Take Two Pills and Charge Me in the Morning

It was a moment that would have brought a smile–a sardonic one, of course–to the face of Bones McCoy.

Last week, the California-based firm Scanadu announced that by the end of next year, it will begin selling a device called Scout. The little gadget, which fits in the palm of your hand, will, in conjunction with your smartphone, be able to tell you your temperature, blood pressure, heart rate, breathing rate and the level of oxygen in your blood–all within 10 to 15 seconds.

In other words, it will be the closest thing we’ll have to that bulky but nifty tricorder that McCoy wielded so deftly as chief medical officer on the Starship Enterprise back in the glory days of Star Trek. Which is the point, because Scanadu is one of the competitors for the $10 million award in Qualcomm’s Tricorder X Prize.

Scanadu is already making comparisons to the innovation of the family thermometer back in the 19th century, an invention that gave people the opportunity to gather health data at home. They may be right about that.

Most doctors would certainly agree that this is a good thing, in that it will make it ridiculously easy for a person to check his vitals every day. In theory it would, like the thermometer, let people know if they have a health problem without attempting to explain what it might be.

Playing doctor

But then there’s this tagline on the Scanadu website: “Sending your smartphone to med school.” Sure, it’s meant as a clever, pithy pitch. But it also raises a notion that makes a lot of people in the medical community very uneasy about where this boom in health and medical apps is headed.

When does gathering data slide into making diagnoses or even promising cures? And if it does, who’s going to ensure that any of this is based on real science?

Apparently, a lot of what’s out there now isn’t. Last month, the New England Center for Investigative Reporting released the results of its analysis of 1,500 health mobile apps that cost money. It’s not a pretty picture.

The reporters found that more than 20 percent of the apps they reviewed claim to treat or cure medical problems. Of those 331 therapeutic apps, nearly 43 percent relied on cellphone sound for treatments. Others promised results using a cellphone’s light and a few pitched the power of phone vibrations. Scientists told the journalists that none of the above could possibly treat the conditions in question.

There’s no longer an app for that

The Food and Drug Administration (FDA) is expected to soon announce how it plans to regulate medical apps. It’s not likely to worry about the thousands of health apps that allow people to track their workouts or their daily calorie counts or how they slept. But it will look closely at apps that are promoted as a way to diagnose or treat a disease or condition.

By its latest count, there are now almost 18,000 health and fitness apps and more than 14,5000 medical apps. As cautious as the feds have been has been about getting into the business of regulating software, they haven’t been able to ignore a few of the more egregious examples of mobile app magical thinking.

Last year the Federal Trade Commission banned the sale of two apps thatpromised to cure acne.

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