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a16z Podcast: Dark Data in Healthcare
Hi, everyone. Welcome to the a six podcast dime. Sunol today. Bridging another of our episodes in our series on healthcare challenges and opportunities, and the topic is all about dark data access to data patients taking back control of their data. And what else is possible? When such data has brought to light we therefore also discussed the interesting nuances in a bit of history of hippo as well as briefly touch on clinical trials the opioid crisis. And the case of Dr Google is it a bad thing or even a good thing. So joining me for this episode, our special guests are Susanna FOX who was previously the CTO at the US department of health and human services, which oversees all the health and human services agencies of the United States from public health abroad to Medicare and Medicaid at home. She's also an advisor to citizen speaking of we also have a Neil city, founder and CEO of citizen a patient centered platform for helping people collect organize and share their own health data and last but not least. And in fact, he's the first voice you'll. Here after Meinen Suzannah's, we have VJ punday general partner on a six zero. So let's start with this whole problem of dark data. And I don't mean to make it sound sinister. But it is kinda sinister because it's hidden from worldview, why are we in this position in the first place? We're in this position because most of healthcare has grown up believing that they own the data so professionals generally collect and hold the clinical data that drives a lot of clinical care, and yet patients now have an expectation to have access to data in the modern world. Plus, there's a whole part of data that isn't even part of the clinical record. And so how might we bring all of these sources of data together the vessel elements of where the whole healthcare system came from it, you know, origins, you know, fifty hundred years ago from fee for service like doctors coming to your house and data and his writing something in a notebook. We have electronic medical record. Now is really not radically different. It's basically doctor writing or provider taking down some notes at the difference in medium, not actually in kind. What are the structural reasons for so I'm coming at this a little skeptical because a I always hear people talk about data on healthcare. And I understand it's important. But I'm skeptical because quite honestly as user, I barely know when my car registration is due. I don't really think having control my healthcare data's really the thing. I need next on my list. Luckily, I'm healthy persons. And maybe that's part of the reason. But still I really can't see a lot of people really using data. Let's talk about why this matters really the car analogy. Let's just think about the fact that I think we take better care of our cars do ourselves. Okay. That's very point. You have a fair about data cars, you have like dashboard lights that come on when their problems, and then you actually go to professional, and you give them a full run of what's going on. You have a lot of sense of the car because you're driving all the time. And it has sensors I get a tire pressure sensor every three months or six months or something. And so that data that is sort of the clinical equivalent for the car is something that the mechanic needs to be able to improve things what I think really is missing is sort of having the alignment of incentives. So you want your car to work? You obviously went your body to work and your provider wants people to help. But then how can that person do that? If they don't have all the information. And so I think really the question is how can people who really have the incentive to take care of themselves. Finally, used modern technology to let that data actually help. If we knew for cars, we should be able to do for people. And you're absolutely right that most people don't engage in their health. Most people don't want to know what's going on. They're not necessarily ready to look into the mirror of data. I called standing naked in front of the mirror of data's ready for. Yeah. It's a little too much truth. But then when something happens, you're diagnosed with something or your child or your mom is diagnosed with something that will trigger engagement. Let me tell you. And then people should have immediate access to the data and information that they need to make a decision in. That structurally hasn't been the case in that. Actually, I think is this moment that we're living through right now where there's tainting expectations about what we should have access to. And so health care is rather slow in taking up this new culture of access, but I think it is changing. And I think it has to change. What's the driver for the change one? I would think about Obama head is just the mobile phone things like push-button experiences. But I think one of the things that is a driver is we've got ten thousand boomers aging into age sixty five annex having a different sort of user experience. And because people are living longer doesn't mean we're living healthy. Longer. And so they're going to be dealing with lots of issues that therefore bears didn't have to deal with because people didn't live this long. I mean one hundred years ago or one hundred and twenty years ago, the average life span was about forty eight. Now, we've artificially extended that to about let's say eighty three and these are proximate numbers, but who's to say that we're really improving the quality of life. So people are going to retire and become more engaged than their parents were in their own healthcare. And I know my parents go to a doctor and say, here's what I can share with you. Now, save my life, please. I think the next future generations are going to be much more engaged when I think about my parents, and how they married their oral histories so much medicine is about oral histories and they're immigrants to this country. They're well educated. But they somehow this weird being where they feel like they have to have this best behavior. And you can't actually report the problems, and it drives me insane. Because my dad will call me and be like, oh, yeah. I didn't tell the doctor. Why go it didn't come up? And I'm like your job is to report your history. That's why they're asking you all these questions. You don't have to do this model minority thing you're behaving well for the doctor for God's sake. And I get really upset because I love my parents. There is a break in the existing healthcare system where there is a over reliance on oral histories as part of the medical experience that I would think if I could just send them in with like all of our notes than that alone would be huge improvement to the doctor to have that context. Well, there's more friction for sharing this information. So you think about all the data you can quickly share on Facebook or linked to or something like that. That's really trivial to do. If you try to do this ten years ago fifteen years ago, you could come to the doctor with a bunch of CD's for DVD's, and they loaded in. But by the time they've done that thing your appointments over you have thirty minutes. So friction is a really critical thing if you can bring the friction from thirty minutes to a third of second. That's when the doctor now is actually able to use that information, but you know, people have under the hip right of access. They've. Got loads of capabilities that they don't know how to exercise because the friction that you're talking about is still very prominent. And I don't think it's people that are trying to put friction in front of patients. I think they just haven't been taught or don't know any better. I think most people at a medical records systems and hospital in HI M facilities. Want to do the right thing on behalf of patients. We were talking about the car analogy one of the things that other industries have done is surface information voluntarily so that the lights on the dashboard and exceleron meter and all of that navigation engagement system, they are meant to be used. Now, imagine if all of that was dark, and you had to open up the hood and look underneath and know how to discern that information our healthcare system is very much like that. So you bet hip and everyone here is about we talk about in the context of privacy. But you're saying it's an opportunity for people to because. Hip. They can have data. I usually hear it the other way around when it comes to start up and hip on privacy. Can we talk about what hip is and how it came about in white matters here? Well, I'll start by saying that one of the most important things to know about the acronym. Hippos that the P stands for portability. Oh, I had no idea. What does it stand for? So it's a health information portability act, the other important thing to know is the context that it was actually written in nineteen Ninety-six. So throw your mind back to nineteen Ninety-six when it was about ten percent of American adults had access to the internet. This was a time when we weren't sure what was really going to be the impact of technology on healthcare. And yet there were visionary people who said this is going to be important that people have access and that people are able to take that data. And have it centered on the consumer centered on the patient? The idea is that patients should be able to get access to the data and redirected the places that they want it to go. So in the modern world, we now talk about that in terms of API that somebody could get access to their data and directed to an app or directed to where they wanna go or be the conduit that creates the interoperability between two clinicians, which unfortunately is. Sometimes the case. Well, that's actually the spirit of hip in affordability. Yes. Instead it's been used kind of a weapon as a way to say stop what we're doing. Let's get the lawyers involved yet privacy is important. But that's exactly the context. I've always heard it in as sort of a you can't do this because of hip, but that's exactly the opposite of what it actually is. There are very few sentences that a licensed professional, the nurse practitioner. Anyone can say to a patient that starts with. I can't do that. That's a hip violation. There are very few mental health and sexual health. Carve outs? But most of the time. I am in the right when I can ask my doctor, and she can send me all of my information in any digital format. I request as long as she's got it to my G Miller account, and it's not a hip violation. I think very few people know that. Possible because it's driven by the patient. That is correct right. Patients are actually outside of hip, so you can ask as a patient a hippo qualified entity to do something for you. And share your information whether through an API or whether it's through a PDF or Email, and they have to do it. Most people don't know they have that much very important idea. If I were to visualize structurally, you think about the all these players in healthcare system, you have insurance and hospitals and clinics and universities, and I could keep going pharma companies that cetera. If you've pitcher this whole ecosystem as a circle right now. What you're talking about is putting the patient at the center of that circle, and therefore they can pull on all these pieces, but otherwise these entities cannot necessarily talk to each other directly with the patient's data is at the center and just doesn't realize it guy that in most y'all taking your circle most of the entities are sharing with each other. But not through the patient. So the longest way around the. Circle for one site to another is around the circle the shortest path to the center, that's the diameter. That's where the patient is. Once you realize that the patients at the center of it, you realize who opportunity there if companies are startups empower the patient, then the patient can drive this whole thing they can quarterback they can ask for the data. They can send the data. Now. The question is actually what can you do with it? And what the impact do you wanna talk about what you can do with it now because going back to the original question of do people really need their data. And does it really make a huge difference? The I'm thinking of the analog of what happened wearables people have long talked about wearables and just like the analogy of the car. There are lots of sensors out there measuring our bodies. But the number one problem when wearables and data is nobody actually takes that as actionable data and does anything with it. So it's a case you have a lot of data just gathering. That's not being used. Are. We talking about the same problem here. In the case of wearables, you're dealing with something that's very broad and very shallow. And. Often very clinical ten thousand steps versus nine thousand versus eleven thousand that's largely just made up in terms of its clinical significance. Maybe let's turn upside down, which is what are the clinical areas where you have clinical data that could create actionable outcomes for patients maybe start with what is the greatest need people. Maybe that could easily die in a year or two then, you know, people that have like mid to late stage cancer as an obvious example. And there's data they have from numerous different areas and imaging and there's no makes an all of that. And it's just kind of amazing how much there is now to get. And then the question is how do you gather that and how can you empower the doctors via the patient sexual make a difference in the case of cancer aren't the doctors already sharing that data? So why does the patient need to be at the center of that? So the question we get asked is what will we do with it? And the answer is you'll be able to share it with on college who will know how to operationalize that data and help treatment for folks who know me my little sister. Contracted a number years ago, late stage metastatic breast cancer diagnosed in straight into stage four because someone missed the diagnosis and blue at years earlier in can stage one so the point is in her last year of life Tanya was seen at fourteen facilities all using not all but many of them using different e HR or medical record systems across multiple states, which have their own transmission of health data across state lines issues, and she was seen by twenty three colleges. So that sets the groundwork every time she went to a new on college issed either. There was a restart of frustration factor where she had to explain everything. But because she had Erlich Tronc health record imagine a link tin of your health profile that she had that people don't even have that big brother was in the industry. So of course, Tanya used glimpse, which is a former company apple quired it in a transaction. And some of the health records that we see them releasing to the world. Is some of that technology. And so she had the ability to share her profile her portable health record with all her meds all her labs. All Sonoma information. What we had done is. We had built the depth of health record that could operationalize her cancer care. This is in contrast to others who think that a mile wide and an inch deep in data is the way to go. We actually think in order to operationalize health data, you have to find self incented people, and that is cancer patients lupus HIV autoimmune disease without that we need to add imaging and Sonoma which Lympstone have we want to democratize that across all seven billion people, it shouldn't just be my little sister. So one of the promises I made to my little sisters. I would go on and continue this work. And so we are starting with cancer moving towards auto immune chronic diseases. The most frequent touch mines into the healthcare system. And you don't need to convince them of the value the daily, no it for the chronic condition knows. But the three things that we have found that we absolutely need to solve for patients is lower the friction of three touch points. So three long poles in the tent one is how to someone actually request their records released, and it should be eventually something as easy as making a payment at whole foods with Apple Pay just as an example, so much should send you an invoice, and you should be able to adjudicate the financial transaction by touching it. Thumb and boom, it's paid we'd like to health health records released that easily. So that's one of the long pole point is when the release of information or request point is one that's where your hip right of access gives you all the power of the federal government and the rags to say, I can get this from you patients can do what hospitals and insurers and everyone else can't. Yes. Absolutely. And they can help other physicians by being part of the referral network. Because patients are in the middle. The second thing is most of the information. That's released is not in any coded. Form it's documents and PDF's and XML files. The dark data part of it is city leaders machinery ability and a lot of the cancer formation is in the pathology report, which doesn't come out of API yet. We got our fingers crossed. So we need a long pole in the tent about a data refinery that takes this crude oil of documents and converts it to data. It's like turning a word document into excel in excel we know how to apply a feature or function operate on. You're basically taking unstructured destructor. But you're actually adding a step even before the instructor which is making that data machine-readable in the first place, especially in the case of a PDF. Correct. Then the final question is. So what? Now, I have my structure data. What can I do with it? Well, you can certainly share like you share linked in profile with your physician physician. He or she might say. Thank you God for bringing all this because I never get to see the sort of back, but beyond sharing it with people. You can also shared through an API as Zana's said to other app developers. Who can then say look citizens? You've done a great job producing this fuel this computer, boom your data refineries. Yes. But we'll take it from here. And we'll run a calculation that might be a cardiac calculator or we'll aggregate populations together and do a population survey or ideally because we can automate clinical trial inclusion exclusion you could have a series of these algorithms running in the cloud all the time in every time, a patient becomes a citizen in our parlance, a trial match can be detected on their behalf that the way we reduced friction as VJ said. So, you know, one of the things that I think it gets sort of covered almost too fast is unstructured structured because structure could mean lots different things really like if you can go all the way deep with on holidays and a true semantic structure, you really go. From just words to understanding and understanding is like the holy grail machine learning, and I right now, it's it's a hard thing to do. And when you can finally use ontological things that people driven. Now, the date actually really becomes useful. And I think excel is a very natural one end. The key thing is not just even in a spreadsheet. It's an especially where the computer actually knows what each of these things mean gets right? And that's going to be key. Because doctor does not have time to sort of go through pages of things understand he or she wants to be able to go very rapidly just get sensible land. And from that say, you know, we're where we are. And what we need to do. And I think you know, we talked about friction there's friction in each of these levels friction at the patient getting the data friction at sort of what the data isn't friction at the doctor's side. I think the idealist reduce all three for take me up in level, then beyond the individual patient experience and talk about this on a structural healthcare system systemic level. What does this mean for insurance for hospitals where researchers for clinics drug testing Manta Bo the ocean here about how does this play into that? There's so many different ways that data can inform us. I also just one off the top of my head is that if you're a from Soule company you want to. Be able to understand how things are going for patients, maybe clinical trial, maybe in a baseline, and you need to be able to get a large number of patients that are the right ones. So this is not necessarily one hundred million people. This is maybe thousands of the right ones that can give you the Dacian Eden. What I think we'll start to see is especially as new statistical methods come online that real world. Evidence will be very useful in some ways will be more useful than what you can do clinical trial. Both do the power and due to the fact of real life is different than a clinical trial. It's like an NC to experience in vivo experience. But the real world is a laboratory instead of the actual laboratory definitely and this is useful for pharma. But frankly, it's also useful for payers in a world where things have gone past clinical trials. But really now the new barrier is not game past the FDA the new various reimbursement. The payroll wanna know with real world evidence like is this really helping and this is something that you obviously can't answer without data. And and you can't answer without the right type data structure in the right way. Data is fuel for an ecosystem. And so when we talk about the. The structure of the healthcare system as it stands. Now. We talk about pharma. We talk about the payers, we talk about hospitals. But a big part of this are the patients who don't appear on anybody's organizational chart now, that's a good point. And yet they have so much insight to share, and we need to make sure that we are pushing the power out to the edges of the network. That's where expertise lives that. We don't even know about we don't yet know what will really happen when we free the data and allow people to create the dashboards that they really need. We don't yet know how different patient groups are going to create something really useful. How an entrepreneur is going to look at this opportunity and say, I could create something that really helps people. And by the way, it could be a small group, but have a significant impact. I actually the analogy that comes to mind for me when I hear that is I'm a big historian of the history of computing tech inch. Net. And one of my favorite themes is the idea permission list innovation and what I love about. This is what you're describing. Because if you think about the what happened with the internet and permission list, an invasion a lot of people to build on top of the platform that is the internet. If you think of data as a platform, and what people can build you cannot predict the use case their second order and third order effects that nobody the designer of a system can never predict up front. So what I love about. This is this permission list innovation in a permission way where the permission is actually coming from the patient because the patient is saying you have my permission to move this data around this portability. And then to your point who knows what that can unleash. And that is a really exciting thing. And it's also it's really American like, we're Jan. Totally true. We're such a country of rugged individuals for good or for ill. Right. So a lot of healthcare depends on whether you have the wherewithal or whether somebody in your family has the wherewithal and we as a country win when we make it easier for everyone to participate. So speaking of something very American in a sad way. Because I do agree with you. That permission list? Innovations incredibly American why I'm a capitalist. But a sad reality of American life today, especially something that we talk about a lot in healthcare is the opioid crisis. And I for one would never ever say something that can be solved through technology alone. Because it's a social cultural problem. But in this context, how would something like this play a role in a public health crisis like the opioid crisis. The opioid crisis is one place where data's the canary in the coal mine. It is a early warning system where if you digitize the data you could literally have an excel function. And I'm you know, I'm trivializing it that is scamming for populations. And where it sees a concentration of certain things happening and population health folks, have turned the syndrome surveillance, the CDC calls this the ability to look over large populations and see trends and patterns because of data. We started seeing signs of the opioid crisis in death certificates, and it was actually public health. Researchers who started looking at data and seeing wow that we're really seeing an uptick in this sort of death among addiction to appear. Well, the problem was that it was on structured data. So people started looking at the desk for tickets and started understanding what was happening what I'm passionate about is learning lessons from the past. So that in the future, we can take the temperature of the country more accurately and more quickly to solve those problems. So how might we create a dashboard for the country? So that we. See something like the opioid crisis happening. Everybody played a role in the opioid crisis. The pharmaceutical companies played a role public health agencies played a role payers played a role white appears play a role really quick. Oh. Because of the way people were being reimbursed or not reimbursed for pain management all across the world. Pain is managed using their other than drugs. So there's all kinds of ways here in the United States. We encourage the development of drugs and through complicated history, which I won't get into it became more the norm in the fashion to reimburse for drugs to prescribe drugs for pain that have alternative therapies like tens and various other things. Exactly. And so how does data enter into this data can tell us when a crisis is happening. It can show you also where we're actually gaining ground. We're seeing that we're gaining ground in Ohio against the opioid crisis. Data is telling that story. So that tells me how it. It informs public health and people thinking about this. But how can something like what we're talking about where this dark data unveiling actually solve. I'm not again trying to advocate for solution. Est view at the larger bigger problem beyond technology. But how can it help? There's different issues with the opioid crisis. One. Is that often the first intervention is while you wait to see the back surgeon or in a Musco skeletal surgeon, that's accessibility issue. And then then once it starts, then the problem is that the opioids are more accessible than the other solutions. And so now, you have people sort of doing a doctor or appeared arbitrage between places, and so hopefully, we can understand I why this is happening and then why start to sprout. And then what's facilitating it and having the records of one place. We'll do it. I think is a little challenging because if it's driven by the patient that patient's going to want to have to obscure. Yeah. To get past so all of these diseases we've been talking about so far cancer lupus auto immune disorders. I have a chronic condition. Nothing to worry about not to scare my listeners. But in the. Context of I have to see a doctor regularly, etc. These are all cases where you have multiple touch. Winston this system and often longitudinal data helps how would the longitudinal data and having a patient at the center. Now, what does it do toodle dailies going to become ever more important as compared to episodic data? And that's because we're moving from acute care to chronic here. If we had a pillar or procedure, we could do something in a hospital, so that's an acute episode. The fact that it's chronic the condition is chronic means, we don't have a pillar procedure. It's going to take place over long period of time, and people are increasingly mobile, so their health data portability problem is exacerbated as we go forward unless we address it. Now, there's been really some classic examples recently where the beauty of having time sues data's at your comparing you against your previous self unless you have that time series data all you can use compare you against the population. And people are just so different in such high variances and overlapping distribution. The well-known example recently is an Stiller had prostate cancer, but his PSA level actually never went high from population standpoint, it just went high from his own baseline that's actually much stronger signal mush much stronger signal. And so that's why his doctors actually could tell he had prostate cancer. Even though if you just did a one off there'd be no reason to think that right? It's actually a lot like new moms, and the pediatricians though is telling them don't worry about the norm curve track the kids curve because you just care about them growing and gaining weight. But otherwise new moms lose sleep when their kid is like in the twenty fifth percentile of the seventy fifth percentile. It goes to that same deltas, right? Exactly. The other thing that people can use their longitudinal health history for is to participate in clinical trials most clinical trials upwards of ninety percent or worse. Don't get filled. And it's because there's no friction lists way for clinical trials inclusion exclusion criteria to detect a candidate patient. But if you have on the one side a digital. Health summary in cyberspace on the other side, you have a inclusion exclusion let's say match made in heaven than we think we can move the really move the needle for both pharma who wants to detect patients and patients who want to be matched up with targeted clinical trials thing about the current state of coming up with new therapeutics new drugs cost the clinical trials is really high and too many things fail, and there's different reasons for failing one reason for failing is actually not getting the right patient cohort and not designing the trial to run such that you would have a successful outcome at the end, and that's really a data problem, and the opportunities actually with that is at more drugs could get through and even certain things in principle could even be rescued that would actually radically shape. How these therapies get the market. I'm going to go the more radical and say that when patients I'll have access to their data. They could form a coalition and ask for a certain clinical trial. There's beautiful and actually in a sense. There's a sort of centralized versions of that. With like, you know, the cystic fibrosis. Dacian with for tax and so on, but you're talking about it more like pop up source Lyson. Yes, that's something. Where that you? Don't need the army there that you could ban together. The other thing with chronic care is that because it's such a longitude longitudinal time horizon and eighty year old person if they had their entire health record, there's no single institution that would keep the record on file for that long. So it turns out that patient portals and API's give you a smaller window than an eighty year old history. Some of the information available is aged out over a couple of years. So you can't rely on a single interface to keep all your data one because you're getting treatments every other place and to because they're not responsible for keeping it. And so it becomes incumbent on the patient to manage at least the longitude lag relation of the if not the interpretation of the data. So what I'm hearing overall theme here is that when you get the horizontal data that connects. Though, the players and the healthcare system that can now communicate to each other through the patient at the center, and then there's a vertical piece which is the history of the patient in the past moving forward at cetera. Now, this gets us to the idea of big data. Because now you have a lot of data to work with we've been talking about the canary in the coal mine, we've been talking about all this stuff that people can do on top of this data. Honestly, it's the buzzword a here all the time like big data and healthcare. What's the big picture here on that front? So here's the dirty little secret about big data and healthcare. There isn't any and the solve to big data in healthcare is small data. That means what Susannah said earlier the small data's at the edges. That's where patients live, so there's a moral ethical and technical imperative to work with and through the patient and really for the patient. If you took the top few vendors for electrons health records, and you reduce the entire US population down to those vendors, those vendors in aggregate will ho. Hold about six percent of all data being generated digitally on you today. Where's the other ninety four percent? It's in the imaging systems, of course, images are large. So there's a lot more data. It's in the microbiome. It's in the genome, whether it's the full genome or just, you know portion of it, but turns out that the electric health record systems weren't built to handle all of this other explosion of data. And even if there's a consolidation of vendors in the marketplace, which we predict there will be and I think that's going to be a good thing. The consolidation is going to be outstripped by the run-away fragmentation in digital data. The only person who is legally ethically. Morally incentives to pull it all together is the patient when we think about the patient at the center of the circle and how all the big players are sharing data around the circle and for them. The most useful share might be to a community of fellow patients. It might. It be to create a longitudinal record that they share with other people who have lupus other people who have cystic fibrosis. This reminds me of a website that I used to be obsessed with patients like me, I loved it. Because it's essentially like the long tail of the internet to find like minded people suffering with whether it's a dysfunctional uterine bleeding, which is a weird category. Or, you know, some there's like a million things that you don't know you station, tubes collapse. There's a million specific things I love that aspect of people being able to send her and create community around in these and patients like me is a great example. It's like a time machine that you can travel backward and forward in your own record and other people's record. And what's essential is that people are creating this small data for themselves. And what is the opportunity is to create an industrial strength version of that. I agree that makes me think about the Google Dr problem, the googling problem where patients think there, doc. Because they're informing each other and googling things, and it actually creates more problems for a lot of doctors in that space when you say industrial production side, it to meet means taking that data and putting it in a more rigorous system than one that's just so informal folksy. I wouldn't say the patients like me is folks on me, I would say that they are a serious taxonomy of people's own tracking. And when I think about industrial strength health data. I think about the data that is currently being held by the clinical system that most people don't have access to and when people get access to that. Where are they gonna directed? And the choices that they have over many people the joke is they go to Dr Google, what does three injured cholesterol mean something like that? And I think the opportunity here's something much grander. If you finally have the data in a portable, wait, you can actually just ship this off, and then get information from a real doctor who has everything all in one place. Disagree has I'm really passionate about looking at the expertise that patients really can have. So there are expert patients out there who really know their disease, they really know their condition and can bring that expertise. And would I want to see is that everybody operates at the top of their license? And by the way, I think patients can operate a pretty high level. And so yes, there's a danger of Dr Google, yes, there's a danger of amateur pathology. There's a lot of immature dermatology. But there's also the possibility of everybody being educated everybody raising their game in healthcare, including patients and caregivers. Would I would like to see is an ecosystem flourish around the possibility of access to industrial strength health data. So that we can see we've new idea what's going to happen. We have no idea what kind of engagement can happen around health data because we don't yet have access to it. Again. We're leaving half the team on the bench by not giving patients access to their own data much less access to each other which I think is really going to unleash wellbeing. The love the side DEA because there's going to be two buckets. There's going to be the very cute highly clinical bucket of information and you wanna licensed professional to win a quarterback, but is a migraine suffer. I have shared a recipe. I have with whoever will listen to me in the moment thing for allergies. Thanks. I'd love to. That out the me too. It's a solve for me. And I have the protocol that I follow and it say chronic condition and the clinical establishment to said, you don't have a brain tumor. Go home, you're fine. But I still haven't solved my migraines. So that's where peer to peer healthcare, which is in has been promulgating for a long time. It really that's the outer circle that. We don't know how that will be shaped. That's an ecosystem play that. We're very excited to help power. I'm actually hearing all three of you say the same thing in different ways. Which is it's about empowerment, and if you put the p in power, and that should be the p and hit by actually not import ability and patients, but that's what we're talking about is empowering the patient. Thank you guys for joining as six he podcast you. Thank you.
Aired 1 d ago 35:21
I'm delighted to share my first series is in partnership with heck who liked me do things differently being an independent and British family owned business. They use the finest ingredients in smooth batches pulling out all the stops to bring up pharma's market quality to the supermarket shelves. In addition to that delicious original range, they also veggie options to catering. Absolutely everyone all of which can be found online at heck fused code at u UK. I did the major supermarkets too. And thank you so much but shooting into food for thought a Polk cost on a mission to simplify nutrition equipping you with all the evidence based advice you need to live and breathe a healthy lifestyle. I'm Rianne Lambert, Harley street, nutritionist mall, step practitioner, hustle trader and bestselling author of Rena rush a simple way to eat. Well, I'm so excited to share my vision of feud far beyond the confines of Mike clinic. I truly believe food should always be positive aspect of life, offering enjoyment, fuel and happiness, but both the mind and body I'll be joined by some very special guests, and we'll be talking about how to develop a healthy relationship with food. What does that even mean? How does it make us feel and how it can change our lives forever? Lucie. Mecklinburg is an actress model and entrepreneur she may be widely recognized for her role in the reality TV series. The only way is Essex. But since leaving back in two thousand ten she has co founded fitness platform results with Lucy faceted out on celebrity island with batgirls was a finalist in acrobatic show tumble. Enviable style has seen her model for so many high street brands and his behind the now while established fashion brand Lucy's boutique, I am absolutely thrilled to have this beautiful boss lady here with me today. Hello, Lucy Harian and how I'm good. Thanks faith. Thank you for coming in. I mean, you all wanted the biggest names I'd say in reality TV, and you became such a successful entrepreneur you managed several businesses all at once. How exactly has that? I would say affected your relationship with food or how was it developed over the years? I think I've been in the public growing up quite literally. Go from a teenager. I started tau in nineteen nineteen to be precise. And I didn't you know. I didn't really it didn't really bother me. Why my diet was very much quick pastor and things and an being onset of Towle. It was long hours irregular hours, and we'd like any job that would be like that. It's whatever you can grab and take aways onset and digging into the cruise like dignities what they have which usually, Harry, bows, and Chris kind of thing. So it sounds like fun. Really I nothing from going from that. But what about the long hours, you mentioned different kinds shooting? Things thawed age was all fun, fun fun. Or did it have a kind of strange impacted you ever get conscious about what you were eating at that time. I didn't offer st-. I was very confident. I was a curvy size ten to twelve hundred psi beginning, and I was always really really confident. I think when it changed for me was I think. It must have been around that near the beginning of tie that they introduced Twitter. I really that's when it started. And that's when I started getting I was still quite confident. But you know, it was the first time that the public had direct contact with someone in the public hot. And it never happened before you know, you could read something nasty in a magazine or a paper bachelor. You'd never have the someone you know, they can Silje living in Wales. She get on a phone pops up on my phone. And it was quite it was quite a lot to take a young age. What was that? It's like it must've been I must it was early. When I when I was in the public is. So I'm going to say nine when I was doing. So that you know, I'm twenty seven now. So it's been it's been quite. Wow. No nice to grab was a few years later. Yes. Yeah. I think. Yeah. And I think it was that direct contact that started making me go. Ooh. And also too when I changed my diet and my life. So it was a little bit of what people say I'm not going to deny that. But it was also the way I felt I felt horrible. And I think you know, you grow up and something's gotta give. Well, we'll just going to say because there must have been a lot of drinking a working until you know, lately every day, how did you manage to fit in a healthy regime? But that I mean, what about hangovers and things that when you nineteen twenty seven out before I started trained, and it was very much bad. Who'd you need wake up have a vacancy kebabs and things and I did eat either. I wasn't a terrible eater. I never have been a voice had quite good relations with food. You have to have vegetables every meal. So I wasn't you know, I wasn't an awfully to buy the same. Biggest thing. Was not eaten breakfast. And then having a bit of a been jumped mid morning, and that would be a bad habit that I had that's such an interesting topic breakfast because I think now is a lot of talk about intimate and fasting and things of that. And it's it's what works for you for some people not might really work that way of life. But for others let you said it led you to then having been JI food in the afternoons. You probably starving. So. Yeah, I think it works. You isn't it? I agree with you because I know people that wound or a and it might infield sixty in the morning, and then the happy to go to one o'clock healthy lunch. I think if you can do that. But don't let you say don't fool to do it and doesn't work for me. I know this morning, I've had a massive only. And I wouldn't I wouldn't be functioning without it. I know I mean you've been on. Let's go to the whole eight hundred twenty things you talk about that a lot year. But when you're on a celebrity island like grills this to say, I'm not sure I'd have lasted an ounce on they're not even a day. But you run of the last survivors on that we got to the end. So. Oh, yeah. I go to the last day which was toward that last. I tell you how much just wanted to get to pull up. It was hard. You know? I think the hallway to mow does eighty twenty one out the window. We didn't eat now. No. We went not the first nine days. We've eaten the audio bit of coconut. So that's what bay said he said you went a whole week with nothing to eat already. True. It was nine days. And I think, you know, the old coconut, but by the end of it, you can't even open a coke can I tie? And is you know, I wouldn't recommend east extreme challenge. I knew I was signing up for and I'm really happy. I did an also by the end of it made me really appreciate you know, I have a lot of people obviously having a fitness and health business asking me about how to break the yoyo diets. And yes, and I've never understood it because I've always, you know, I've never been particularly for way. I've never restricted. I've never gone on extreme diets. I just I've never really seen the point of what show move my friends do them and have negative results. So I was like I don't understand it. But soon as I go off that Weiland, I was addicted to food. I won t to everything surprising everything inside. Yeah. Because you've even shame pitches of how small you actually go on the island and you've shared the difference between health and not even having what was it like with water and things. So it must have been well draining. I'm always believed like positive thing for me. I would only have the water when it just been books. See we have to filter it through like how bre Saux imagine. These haven't been you know, these are the same SOX hat on for a month. Filtering your water that you drink you yet quite late today. So you feel to improve that twice and then you boil it. So it's like it's want more to really it's like fishy swimming disgusting. And and it still you grey green Brown even. When so when it was warm, I only drink as soon as it was boiled. And I'll be like, oh, some organic herbal tea. Yes. This is people off money. Do they do try to change the mindset, and you know, what he code? It was disgusting. Oh my goodness. So I tried to only drink it warm, and you know, I would have given thousands of pounds for a cold glass of Clearwater with ice in it. I mean, orange juice a million. That goes to show. How lucky we are in in must've really put it back home because we do have access to so much and living in that type of way, not even access to non soccer, bro. Like bringing it back to reality. I've got so much admiration fever for doing that was that any particular moment that kind of stuck out for you. When you said you eating the coconuts and things like that. Do you remember that the time that you saw proper meal on the island, and how it fell I think I'll prefers Popa mill was the Cayman which is a crooked crocodile. It's a massive. And for us that we haven't eaten for a long time. It was a huge deal. Yeah. It was our first proper meal. And I mean, it wasn't nice. I mean, the the I wasn't there actually when it was when it was killed, and I'm quite happy about but equally we all to survival show. We have been to how to kill the animals. Yeah. Humanely. Yeah. And if I had to do I would have done it. And I also think it's an important lesson for people. You know, a lot of people think that, you know, kids, especially that. That's how me is. It's perfectly package on nine infants on the supermarket shelf, and I same size the same shape. Exactly. So I think I think it's important important lesson and tell you what my stepsister Hannah hasn't eaten a piece of meat since. She watched the episode, really. Yeah. So. I think she's maybe veggie Pesca -tarian, but she's not aid to mate. Yeah. Forum, but that two years ago, and it's such an interesting way of looking at it because it does bring it back to a cool instinct survival and the psychological impact of that much restriction. Like, you said when you came back home, you really did kind of go for it with the food. Do you? Remember how you felt in that time? And was there any psychological support and things that you could get when you go back. Yeah. I think we were given we were offered it and we did have. Some calls for support. But you know, what I was out. She okay. My thing was the food. And I knew how to do that. And I know how my brain works. So I said I'm going to do one more way he'd be in Robbie anymore award. And then on Monday morning. I'm changing my mindset. Yeah. It's not top of it. Wow. It was hard. But I know how I work, and you know, I think other people to find it hard. You know, even at Justin's not being with fifteen people will. Yes. An author the noise think about it. There's this probably what silent it just insect noises. Really? It's actually quite Mucha. Cool. That's the only thing I probably enjoyed is an sounds a bit weird is like a not declare scar seen all the stars. And all the sounds and then when you get Hymie silent. And you're like this is so weird used to. And we would say fifteen of us huddled up like literally for warm the had to and then going from that on your own. Yeah. You like this is really weird. I mean, keep in touch with everyone out to that. We've got she coke group chat. You stop eating. Oh, it won't carry on. But they has actually a lot of talk. We've been there's been too wet ends. See? Yeah. See we we have these Sarah the dot says, she got married a month. After which I mean while I was Brian. I was gonna say, do you think actually after that moment on the island has it changed how you seafood like with your consumption of meat and fish oil, those kind of things one hundred percent is the first time. I've really thought about how much me I actually can chew. Yeah. And you know, you know, obviously, an animal has had to die for that. Yeah. I won't give up me. I love me in fish. I'm more high by more responsibly. I don't use much or do you want to meet free days a week? I think Stephanie told me a lesson. And I you know, when you think about it. And you know, it's not nice what we saw in a way. I think it's a less than the all me's should see I kind of agree, and I think actually Obse meat isn't necessarily bad with people have this discussion a lot. It's just the fact that we are we look after the environment. So that's a whole of debate. Isn't it? Seaming everything but already positive note from the experience he kind of met the love of your life. So. You know, something. You will one have a resilient personally seen as what I have so much respect for you. Because even with tumble you've you've done so much Tommy about the cattleman Java experience, you have climbed that. And you've done the hardest route on the tour de France. About sounds quite one does. A few years. I I like a challenge year of had one this year with web. Okay. We need to go. Three let alone. So yeah, I think Kim on was was really tough again. That's a so it's mental mental strength, and I always say to people get out of your comfort zone and try these things because they are hard. And I cried a lot. But when I had the lovely Sophie who she's a PT that works with results. Russillo. Yes. Absolutely unbelievable. When she told me, she has cystic fibrosis. I was like, wow. How she's going eight-pack? I absolutely amazing. She trains every day you work, so hard. And when she said she wanted to raise money for cystic fibrosis and climb the mountain with her. I mean, my first thought was I couldn't think of anything worse. If she could do it, and you can do, and I can support and most the way out there. She's probably supporting me. When someone she's cheating Mon one now, and she's absolutely incredible. And and you know, it's an amazing experience and with your fitness levels. And did you find that doesn't matter? How that you all things like that a really tough yet? They are. It's the altitude this to Musi factors is how. Strip remind mind. Yeah. And it's if you get asked sickness is in get it. Good. And I'm really lucky. So I also feel for people, you know, someone that's our and we did the seven days which is supposed to supposed to be quite good success. Right. Yeah. And she she was so sick. And I. Okay. I was you know, bit Headey. You know, you don't feel great great. The quotas food is not great and his code as well as an it. When you get to. Yeah. Exactly. So it's not no. I actually put a hiking boots the morning. We did you see don't help people that the malaria tubs for we went clo not fair. That's not my excuse. But I was going to do a few days. Just the weather, man. And I was so nice spiny star from the of they did not react to me. Well, and I was don't feel great. Okay. So from Kilimanjaro you then decide you're going to blame. And do the hardest cycle route on toward the front. How does that happen? Well, I may I'm soccer for a challenge. You know, you know, someone put it in front of me, my first response was haven't been on a bike since I was eight years old. Wow. There is no way. I'm doing it. I was like, and then I spoke to my sisters who was soccer in London's para. Yeah. And they said, you know, what I would kill for that. You know, the you you're going to have expert trainers, and Jimmy what this isn't amazing opportunity and. Yeah. And although it's going to be again very much out my comfort zone. I wanna do it. And it turns out I was out of the group. Probably the best up hill. I just hated the. Oh, really? Pill my legs. I don't know. How? But you know, maybe from years of training that would I've never really done spin glasses. So I was quite shocked at that. But where does this drive come from? So as a child will you always someone who was very driven to complete on a big challenges roller coaster. I mean, the one that sometimes, you know, miss sports. No, really, I think he's I think he's growing up and realizing, you know, you've got one might in the most week and every time I think when you've done a challenge and you've got your comfort zone that feeling. I mean, no nothing nothing will ever come close. When you when beggars picked us up on the island, you just filled up massive achievement know, what you meant noised if you quit trust me. You will you won't feel good. And you know, you'll be a massive mistake. Yeah. I'm so glad I didn't quit incredible. No, you are not a quitter from going to all these amazing kind of physical things. What about the mulling? And you've got a lingerie you do a lot of lingerie work as well. Do you have any kind of specific routine that you do before these shoes or you quite happy relaxed? Now, you know, if a shoot, I'm I and be. Be what's the word when I train deeper. Manage is healthy focused. I've known you do. Like, a routine always training. Like what I think free Komaki you try. I mean, don't yet. But I can't find the word right now gone. So I try and eat well like nearly all of the Creoles sway. So. Yeah, if alone try issue comes up. I'm not like, oh my God. All can't do it. Yes. I don't feel my best. You know, I try and try and all the time and yellow anyways. I need's going to crush quick nihil. If if I do have a bit of notice I do try to eat most of my meals protein and veg are try and drink more water to help my skin yard to reduce alcohol, even reduce coffee, not great for my skinny of Yano fish coffees. One of those things I think is very debates as well. And again, there's no one-size-fits-all. But if you've noticed it's not for you. Then that's a good thing. You know, I think affects my skin. So then before shoot that's important for Macy. Yeah. I just know train a little bit more are watch y e a, you know, I won't get takeaways. I wouldn't go out and have loads of Townsville the pro. I mean, it must be when I was talking to Lisa Snowdon about this. Do you feel the pressure to maintain such is the is the kind of a back the person on your shoulder over time saying oh, come on? I think I think to asserting saying, yes, I'm in the public armed photographed. I'll have a fitness and health business. So you know, you because you go anywhere and be Pabst. Yes. No definitely is a pressure. Yeah. And you know, I it's sad to be completely honest. I don't feel comfortable on holiday front earned in the bikini. Yeah. If like, it often goes to the toy get going during Colgate some long I will put on a sarong I'll cover because I am away slightly conscious. And you know, it isn't nice in one hand. But but also I do have a pressure to eat, well and exercise isn't necessarily a bad. Then you always know if you enjoy a new enjoy, and I do things and one thing I remember when I met you as well for the first time was you've also had your fish have online believes from different platforms. And you were like, you know, well, I've had this on now that you've just got a you just got to crack home. Really, you just said, you kind of just shove it to the back of your mind. Do you have any tips of people on how they can do that. Because trolling becoming a problem. Fight say everybody is the new form of bullying at school. You experienced pulling now is, you know, let you go into a phone, which is a lot worse. I think think about that person on them. Maybe they're unhappy. I see feel sorry for them because. Yeah. Personally, I think if you. You're paying yourself. Yep. And you've been out with good morals. You wouldn't be bringing someone down to my yourself feel better. So I turned on them. I try and block out, and you know, you can block these people. But I think visor buffet is really hard to say, an also, focus on your positives. You know, don't listen to what they say complete rubbish just to make themselves. Better sir is is a hard one. I really is. So it come about like you said, you know, you're entirely, and then suddenly Twitter, emerges, and your whole life changes overnight before you, and what on a really positive thing teaming up with the gorgeous Cecilia who we both absolutely love. I mean that has been instrumental. I mean results with Lucy is such a positive wonderful platform. I mean, you co-founders on you to grab your UPDF's Celia over one hundred thousand women that are signed up to this platform how on earth. Do you keep up with all of this as well j what we just enjoy it? We take it for as you know, it's grown organically. So we never wanted it to be as big as it's become. I'm like no oversee we'd like it to. But we didn't it wasn't. It wasn't fun. We just recorded some workouts and loaded them online. And then, you know, there was at least subscribes when like oh my God. Just go create more and more than ten here. And it's Colonel comic came. We've got some really lovely go. It's a great support network for people, and I'm Pat form, and I love it. We have it. You know? I was never the sporty fitness person. So that's why it was funny when it happened, but she's been so instrumental, and I think a big shoutout to society because you teamed up with a qualified PT you didn't have to do that. But you chose to do it that way what was the thinking behind that? At the time. I'm not giving I'm giving, you know, I contin shop people to do workouts. And I did shares how it says I started putting a few of my workouts on Twitter kind remembers video phone such a low. It was fine. As we. So I know I know saw the rise of it, and they won't even more and more. So you know, we create the schedule. So we we use actually sixteen PT's now cecelia's, obviously, PT ending Owen. But we have nutritionists in in house and things like that. So of course, I don't want to give any vice that's correct. And you know, I haven't got the take for about an also I don't want to put anything out that haven't tried everything. We put on the website is tried and tested by me by. And you know, usually, you new new workers because it's something as CD, you know, we found a new car, and we we loved it. So we we took inspiration from recorded a video about what I love about your platform because if you want to have I think exercise should be fun fear has to be fun for you. Don't want to do. But you've got dance videos from ballet bar two different hit circuits. You've got so many different types of it is I I lose track and also it's not edited and then not squeaky clean. Then if anything goes wrong stays in the and it's funny. You know, if I go the way in his class, let's say we keep that in the hilarious. Yeah. And I think you know, we want to be like the customer during it. No one wants to see someone is perfect body in tiny little miniature hot pants and a tiny up talk to stop. Mason. And they she's so bomb. Yes. But you know, I just wanted it to be real when I'm tired. I am tired, and I scream at Cecilia and try and keep we try and keep it fun really stick. We'll keeping it realistic is the way forward, and we have got lots of questions from followers for something. I put out a while ago. And we've got the first one is from Nikki, Nikki says how can I stay motivated to work out when it's cold outside. Ceesay do results Lucy. Leave your home. You know, oversee out. I was if no fired up in the morning and like this morning, and I haven't got long, but I wanted to suck it maybe get one bit of equipment that you love what be from wrote castle bell way. Yep. And just pick. We've got equipment pick eight moves. The it could be jumping p sit-ups wherever and do it for thirty seconds or ten rent and repeat three times because I love what sometimes like, you do your lives and things, and you actually firm when you're doing a workout there, and then in that mobile sometimes, and I think that's the best way because I can see everyone can see it's real it's hard. You know, you pull the puff like small throughout the but he's hot as hard, especially with dot mornings. Now, understand it. But just even few set your alarm, fifteen minutes early than normal. The quick fifty minute mini hits such an it is enough. Trust me. I did twenty minutes. This morning is definitely not lean eight. Okay. There we go. You've heard it from Lucienne Taylor has said. So I've lost a lot of weight recently. But still don't. Have the confidence to buy sexy? Clothes. What do you think? I can do to help myself feel more confident. I think he needs work on your mindset. Yeah. So I think you can news all the way in the world and be downsized that you wanted to be. But it doesn't mean that you're going to be happy even equally gaining the weight. So at both even going to gain or lose, you know, send us I agree. I agree. I think, you know, go find, you know, we do mindset causes but finds something or something that I think is good. You start in the day, positively look in the mirror because we will have to look in the mirror when we get dressed washout face and say, what do I love about my say, oh, I like that one. How you sell three things you love myself. And it just starts today, positively because it sounds so cheesy, but we don't actually ever do things. Like, oh, 'cause we think it's very America. I mean, you know, or how can I possibly do make myself up when you go shopping don't think I wanna find a dress. That covers my legs that covers my do. You think I want to dress that shows off my wife because I love my way. Yeah. I wanna just shows of you know, I'm really curvy. I wanna show. Can you can be I like my neck. So I'm not going to wear, you know, just because we Lisa's. We're on go just pilot exhibition. The anyway, really just have a good thing. That's a pretty good one. So Chris is also said defined it really difficult being lactose intolerant. I don't know if I one hundred percent. Yeah. We haven't done that. I'm sure I am. But no because I felt it made me feel horrible. So I realized I wouldn't vinaigre if things one agreeing with me, and I took it out and cheer notice the different feel good. And isn't that hard? And you know, what I was still if his Elizabeth is also have I wouldn't drink a glass of milk. No. And I think that's the difference is the it's totally okay. If you know out there anyone's listening, you don't think of foods agreeing with you as long as you offer Otani tips. I mean, the people that are dairy free. There's tons now out there, you've got the dairy free cheese, the diary for yoga's soya's, the closest profile nutrition to diary that you can get check. It's fortified. So you right. I think this TOMS out there cowardice said I see promoting lots of protein shakes. Do you have one every single day? No, no, no, no, wait a minute. Rush. I do use a bit pro team. How to in this movie by always add fruit a little bit of spinach, usually coconut water protein powder, some berries, spinach that kind of thing. Yeah. But when I'm in a hurry. That's well too. Yeah. I think it's really important. Oh, it's a love that the proper breakfast movie because protein powder can't replace actual protein. That's the thing. But it does have a place of convenience. You have to check what it's kind of gotten as you want to chat, you ingredient lists. You don't wanna lose of extra things in the kind of may be distinct to maybe stay beer if it's sweetened. They're trying not have tons and tons of hundreds of difference ingredients. It's the only thing I can offer. But this things would be guns and people aren't beacon out that for protein shakes on that. You can get haven't been p way. Oh, this Lozo hunts of options in the market just read the ingredients anti has said, how is your skin so flawless peacetime? Yo secret. She's put PS I love you. Oh, I wish to read about skin and the my mouth. The weather. Yeah. I g I wish I had the answer. But I don't know. Please tell me oh tips because I need them. I always say what if it's not if it's not broke don't fix it. Don't my every lotion and potion going just eat well, drink more water. Yeah. And, you know, always take you make off for bed because that's the only time I really get by a breakout is if I, you know, have a couple of too many of one. Oh, no. I never used to come to even talk about this note. What I thought we would but pick spot so you shouldn't pay spas. It's the one thing I've always been told man never pick them and just put kind of cynical to civic acid over if you get a break. Yeah. That's day because I had to rebuy breakout. But I've got this dumb taller gist friend Angelique, and it's also dot com. Bunting and they both said don't pick like do your is it the make up. Make up then when it's, you know, oh, there's no way of all around. Good one this morning. Okay. See I'm on that note. We are. I'm picking moving onto the quickfire round. You ready? Okay. Say lenzi. What's always in? Your fridge ex love it. You can only have one kitchen. Gadget. What would it be? That's it. Firewood is not about the toes tapping then signature homemade dish. Will be so hot. I love much Kimba chicken mushroom pie. I've seen you making that and it does look really good. I mean, it's Terry Frei delicious. Hey, we need. It's the recipe for that. Yes. I can give you as well. Well, I think we need the recipe for that one. What is your favorite restaurant in the world? You mean? Love Peruvian foods, anything Peruvian. I haven't got a favor. Sorry. Do you know what you should try Chato Matej? Oh, it's suppose. We'll say, yes. Does what I'm saying? Favorites. Yeah. They beat Labour's enough eight. Okay. One feed. You can't live without. Already said X comedy that probably be up there yet dude of Africa. And it's boring all to be honest. You know, what pastor someone's at passed away from me, I'll be female at stories that I'm what is the strangest food you've ever eaten. You must have a little bit. Well on the island. I've, you know, lots of my own crocodile. So that's probably the strangest. Yeah. Yeah. Let's go to you healthy dish in a rush are not lazy. Classic who was your biggest cooking inspiration. Oh, that's so wrong. Do I follow that does Recode recipe? Oh on TV or could he be your mom or during the gray? I'm so sorry. Mama, glistening. Sorry, linda. Oh, hey, somebody get almost at that. So hard we can we can possibly. Let's just say results has of good recipes. What was your favorite childhood treat? Ooh, my favorite spaghetti as all the way with loads of cheese on tall used to love that like the cheese will be piled mountain. That was pretty good. Okay. This is a bit of a strange one. But what was the last thing you had for the first time? Oh, so tried for the first time. Yeah. You have to get thinking on this one. We've had some unusual onces go through. Really oh. I know do you know, what we went out for dinner, Nick Leeson from tippy brother with. Yeah. And he had liver and I was like oh time to visit. I don't know why crooked and not live. I thought. Yeah. Exactly. And you know, it was disgusting. I e anything do I'm so unfussy. I really didn't want. It's like people that have like my grandparents used to play. It's a tradition but steak and kidney pie. You have never had that. I can't do it. And it's because one I was in lectures, I remember when I was studying and let my second year. One of the scientists said you will never physically able to ever wash or the urine out of the kidney. Because. Millions. Inside a kidney. You can't physically do it because they will always be coaching compay pretty much. Kosice? So we went to state and could he say that merely rap crews loves to pay me. Thank rose can eat anything. He's definitely get back. Rolls on this poker. So that wraps up this episode. But as with every guest we finished with a food for thought. So being active is great for your physical health, and fitness but evidence shows it can also improve our mental wellbeing. So I had a recent NHA survey this week suggesting that thirty six percent of adults played sport or exercise at least once a week and fifty seven percent did nothing at all. That's I know I know at least face right now. And I'm reading this out. But we think that the mind and body is separate the actually mental health and mental wellbeing means feeling good. Both about yourself and about the world around you. So my point today is that remember being active doesn't mean you need to spend hours in the gym. If that doesn't appear to you like we said earlier find physical activities you enjoy and think about how to fit more of them into your daily life. So walking running swimming yoga, you name it some results with Lucy. Platfo chime mixing it up and get a variety of movements in two weeks. That's they would be my kind of feed for thought for today. As a loose. If you could offer one thing that everybody could take home with them that you would like to offer today. What would your food for thought? Be. I would say I think we don't prioritize exercise on Williams. Oh, we're too busy. Yeah. We could off it fifteen minutes in trying if you can do fifty minutes a day six days a week is that is enough and prioritize it because I think a lot of people say, oh, you know, I'm I'm working day. I'm going to be tired. And then I'll go and get my now so pie over ties that fifteen minutes of activity, and you will feel more positive so true, isn't it because it does lift you up for the rest of the day. I notice on days when I don't actually have time at least guy for walk in and get out get some fresh air. Lucy. I cannot thank you for being wonderful guest such a love then. Thank you sharing. You'll spoil squeezing methods with me as well. Oh. Eighteen breakfast or lunch? At least see thank you for coming on food for thought. Thank you. Thank you so much for listening. If you enjoyed this episode. You'll absolutely love. My next guest. Click subscribe to be the first to hear it. And remember a bit of extra guidance and advice, maybe own it takes to help you become the healthiest and happiest version of you in my part, Hamburg and pot recipe. Book Rena a simple way to eat. Well, you can follow the structure of a session with me in clinic gaining the confidence you need to create delicious nourishing meals at home with my Rena rush menu. Check it out on Amazon all major bookshops. For more information about me, my clinic recipes events, health retreats and so much more. Please visit re Tricia dot com and follow me at retraction on Instagram, Twitter, Facebook and YouTube. I'm always ask what goes into my perfect hamburger is beef really still the best. Or if you even try to Feci burger baggers may be considered fast food, but there. Also, quite a craft on. They for ten to meet an intense flavor. I'm loving heck's. Zesty chicken, burgers, they bursting with lemon freshness. Checkout heck food Kurt at UK or find them in major supermarkets. I also enjoy whipping up a quick lemon mayonnaise by combining a tablespoon of lemon juice, some zest mixing play male juicy to Marta a freshman. Obviously a big water paper. Napkins. And that's really all you need, isn't it.
Food for Thought
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Serena Williams Sports Gatorade Dehydration Patch
Business wars daily is brought to you by Pitney Bowes, and send pro online shipping can be complex with the uncertainty over costs and deciding which carrier to use plus tracking your packages things can get confusing. Stay tuned to the end of the show to find out how Pitney Bowes and send pro online can save you time and money and to get a special offer just for listeners of the show. From wondering, I'm David Brown. And this is business wars daily on this Friday January eleventh. Serena Williams is analyzing her sweat while playing tennis in the latest ad from Gatorade. The tennis star sports. A patch that passes sweat through food coloring giving an instant easy to read picture of hydration or lack thereof when colors on the patch change. They signal levels of dehydration sort of like a mood ring for electrolyte loss. Williams told fast company, she was excited by the promise of the new wearable technology to extend athletes careers, the patch invented at Northwestern University and developed with Gatorade sports Science Institute has been tested by professional, athletes and college swim teams. It's also being used to test babies for cystic fibrosis. The patch is the latest volume Gatorade attempt to rebrand itself. From a sports drink to a spa. Ports fuel from something. You might want to something you have to have Gatorade holds about three quarters of the eight billion dollars sports drank market. So why go to the trouble inexpensive developing sophisticated wearable technology. Well, Gatorade needs some fuel of its own. The brand sales have been slowing lately as consumers turn away from sugary drinks in favor of more natural beverages. That trend has also hurt. Gatorade rival Coca-Cola which owns PowerAde last year. Trying to solve that problem. Coke took a stake in body armor, the up and coming sports drinks startup is backed by basketball star Kobe Bryant body armor uses coconut water, which the company argues is not only more natural than its chemical heavy competitors. But also lower in calories the brands market shares tiny, but it's been growing faster than either Gatorade or power aid for Coca-Cola investing in body. Armor represented a move into the future for Gatorade. It's packed system is also seizing on the opportunity to evolve Gatorade says a retail version of Serena's sweat patch costing three to five dollars will be on the market soon. And that may signal even more about Gatorade future as a brand marketing health technology that just happens to come with sweet drinks, the think about that. The next time. You're practicing your serve. From one to read this business wars daily pay fascinated by the long running battle between coke and Pepsi. Check out the whole story in our six part series on business wars, this week's episodes were written edited and produced by lane Appleton grant, Ginny lower is our editor and producer our executive producer is Marshall Louis reated by or non repes- for one. I'm David Brown. We'll see next. Shipping can be complex with the uncertainty over costs and deciding which carrier to use plus tracking your packages things can get confusing. Now, there's a better way to ship central online by Pitney Bowes with simple online. You can easily compare USPS and other shipping options in an all in one online tool, you can print shipping, labels and stamps on your own printer and track all of your shipments as well. Plus when the US postal rates increase on January twenty seventh you'll still be able to access savings of up to forty percent off USPS priority, mail shipping and five cents off. Every letter you send just by using central online. Simple online is only fourteen dollars ninety nine a month, and you can get a free thirty day trial. When you visit PBA dot com slash b w daily. You'll also receive a free ten pound scale to help. You weigh your packages and accurately calculate the cost of shipping. That's PB dot com slash. WD early and big thanks to Pitney Bowes in central online for sponsoring this show.
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