Central dogma
My name is Jen. I am a first-time entrepreneur in social health. Did YCombinator (Summer '10 batch-before that sweet Milner deal). Got funding (Founders Fund and Esther Dyson). I have ended a marriage and lost a cofounder. This spring, I moved from San Francisco to Seattle to merge my first company, Contagion Health (imoveyou.com) with another startup. Here's how it all went down...
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“

Identity, like most things, is not monolithic.

It’s rich, varied and textured. And our online modes of expression should allow for that texture, particularly in what we name ourselves while expressing.

”

—

From: “Everybody wants to be special here (In praise of pseudonymity)”

This statement will probably get me in trouble: Health apps that do not allow for multifaceted, evolving identity creation (and recreation) will fail.

Consumers evolve. *We evolve. 

The things we name ourselves, the way we construct our health narratives - these change not condition by condition, but rather day by day.

In the study of inheritance, there is a subspecialty called epigenetics.

Epigenetics looks at changes in genomic expression influenced by factors other than DNA, including responses to the environment.

In newer literature, it’s often examined by studying genomic adaptations as responses to toxins, stress, and even behaviors (!).  

Epigenetics intimates that our genetic code is altered by response to environmental stimuli…as is our health.

But where is the equivalent of epigenetic study in health and wellness?

We should be talking about epihealth -the way in which our attitudes about health, and our resultant actions, our reactions to perceptions of our environment (related to feeling healthy or unhealthy) - influence our decision-making, and thus the recoding of our personal habit map. 

And we should study epihealth with far more quantitative rigor. 

If we look deeper at creating epihealth as a field of study that informs social health design, we might begin to explore an individual user (and her data) as a complex being, composed of 3 parts: 

1. Genome (genetic code)

2. “Meome” (our personal genome), which reacts + adapts to environmental factors over time. Ie my genome is different than your genome, thus we each have individually relevant “meomes.” 

3. “Selfome:” Our meome + additional factors, both medical and social. The selfome is composed of personal biological or biometric factors of note, including blood pressure etc, (aka “me-trics”). However, another portion of the selfome includes social DNA, ie the identities we construct, share, and reconstruct as part of our social personae, online and offline. 

In mobile and social health tech, we fail completely to capture the promise of analyzing genetic change, but to be fair, that’s not entirely our fault - the science of looking at active genetic change is far too early (although with Halcyon’s work I hope to have the ability to view RNA in real time). 

We also fail to capture an accurate snapshot of a user’s ‘meome,’ or a person’s individual genome. However, 23andMe is doing excellent pioneering work in the area of meome recording, analysis, and social/population comparison, at least as far as a SNIP based analysis will allow. 

But there is one epihealth data set currently available to us - and only a very foolish team would overlook the ability - RIGHT NOW - to harness an individual’s sharing of the selfome, on social networks in particular.

Analysis of the selfome should inform our design of complex contextual computing systems that 1.) support individual self-awareness by illuminating me-trics of note and 2.) motivate individual behavior change.

With both getupandmove and Health Month, we’ve found people are often happy to talk about what specific set of complex me-trics can be best measured for tracking + managing the health of that individual.

BUT it’s not that simple.

We also see users:

1.) Underestimating current behaviors and

2.) Overestimating their ability to change behavior, even within a constrained environment with a time/duration limit.

So self-reporting is a complex problem. Integrating passive data collection and aggregation via devices doesn’t solve the issue, but that’s a post for another time…

Bottom line: Building for flexibility and an ability to calibrate to changing user identities, or selfome evolution - with a focus on health + personal environmental data - is not a luxury feature; it is a necessity. 

At Habit Labs, I’m amazingly proud of both the theoretical work we’re doing to map users’ habits and the product development we’re using to create “habit AI.” 

Our approach is rich, varied, and textured. As is your approach to health and wellbeing. We look forward to helping you build a healthier identity. 

Note: Meome and selfome are made-up words. I’ve got a bad habit of doing that when I can’t find a term to suit my purposes. 

  9:25 am  |   August 5 2011   |  2 notes  

Must Watch: Bloomberg Taps TechStars for TV Show About Startups

Bloomberg Taps TechStars for TV Show About Startups
At the first ever New York City TechStars demo day in April, there were about as many cameras roaming around as there were startups that had just graduated from the three-month accelerator program. The audience was packed with journalists and investors, but nobody thought to ask why so much video…

  7:34 am  |   August 3 2011  

Health Social Impact Bonds = Brilliant, but Tricky…

“So how do we change the incentives to make it easier for the health system to function the way it should? At a time when the majority in Congress are against any new spending, how do we demonstrate that Medicaid should start paying for the kind of work that Health Leads’ volunteers perform?

One idea, suggested by Rick Brush from Hartford, Conn., (17) is to develop “new financing mechanisms like social impact bonds” — bonds that only pay off only if you are successful in producing a positive social result. “The key will be to demonstrate to those who pay for health care costs (e.g., insurance companies, employers, hospitals, government, and citizens) that it’s more efficient to invest $1 in upstream prevention than it is to pay $6 in downstream treatment.”

(Source: The New York Times)

  8:55 pm  |   August 2 2011  

“If a company goes on record and says they’re going to open up, we need to hold their feet to the fire. We need to make it clear that you can’t garner goodwill by embracing openness while at the same time not delivering on that promise.”

—

From: Steve Jobs Sometimes Lies to You

How can we continue to make Healthmonth more open for you?

  2:39 pm  |   July 28 2011  

The DIY Electronic Medical Record

Zeo + Runkeeper FTW!

  6:58 pm  |   July 27 2011  

“

“We the entrepreneurs believe at some level that we have the next Facebook, Linked In, Google, Pandora and our passion, fear, hunger and envy drives us…

We are the early stages of a cycle and we need as much enthusiasm as we can get.

There will be oodles of time for bubble talk in 2015.

Heads down please.”

”

— There is NO Bubble…There is Entrepreneur Envy! | Howard Lindzon

  7:28 pm  |   July 25 2011   |  1 note  

Fail beautifully...try again.
"So, why not put forth edgy or blue-sky ideas? Truly creative types will do this automatically; it is not a conscious activity for them.
However, the downside is that you need to be responsive and able to pull back highly conceptual ideas before they derail.
Failing beautifully can only be achieved with great personal investment, commitment, and with the ability to see a concept through to a high quality visual/physical/interactive form.
Regardless of whether the concept will make it into production, committing to an idea and following through will give your idea the best chance, and if it fails, at least you will fail beautifully.
I have respect for failing beautifully because a half-hearted attempt at anything undermines the entire creative process.
Simply put: commit, execute, follow through. And if it doesn’t work, try it again."

  3:06 pm  |   July 23 2011  

“

Recognize your luck.

“One thing you see time and time again throughout Southwest’s early history,” says Brian Lusk, a communications manager at Southwest and the airline’s de facto historian, “is how lucky it was.

Herb was this lawyer who happened to have the exact skills Southwest would need later. Boeing was having trouble selling planes in the recession, just when Southwest needed planes.

Purdue Airlines went out of business, releasing pilots just when Southwest needed them.”

But have you noticed how well luck and attitude go together?

Sure, Southwest got lucky. But its managers knew when fortune smiled. The rest of us probably get lucky pretty often.

We just don’t know when.

”

— Southwest Airlines Spirit Magazine / 40 Lessons to Learn from Southwest

  9:04 am  |   July 18 2011  

“

“Success comes from persistently improving and inventing, not persistently doing what’s not working. We all have lots of ideas, creations, and projects.

When you present one to the world and it’s not a hit, don’t keep pushing it as is. Instead, get back to improving and inventing.

Present each new idea or improvement to the world, and if multiple people are saying “WOW! Yes!! I need this I’d be happy to pay you to do this!” Then you should probably do it.

But if the response is anything less, don’t pursue it. Don’t waste years fighting uphill battles against locked doors. Improve or invent until you get that huge response.

No ‘yes,’ either ‘HELL YEAH!’ or no…”

”

— From “Anything You Want” by Derek Sivers

  10:27 am  |   July 12 2011  

Are We Tough Enough? Tough Mudder

I must be insane. But does anyone want to train for this and do the October race in VA?

If even one startup folk type seriously commits (ie buys a ticket and promises me equity/funding if they b*tch out) I’ll do it. 

  11:40 pm  |   June 30 2011   |  1 note  

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