~6 Other: ~3 • 6 meds; different combinations; 6 times a day Times: ~8 • physical therapist; gym; stretching program • weight 12
  • 13. Andreas Child w/ Cystic Fibrosis • ~40; lawyer; leads a CF patient group • Daughter has CF; 4,500 hours of in-home care to-date • 5 regular caregivers Meds: ~12 Regimen Other: ~7 • 8-10 Rx; enzyme supplements; sunflower oil Times: ~12 • Diet journal; pain journal • Therapy exercises; spirometry; weight; med/device prep 13
  • 14. Steven Wellness Program • ~40s; health care designer & developer; educator Regimen Meds: 4 • PAGG fat-loss regimen (The 4-Hour Body) Other: 1 Times: ~4 14
  • 15. Tonic • Self Care Assistant Remember and keep track of everything in your health regimen ... make it easier to take care of yourself Rajiv Mehta rajivzume@gmail.com (440) 941-6251 15