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petazetafilms · 4 years ago

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▷ Zoey's Extraordinary Playlist; Season 2 Episode 1 - (S2E1) - HD 720p

Watch Online Zoey's Extraordinary Playlist Season 2 Episode 1 in NBC Full Episodes Eng Sub / Sub English TV Series 2020 Premiere HD! ❖ Zoey's Extraordinary Playlist Full Episodes (HD): Full ✓ NBC TV Shows and Movies from Official Partners. ❖ Watch Zoey's Extraordinary Playlist S2E1 Online ►► P.L.A.Y N.O.W

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After an unusual event, Zoey Clarke, a whip-smart computer coder forging her way in San Francisco, suddenly starts to hear the innermost wants, thoughts and desires of the people around her through popular songs. ❖ Genre : Drama, Comedy ❖ Air Date : 2021-01-05 ❖ Network : NBC ❖ Casts : Lauren Graham, Alex Newell, Andrew Leeds, Michael Thomas Grant, Jane Levy, Kapil Talwalkar, Mary Steenburgen, John Clarence Stewart, Skylar Astin, Alice Lee Guest Star : Felix Mallard, Jee Young Han, Harvey Guillén

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A television show (often simply TV show) is any content produced for broadcast via over-the-air, satellite, cable, or internet and typically viewed on a television set, excluding breaking news, advertisements, or trailers that are typically placed between shows. Television shows are most often scheduled well ahead of time and appear on electronic guides or other TV listings.

Livestreaming, what’s in it for us? Technology has advanced significantly since the first internet livestream but we still turn to video for almost everything. Let’s take a brief look at why livestreaming has been held back so far, and what tech innovations will propel livestreaming to the forefront of internet culture. Right now livestreaming is limited to just a few applications for mass public use and the rest are targeted towards businesses. Livestreaming is to today what home computers were in the early 611110s. The world of livestreaming is waiting for a metaphorical VIC-110, a very popular product that will make live streaming as popular as video through iterations and competition. Shared Video Do you remember when YouTube wasn’t the YouTube you know today? In 11005, when Steve Chen, Chad Hurley, and Jawed Karim activated the domain “www.youtube.com" they had a vision. Inspired by the lack of easily accessible video clips online, the creators of YouTube saw a world where people could instantly access videos on the internet without having to download files or search for hours for the right clip. Allegedly inspired by the site “Hot or Not”, YouTube originally began as a dating site (think 110s video dating), but without a large ingress of dating videos, they opted to accept any video submission. And as we all know, that fateful decision changed all of our lives forever. Because of YouTube, the world that YouTube was born in no longer exists. The ability to share videos on the scale permitted by YouTube has brought us closer to the “global village” than I’d wager anyone thought realistically possible. And now with technologies like Starlink, we are moving closer and closer to that eventuality. Although the shared video will never become a legacy technology, before long it will truly have to share the stage with its sibling, livestreaming. Although livestreaming is over 110 years old, it hasn’t gained the incredible worldwide adoption YouTube has. This is largely due to infrastructure issues such as latency, quality, and cost. Latency is a priority when it comes to livestreams. Latency is the time it takes for a video to be captured and point a, and viewed at point b. In livestreaming this is done through an encoder-decoder function. Video and audio are captured and turned into code, the code specifies which colours display, when, for how long, and how bright. The code is then sent to the destination, such as a streaming site, where it is decoded into colours and audio again and then displayed on a device like a cell phone. The delay between the image being captured, the code being generated, transmitted, decoded, and played is consistently decreasing. It is now possible to stream content reliably with less than 5 seconds of latency. Sub-second latency is also common and within the next 110 or so years we may witness the last cable broadcast (or perhaps cable will be relegated to the niche market of CB radios, landlines, and AM transmissions). On average, the latency associated with a cable broadcast is about 6 seconds. This is mainly due to limitations on broadcasts coming from the FCC or another similar organization in the interests of censorship. In terms of real-life, however, a 6 second delay on a broadcast is not that big of a deal. In all honesty a few hours’ delay wouldn’t spell the doom of mankind. But for certain types of broadcasts such as election results or sporting events, latency must be kept at a minimum to maximize the viability of the broadcast. Sensitive Content is Hard to Monitor Advances in AI technologies like computer vision have changed the landscape of internet broadcasting. Before too long, algorithms will be better able to prevent sensitive and inappropriate content from being broadcast across the internet on livestreaming platforms. Due to the sheer volume of streams it is much harder to monitor and contain internet broadcasts than it is cable, but we are very near a point where the ability to reliably detect and interrupt inappropriate broadcasts instantaneously. Currently, the majority of content is monitored by humans. And as we’ve learned over the last 50 or so years, computers and machines are much more reliable and consistent than humans could ever be. Everything is moving to an automated space and content moderation is not far behind. We simply don’t have the human resources to monitor every livestream, but with AI we won’t need it. Video Quality In the last decade we have seen video quality move from 7110p to 60110p to 4K and beyond. I can personally remember a time when 4110p was standard and 7110p was considered a luxury reserved for only the most well funded YouTube videos. But times have changed and people expect video quality of at least 7110p. Live streaming has always had issues meeting the demands of video quality. When watching streams on platforms like Twitch, the video can cut out, lag, drop in quality, and stutter all within about 45 seconds. Of course this isn’t as rampant now as it once was, however, sudden drops in quality will likely be a thorn in the side of live streams for years to come. Internet Speeds Perhaps the most common issue one needs to tackle when watching a live stream is their internet speed. Drops in video quality and connection are often due to the quality of the internet connection between the streamer and the viewer. Depending on the location of the parties involved, their distance from the server, and allocated connection speed the stream may experience some errors. And that’s just annoying. Here is a list of the recommended connection speeds for 5 of the most popular streaming applications:

Facebook Live recommends a max bit rate of 4,000 kbps, plus a max audio bit rate of 61111 kbps. YouTube Live recommends a range between 6,500 and 4,000 kbps for video, plus 61111 kbps for audio. Twitch recommends a range between 11,500 and 4,000 kbps for video, plus up to 660 kbps for audio. Live streams are typically available for those of us with good internet. Every day more people are enjoying high quality speeds provided by fibre optic lines, but it will be a while until these lines can truly penetrate rural and less populated areas. Perhaps when that day comes we will see an upsurge of streaming coming from these areas. Language Barrier You can pause and rewind a video if you didn’t understand or hear something, and many video sharing platforms provide the option for subtitles. But you don’t really get that with a live stream. Pausing and rewinding an ongoing stream defeats the purpose of watching a stream. However, the day is soon approaching where we will be able to watch streams, in our own native language with subtitles, even if the streamer speaks something else. Microsoft Azure’s Cognitive Speech Services can give livestreaming platforms an edge in the future as it allows for speech to be automatically translated from language to language. The ability to watch a livestream in real time, with the added benefit of accurate subtitles in one’s own language, will also assist language learners in deciphering spontaneous speech. Monetization One of the most damning features of a live stream is the inherent difficulty in monetizing it. As mentioned before, videos can be paused and ads inserted. In videos, sponsored segments can be bought where the creators of the video read lines provided to them. Ads can run before videos etc. But in the case of a spontaneous live stream sponsored content will stick out. In the case of platforms like YouTube there are ways around ads. Ad blockers, the skip ad button, the deplorable premium account, and fast forwarding through sponsored segments all work together to limit the insane amount of ads we see every day. But in the case of a live stream, ads are a bit more difficult. Live streaming platforms could implement sponsored overlays and borders or a similar graphical method of advertising, but the inclusion of screen shrinking add-ons like that may cause issues on smaller devices where screen size is already limited. Monthly subscriptions are already the norm, but in the case of a live streaming platform (Twitch Prime not withstanding), it may be difficult for consumers to see the benefit in paying for a service that is by nature unscheduled and unpredictable. Live streams are great for quick entertainment, but as they can go on for hours at a time, re-watching streamed content is inherently time consuming. For this reason, many streamers cut their recorded streams down and upload them to platforms like YouTube where they are monetized through a partnership program. It is likely that for other streaming platforms to really take off, they would need to partner with a larger company and offer services similar to Amazon and Twitch. What Might the Future of Livestreaming Look Like?

It is difficult to say, as it is with any speculation about the future. Technologies change and advance beyond the scope of our imaginations virtually every decade. But one thing that is almost a certainty is the continued advancement in our communications infrastructure. Fibre optic lines are being run to smaller towns and cities. Services like Google Fiber, which is now only available at 6 gigabit per second, have shown the current capabilities of our internet infrastructure. As services like this expand we can expect to see a large increase in the number of users seeking streams as the service they expect to interact with will be more stable than it currently is now. Livestreaming, at the moment, is used frequently by gamers and Esports and hasn’t yet seen the mass commercial expansion that is coming. The future of live streaming is on its way. For clues for how it may be in North America we can look to Asia (taobao). Currently, livestreaming is quite popular in the East in terms of a phenomenon that hasn’t quite taken hold on us Westerners, Live Commerce. With retail stores closing left and right, we can’t expect Amazon to pick up all of the slack (as much as I’m sure they would like to). Live streaming affords entrepreneurs and retailers a new opportunity for sales and growth. Live streaming isn’t the way of the future, video will never die, but the two will co-exist and be used for different purposes, as they are now. Live streaming can bring serious benefits to education as well by offering classrooms guest lessons and tutorials by leading professionals. Live streaming is more beneficial for education than video as it allows students to interact with guest teachers in real-time. The live streaming market is waiting to be tapped. Right now there are some prospectors, but in North America, no one has really found the vein leading to the mine. So maybe it’s time to get prospecting. The 2019–20 network television schedule for the five major English-language commercial broadcast networks in the United States covers the prime time hours from September 2019 to August 2020. The schedule is followed by a list per network of returning series, new series, and series canceled after the 2018–19 season.

❏ STREAMING MEDIA ❏

Streaming media is multimedia that is constantly received by and presented to an end-user while being delivered by a provider. The verb to stream refers to the process of delivering or obtaining media in this manner.[clarification needed] Streaming refers to the delivery method of the medium, rather than the medium itself. Distinguishing delivery method from the media distributed applies specifically to telecommunications networks, as most of the delivery systems are either inherently streaming (e.g. radio, television, streaming apps) or inherently non-streaming (e.g. books, video cassettes, audio CDs). There are challenges with streaming content on the Internet. For example, users whose Internet connection lacks sufficient bandwidth may experience stops, lags, or slow buffering of the content. And users lacking compatible hardware or software systems may be unable to stream certain content. Live streaming is the delivery of Internet content in real-time much as live television broadcasts content over the airwaves via a television signal. Live internet streaming requires a form of source media (e.g. a video camera, an audio interface, screen capture software), an encoder to digitize the content, a media publisher, and a content delivery network to distribute and deliver the content. Live streaming does not need to be recorded at the origination point, although it frequently is. Streaming is an alternative to file downloading, a process in which the end-user obtains the entire file for the content before watching or listening to it. Through streaming, an end-user can use their media player to start playing digital video or digital audio content before the entire file has been transmitted. The term “streaming media” can apply to media other than video and audio, such as live closed captioning, ticker tape, and real-time text, which are all considered “streaming text”.

❏ COPYRIGHT CONTENT ❏

Copyright is a type of intellectual property that gives its owner the exclusive right to make copies of a creative work, usually for a limited time.[1][2][3][4][5] The creative work may be in a literary, artistic, educational, or musical form. Copyright is intended to protect the original expression of an idea in the form of a creative work, but not the idea itself.[6][7][8] A copyright is subject to limitations based on public interest considerations, such as the fair use doctrine in the United States. Some jurisdictions require “fixing” copyrighted works in a tangible form. It is often shared among multiple authors, each of whom holds a set of rights to use or license the work, and who are commonly referred to as rights holders.[citation needed][9][10][11][12] These rights frequently include reproduction, control over derivative works, distribution, public performance, and moral rights such as attribution.[13] Copyrights can be granted by public law and are in that case considered “territorial rights”. This means that copyrights granted by the law of a certain state, do not extend beyond the territory of that specific jurisdiction. Copyrights of this type vary by country; many countries, and sometimes a large group of countries, have made agreements with other countries on procedures applicable when works “cross” national borders or national rights are inconsistent.[14] Typically, the public law duration of a copyright expires 50 to 100 years after the creator dies, depending on the jurisdiction. Some countries require certain copyright formalities[5] to establishing copyright, others recognize copyright in any completed work, without a formal registration. It is widely believed that copyrights are a must to foster cultural diversity and creativity. However, Parc argues that contrary to prevailing beliefs, imitation and copying do not restrict cultural creativity or diversity but in fact support them further. This argument has been supported by many examples such as Millet and Van Gogh, Picasso, Manet, and Monet, etc.[15]

❏ GOODS OF SERVICES ❏

Credit (from Latin credit, “(he/she/it) believes”) is the trust which allows one party to provide money or resources to another party wherein the second party does not reimburse the first party immediately (thereby generating a debt), but promises either to repay or return those resources (or other materials of equal value) at a later date.[1] In other words, credit is a method of making reciprocity formal, legally enforceable, and extensible to a large group of unrelated people. The resources provided may be financial (e.g. granting a loan), or they may consist of goods or services (e.g. consumer credit). Credit encompasses any form of deferred payment.[2] Credit is extended by a creditor, also known as a lender, to a debtor, also known as a borrower.

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lightingclark · 5 years ago

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Clark groaned as she looked at her text before throwing her phone back in her pocket. Finishing up the back of house inventory, she gave the manager the clipboard to double check and clocked out before running to the pick up stop outside the mall. Once inside the van, her leg wouldn’t stop bouncing as she wanted to get home as soon as possible. Thankfully, the ride was short and she quickly hopped out of the van, thanking the driver, before running to the Dominant dorms. Once inside, she stopped for a moment and took a deep breath before making her way to the elevator. Once inside, she began stripping down and stuffing her clothes into her backpack before exiting completely naked. Smirking, she ran a hand through her hair before she walked into their shared dorm. “Honey I’m home” she called out as she placed the bag down next to the door.

@deni-lee

#deni #para

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talektoubale-blog · 8 years ago

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Nina Toubale, University of Brighton S&M Princess www.ninatoubale.com https://www.google.co.uk/search?q=nina+toubale#q=nina+toubale&filter=0

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Nina Toubale - S&M at University of Brighton, United Kingdom

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marlaluster · 8 years ago

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emptying clipboard

Got you a crew n erythang! You do it, boi! Getting that paper. #youblacknow All about that paper! Telling in the videos n such, all out for that! https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-9/fr/cp0/e15/q65/10330515_10203122050866970_6331116888606752702_n.jpg?efg=eyJpIjoidCJ9&oh=adf2c33612f6b52625130063cfa1a9f3&oe=58D9D225 https://m.facebook.com/photo.php?fbid=10203122050866970&id=1077706984&set=ecnf.1077706984&source=49 https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-9/fr/cp0/e15/q65/12065934_10206732262079994_2557197137098575832_n.jpg?efg=eyJpIjoidCJ9&oh=6c152d6653003964de40541caa4270f3&oe=58DBD3FB https://m.facebook.com/photo.php?fbid=10206732262079994&id=1077706984&set=ecnf.1077706984&source=49 https://m.facebook.com/john.guillama.9?stype=ms&s=1077706984 You're invited to the group!Amy Dumas invited you to FTW! Fans Talking Wrestling! Join now to get involved in the conversation. Join Group No Thanks Mark Invite as Spam FTW! Fans Talking Wrestling! Secret Group Join Group Amy Dumas and Ellis D. Pollard are in this group Secret Group Only members can find the group and see posts. About Welcome to FTW. First things first...The group belongs to Lynne Papadimitriou, it's her group, she owns it. We Provide you with the best news and updates, results, live coverage and discussion topics. You'll always learn something new here. Share your thoughts and opinions openly and freely. We are all here because we are Fans. Travis Richard is the Slave here in FTW and will do as you say at all time or will be Banished from the Queendom. if you wish to use the slave to be your footstool, kiss your ass, design cover photos for you, or whatever you choose, just snap your fingers and he will come Crawling to serve you. The Slave can only speak if you tell him to Speak and Must shut up when you tell him to shut up. He is also is the FTW jobber, anytime you want to face him in a match, he won't fight back (he knows what'll happen if he does) you can defeat him anytime you want, he'll lose every time. he's your practice dummy, a punching bag for you. There are rules to follow in order for everyone to enjoy the group. - No nudity or obscene posts (be tasteful) - No Spam Posts. - be Respectful to the other members and realize not everyone will always share your opinions, creative discussions are allowed... abusing someone for a difference of opinion is not! - we have 54000 members in counting and we love bringing everyone together that being said this is not an 'add me group' please respect that and don't post 'add me' posts.. - We have worked hard to gain the following we have so do not use the group to help gain followers for your own page, twitter, blogs, podcasts, ect. you should work just as hard as we did to gain your own following . - This is not a PG group. Children are not allowed. We will not censor ourselves so parents be responsible enough to monitor your children's Facebook activity. - NO racial or Homophobic language will be tolerated, this group is for all fans & we will not hesitate to block anyway who breaches this rule regardless if it is their first offence Any posts made breaking these rules will be removed. Repeat offenders will be banned. If you happen to see a post that you believe to be Inappropriate please use the report to admin feature instead of report to Facebook. If your having any type of problem or have a question don't hesitate to contact an admin and we will be happy to help or point you in the right direction! Respect your admins. They work ridiculously hard to keep this page alive and dedicate a lot of their time to make sure you hear all the latest news and gossip! Your FTW Queendom: Boss Lynne Papadimitriou. Leslie Watson Michelle Lee Ann Clark Crystal Richards. Samantha Cantu. Holly Pittillo MissElizabeth Christine Queen`T Tanya Favela Royal`T Tiffåny L Tånner https://m.facebook.com/groupslanding/?group_id=380968791956883&notif_t=group_invited_to_group&notif_id=1483634351406350&ref=m_notif https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-9/fr/cp0/e15/q65/10429429_10203496504908087_9162428814078685553_n.jpg?efg=eyJpIjoidCJ9&oh=c567546a50cd719b2809608588b80cb9&oe=58E1398A https://m.facebook.com/photo.php?fbid=10203496504908087&id=1077706984&set=ecnf.1077706984&source=49 https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-9/fr/cp0/e15/q65/11113942_10205338143587903_7772107501807665542_n.jpg?efg=eyJpIjoidCJ9&oh=ec9747677c8398b5dba7186aa6748168&oe=59239C9C https://m.facebook.com/photo.php?fbid=10205338143587903&id=1077706984&set=ecnf.1077706984&source=49 https://m.facebook.com/story.php?story_fbid=10154856180563453&id=506733452 https://m.facebook.com/photo.php?fbid=10103777420261569&id=25824849&set=ecnf.25824849&source=49 https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-9/fr/cp0/e15/q65/12495018_10103718662642309_1978504812286617112_n.jpg?efg=eyJpIjoidCJ9&oh=adb883cda9857df2e4cc5c24e5daf73d&oe=58E02D28 https://m.facebook.com/photo.php?fbid=10103718662642309&id=25824849&set=a.840768281719.2471282.25824849&source=48 https://scontent.fztf1-1.fna.fbcdn.net/v/t31.0-8/fr/cp0/e15/q65/14468702_10155281614734606_2408216119021563501_o.jpg?efg=eyJpIjoidCJ9&oh=a607291f9edbd916fc26a4466f9635d4&oe=5915C2B6 https://m.facebook.com/photo.php?fbid=10155281614734606&id=829169605&set=ecnf.829169605&source=49 https://m.facebook.com/story.php?story_fbid=10155493202494606&id=829169605&fs=4 https://scontent.fztf1-1.fna.fbcdn.net/v/t1.0-0/cp0/e15/q65/p600x600/12294719_10154339346894606_1173453256514843494_n.jpg?efg=eyJpIjoidCJ9&oh=3278545233d694d34b81f9b9403ef103&oe=58D80D1D

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kristinsimmons · 5 years ago

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Those Digital Health IPOs—Flipping the Stack & Filling the Gap

By MATTHEW HOLT

I’ve been driven steadily nuts by a series of recent articles that are sort of describing what’s happening in health tech or (because the term won’t die) digital health, so I thought it was time for the definitive explanation. Yeah, yeah, humility ain’t my strong suit.

It won’t have escaped your attention that, after five years during which Castlight Health more or less single-handedly killed the IPO market for new health tech companies, suddenly in the middle of July 2019 we have three digital health companies going public. While Livongo, (FD-a THCB sponsor) Phreesia and Health Catalyst are all a little bit different, I’m going to use them to explain what the last decade of health tech evolution has meant.

Don’t get carried away by the precise details of the IPOs. Phressia is already out with a market cap of $845m. Yes, it’s true that none of the three are profitable yet, but they are all showing decent revenue growth at an annual run rate of $100m+ and Livongo in particular has been on a client acquisition and annual triple digit revenue growth tear. It’s also the newest of these companies, founded only in 2014, albeit by buying another company (EosHealth) founded in 2008 that had some of the tech they launched with. Going public doesn’t really mean that the health care market will swoon for them, nor that they are guaranteed to change the world. After all, as I pointed out in my recent somewhat (ok, very) cynical 12 rules for health tech startups, UnitedHealth Group has $250 Billion in revenue and doesn’t seem to be able to change the system. And anyone who remembers the eHealth bust of 2000-2002 knows that just because you get to the IPO, it’s no guarantee of success or even survival.

But just by virtue of making it this far and being around the 1/10th of 1% of health tech startups to make it to IPO, we can call all three a success. But what do they do?

They are all using new technologies to tackle longstanding health care problems.

Phreesia gives provider organizations tablets which their patients use to fill in that clipboard information, pay their bills, and get to see a little (pharma-sponsored) health content.

Health Catalyst delivers data warehousing and analytics for some of the biggest provider systems in the country. Its technology is delivered on-premise for enterprises but it’s increasingly moving to the cloud (which is more scalable and more profitable). Very unusually for a pure tech company Health Catalyst also goes at risk for its clients’ outcomes.

Livongo helps people manage their chronic conditions (mostly diabetes, but also high blood pressure, obesity, and some mental health issues) delivering a combination of products like infomated glucose meters, services including coaching, and data analytics.

The type of problem that they’re individually going after tells you about the major problems in health care.

A. Clinical care delivery in the current system

First, there’s the mess that is clinical care delivery at the coalface. We just spent $40 odd billion of the Chinese taxpayers money on putting in EMRs. We’ve paved the cowpath. In fact we have created a hidebound referral structure that locks in place the dominance of the current delivery systems. That’s not to say that EMRs haven’t improved clinical care. I’d argue they have, even if they’ve driven clinicians crazy in the process, but they’ve cemented in place what we did, and made it harder for more innovative care patterns to be introduced. That has to change and it is changing in three main ways.

1) The data in the EMR is slowly being opened up via API access (FHIR, SMART on FHIR, TEFCA and all that), leading to the ability to use that data in new tools and services. More and more app stores and interfaces are being introduced, and more companies like Xealth and Unite.us are building access directly into the EMR workflow.

2) The second main trend is the need to create a way to incorporate more and more data that isn’t in the current clinical workflow. Phreesia sits in this space. In their case, they collect patient administrative information, patient surveys and pre- and post-visit information. This all ends up in the patient record. Phreesia also gets administrative data off paper and deals with payment. Finally it returns information back to the patient. All of this was previously done on paper, or not at all, and was done badly. Now this patient generated data, which will soon include more and more data generated outside the clinician’s office, will be part of the record. It will also improve administrative efficiency.

3) The third trend, is the ability to analyze this data to improve what we know and change workflows to improve outcomes. Health Catalyst, which started as a new type of data warehouse under the EMR, is now providing more and more analytics and, as I mentioned, is even going at risk for the resulting outcomes. They’re by no means alone, with startups like Qventus and Ayasdi using data to change workflow and clinical patterns across hospitals and systems. It’s part of a much wider move to use data, analytics, AI and algorithms to understand what works and what doesn’t. Of course the big question is whether this will change outcomes and reduce costs. But irrespective of that, the availability of data will lead to much greater use of analytics across health care, and more and more venture dollars will be invested there.

B. The New New Thing

For those who remember Jim Clark and Healtheon, the similarity of today’s “New New Thing” to that of 20 years ago is that new players are trying to go around the system. Unlike 20 years ago, it’s not so much about putting an intermediary between the insurer and the provider, rather it’s attempting to get at patient care at the source. The source is of course chronic illness. Now Al Lewis may claim that, especially for the under-65 population, chronic illness isn’t the driver of costs for inpatient care that you’ll hear about at conferences and from the CDC, but there’s no question that difference in cost between a controlled vs uncontrolled chronically ill patient is significant.

That means a raft of new service businesses incorporating devices, technology, coaching and analytics to try to track and change the behavior and hopefully the outcomes of those with chronic disease. That starts with diabetes, moving onto heart disease, high blood pressure, mental health and respiratory conditions (asthma and COPD). Dozens of companies are focusing on all of these and Livongo is squarely in this space.

Indu Subaiya and I have called this “flipping the stack.” Instead of starting with the care encounter and layering services and tech on top of that, this new approach is starting with technology (particularly at home tracking of the chronically ill), then layering on services, with face to face clinical interventions only being used when needed.

Dozens of companies are putting together this in-home layer and many more are coming in as IOT infomates the bathroom and the bedroom. But the one area has been a little separate is telehealth. That’s because it started as a substitute for minor acute care issues for healthy people, rather than a way to care for the chronically ill. But that’s already changing. Doctors on Demand now claims it does chronic care management, Teladoc has invested in coaching platform Vida, and I would-be very surprised if Livongo doesn’t bump up the acuity level that it can deal with—probably by buying a telehealth service and partnering with a (or starting its own) medical group. Its keto-diet based competitor Virta, already has its own doctors—even if Livongo’s Glen Tullman is not a fan! (He probably likes his ice cream as much as I do…)

The end result is that Livongo is the first of a new type of care management company out of the gate. Don’t forget that Lee Shapiro and Glen Tullman bought dozens of companies while they were running Allscripts and they have already put together either external or internal tech services for diabetes, pre-diabetes, high blood pressure and mental health. They will certainly add technologies for tracking and monitoring, more behavior change tools, more telehealth services, and probably more pharmacy/medication tools and more home visits. Next of course is the move from focusing on the under-65 population to the really expensive folk in Medicare and Medicaid

So the real question that emerges is what is the future of health care delivery? And who is in charge?

Right now 99% of care is delivered through traditional health care systems. They in turn are connected to their physical plant–hospitals and clinics. But everyone knows that the health system of the future will be much more about meeting patients where they are. Will the current players extend out to these new locations? Will specialist new companies like Livongo take that role? Or will the consumer tech giants that already access the home like Amazon, Google, Apple, Comcast et al end up delivering the devices tech and services for the chronically ill?

And of course what do the other giants, the insurers who are adding technology and delivery capability–notably United/Optum and CVS/Aetna–end up doing in-house and what do they outsource?

The IPOs this week are part of a significant shift in the health care ecosystem. Of course it doesn’t mean that Phreesia will integrate all patient data into the current delivery system, that Health Catalyst will revolutionize delivery system analytics, or that Livongo will change the location of care management. But these are core parts of the next generation of the health system, and by going public they are both signalling that potential to the market and putting themselves in position to be significant players in the future.

Matthew Holt is the publisher of THCB and co-founder of Health 2.0

Those Digital Health IPOs—Flipping the Stack & Filling the Gap published first on https://wittooth.tumblr.com/

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lauramalchowblog · 5 years ago

Text

Those Digital Health IPOs—Flipping the Stack & Filling the Gap

By MATTHEW HOLT

But just by virtue of making it this far and being around the 1/10th of 1% of health tech startups to make it to IPO, we can call all three a success. But what do they do?

They are all using new technologies to tackle longstanding health care problems.

Phreesia gives provider organizations tablets which their patients use to fill in that clipboard information, pay their bills, and get to see a little (pharma-sponsored) health content.

The type of problem that they’re individually going after tells you about the major problems in health care.

A. Clinical care delivery in the current system

B. The New New Thing

So the real question that emerges is what is the future of health care delivery? And who is in charge?

And of course what do the other giants, the insurers who are adding technology and delivery capability–notably United/Optum and CVS/Aetna–end up doing in-house and what do they outsource?

Matthew Holt is the publisher of THCB and co-founder of Health 2.0

Those Digital Health IPOs—Flipping the Stack & Filling the Gap published first on https://venabeahan.tumblr.com

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wyueprouqi · 8 years ago

Text

Chapter Six

Pain

“I know it sounds crazy,” said Ben, “But I'm sure of it. I'm sure that girl was slowing down time.” In the bar in front of him sat a drink that he'd been nursing through his entire conversation with Ezra. It was near one in the afternoon the day after working his first shift with Lee.

“I didn't think anyone else could do it, I mean other than you,” he added. Ben lifted his drink gingerly and stared down into the glass, watching the bubbles as they floated to the surface. Ezra was silent, slowly checking off a list for an order that he had to make.

“It was the strangest thing. I thought it was that djinn, but she kept on fading out, the way you do sometimes. And it was looking at her, and moving toward her, like it wanted her attention. It had no interest in me. Took a lot of rocks to get that thing angry enough to follow me.”

Ezra set the clipboard down and leaned against the bar. Though he had been mostly silent for this conversation, he was thinking. Meeting the girl was a very strange encounter to begin with, but this odd behavior from the djinn and the fact she had been marked with something let him know for sure she was of interest to them. But being able to slow down time on her own? That meant that she wasn't completely grounded in this world. How much of a target would she be for them?

“Not just that, but she knew something was up. I can't shake it though, that feeling,” said Ben, “It's not the same from when you do it. How can she do that?”

“She's cursed,” said Ezra, “The day we made our agreement, she hadn't been.”

“You think that's what did it? Hang on...are they looking for her?” asked Ben.

“They may be,” said Ezra, “The only reason I made contact with her was because of a tear that occurred near her. I didn't think it had anything to do with her. After what happened last night, I’m no longer sure.”

“You don't think they'd hurt her, do you?”

“They would have done it already,” Ezra replied, “They need her.”

“Well, what do you want to do?” Ben asked.

“She needs to be protected,” said Ezra, “I don't want to take any chances by letting her continue to live near that tear. I'll have to locate it immediately.” He lifted the bar and walked out.

“I'm relying on you to watch over her for the time being,” Ezra said, “Gain her trust. It will be easier to explain things to her should it become necessary to relocate her.

“Hang on – I like the kid, but what do I get in exchange?” asked Ben, crossing his arms, “I'm a very busy man after all.”

“I'll compensate you,” said Ezra darkly, “Don't screw it up.”

Lee was staring into space, her mind wandering. She was exhausted from the previous night. Luckily, she was in Clark's class, where she was able to zone out without the fear of being called on. She was half tempted to go to sleep, but she wasn't that disrespectful. Maybe she should have skipped class.

Something was clawing at the back of her mind. She'd forgotten something. As Clark dismissed the class and she got up to leave, she remembered what it was.

“Lee, can I talk to you?” Clark asked. She'd forgotten all about their meeting.

“Yeah, sure,” she said, putting her stuff back down. Clark walked over to her and sat down on a chair next to her. It was always strange, seeing him sitting so close in a classroom. It made Lee feel vulnerable.

“There's no easy way to say this,” he began, “But it’s probably best to just get straight to it. You've always been an excellent student in the past, but this semester...I don't know what's going on, but you're not doing so great.” Lee felt her face go red. She didn't say anything.

“And I hate to see you struggling in your school work, but it's getting bad,” he said. He hesitated and then placed a paper down on her desk, “This is a notice of academic probation. I received it today for you.” Lee stared down at the paper blankly.

“If your grades continue like this, you might lose your scholarship,” he said finally.

“I didn't think I was doing that badly,” said Lee quietly, her face burning. She continued to look down at the paper, which began to blur in front of her. She could feel her insides starting to ache.

“The complaint says you're continually late to classes, that you're not turning in assignments or doing homework. And it’s not just for one class,” he said, “I've noticed a change in your work in here as well.” Lee kept staring at the lines on the page. The darkness of the letters against the paper seemed unusual to her. “Is everything ok? Is there something going on?”

Lee wasn’t sure what to say. She didn’t want to say anything. She didn’t want to have this conversation. She could feel her eyes burning as she tried to keep them from tearing. She hoped he couldn’t see it, but she knew he could from the rising tension in the air. Lee always felt the need to be strong, to show no weakness. It was how she learned to get by. There was so much she had been pushing to the back of her mind, but talking about it with anyone, especially one of her teachers, wasn’t something she was ready to do. She wasn’t prepared to confront everything that had happened.

“Nothing’s going on,” she said, unconvincingly.

“It can’t be nothing,” he pressed, “Your grades were much higher last year. If someone had told me then that you were failing, I wouldn’t have believed them. This year…this year is different.”

“Clark, I don’t know,” she said, slightly irritated. They sat in silence for a few moments.

“If I were you, I’d talk to your instructors as soon as possible to figure out what you can do to fix this,” he said. He paused, and continued, “And I think, maybe, it would be best for you to consider taking a semester off.” Lee could tell that he was waiting for her reply, but she said nothing.

“If you do that, there’s no guarantee that you can keep your scholarship,” said Clark, “But considering that you haven’t picked a program yet, you could take that time and use it to think about what you want to do in life.”

“I can’t,” said Lee, “If I lose my scholarship, I won’t be able to come back.”

“You could take out a loan, maybe take classes at a community college and transfer them over.”

“No,” she said quietly, “That won’t work.” She could feel her anxiety turning her stomach. She felt like she was going to puke. Her mind had gone blank and her head felt like cement.

“If money’s the issue, there’s plenty of options to look into,” he said, “If you want, we could talk to financial aid. They’d know more about scholarships you might be eligible for. Or at least loans that you can apply for.”

“It wouldn’t be enough,” she said, “I can’t take out loans if I don’t have a co-signer.”

“I’m sure your parents would-”

“Clark, you don’t know my mother,” said Lee with annoyance, “My parents won’t help me out. They don’t even want me here.” Clark’s face shifted, his eyes softening. She was starting to say more than she had planned to. The only thing she wanted to do was end the conversation as quickly as possible and leave. There was silence between them for a few moments.

“Things really aren’t great at home, are they?” he asked hesitantly. Lee felt a shock run through her body. Anger flushed her face.

“It’s none of your business,” she snapped.

“I’m sorry,” he said, “I didn’t mean to pry-”

“Then you shouldn’t have,” she said angrily, standing up, “I have to go.” She picked up her backpack and started toward the door. Clark also stood.

“Please, Lee, wait,” said Clark, “I know it’s stressful. Not too long ago I was a student dealing with this kind of stuff too. I know how tough it can be. Maybe right now, you just need some time to relax and cool down.” Lee moved her hand to the door knob. She could hear him walking behind her.

“Look, I want things to work out for you. You’re a good kid. You’re intelligent and talented. You’re just in a bad place right now,” he said quickly, “I want to help you.” Lee paused. She could feel the overflow of tears running down her face. She hadn’t meant to get angry at him. She knew he only wanted her to do well. She felt Clark’s hand on her shoulder. For a minute, they didn’t say anything.

“Please. I’ll look into some options for you. A work-study program could help. And maybe you can talk to your teachers about extending the deadlines on your work. We can figure something out. Something that means you won’t have to leave for a semester,” he said, his voice low, “But you need to tell me what’s going on.” Lee stayed quiet. She felt the tears fall from her jaw onto the fingers she had wrapped so tightly around the strap of her backpack.

“Listen, I’ll talk to you about this again later, when things are better. Would that be okay?” Clark said slowly. Lee nodded silently, and used her sleeve to wipe away her tears. She wanted nothing more than to be somewhere else.

“Are you okay?” he asked slowly. Lee sniffed and cleared her throat.

“Yeah,” she said, voice weak and barely above a whisper, “I have to get to work. I’ll see you later.” She turned the door knob.

“You know you can talk to me, right?” he said awkwardly, trying to keep her from going. Lee pushed open the door and stepped out into the hallway. She looked up at him and her eyes met his as she shut the door. She’d never seen him so hurt.

Lee lay curled up in bed. She had been laying there for the last hour, quiet tears running sideways down her face. Most of them had dried, except for the few that had pooled in the space next to her tear duct. They had grown cold, but Lee didn’t feel like moving her arm to wipe them away.

Now what? She knew that things were getting bad, but she thought she had the time to fix them. She stared at the window, which was gradually darkening as daylight faded. She was in so much pain, and nothing was helping. Try as she might, she was unable to sleep. Something was bothering her, driving her to stay awake. She couldn’t put her finger on it. It could have been that she had so much work to do, but she knew that wasn’t the case. She wasn’t in the state of mind where she would be able to concentrate on writing essays anyway. She took out her phone and looked through it, trying to find someone she could talk to.

Her phone highlighted a name she hadn’t wanted to see, and her heart stung. She didn’t even know why it was in her contacts anymore, but she didn’t have the strength to delete it. It wasn’t as though she was going to talk to him ever again.

In the years before this semester, Lee had a group of friends at school. In this group of friends was her sometimes boyfriend, Ryan - the sometimes boyfriend who had at one point worked so hard to lift her up and made her feel like she wasn’t alone most of the time. That was until he tore her apart like she never mattered.

They did everything together. Nights spent drinking, going to parties, concerts. And Lee became a part of his life, meeting his parents and brothers, playing with their dog, going on trips with him, spending nights in his childhood home, sneaking around and going on late night drives when they felt like they needed to get away.

Lee should have known that happiness wouldn’t last. Lee wasn’t meant to be happy. She should have known it when he never asked to be a part of her life or bothering trying to get to know the real her. She knew she was just a distraction, but she refused to see it because she didn’t want anyone to see what her life was really like. If they did, they would see just how much of a loser she really was. A mother that didn’t want her, a sister who bullied and screamed to get her way, and a step-father who just lingered in the background, providing support for the both of them while Lee took all of their shit. Lee wasn’t even sure that there was a “her” to get to know. When she tried to think of who she was as a person, she felt empty.

Ryan didn’t return to school this year. He’d decided to transfer out in the previous semester. They broke up during the summer, his words harsh and callous, the breakup quick and sudden, as though she meant nothing to him. Within a month, he had a new girlfriend, prettier, thinner, and with a perfect, normal life.

Lee’s family offered her no support when they found out, instead treating it as the newest piece of gossip that they’d been dying to hear.

Just when she thought it was over and she could heal, it became worse in September. Back at school, that group of friends, the ones who she’d once hung out with every day, began to slowly disappear, one by one, until Lee was alone again. She’d see them around every once in a while, but things were too awkward for her to say anything. When she walked away, she knew about the whispers that followed her. To them, she was nothing more than a freak.

Lee turned off her phone. She had to get ready for work.

For the first half of the night, things were going relatively smoothly. Lee tried to put her academic problems in the back of her mind and concentrate on what she was doing, but her heart was weighed down.

“You ok?” asked Rose as she cleared a table.

“What?” Lee asked.

“You seem a little distracted,” said Rose, and nodded toward the bar, “He’s going to notice.” Lee shrugged, trying to save face. She was going to ask Ezra to break her contract at the end of the night. She needed to focus on her schoolwork more. If she was working most nights and jumping back and forth through time, there was no way she would be able to catch up.

Ben showed up about half an hour later. He was dressed in the same clothes from the night before. Lee wondered if it meant Ezra was going to leave on business again. Instead, he shared a few words with Ezra, walked away from the bar and up to Lee.

“I’m taking over for you,” he said, “I’ll take those.”

“What am I supposed to do then?”

“Go talk to Ezra,” said Ben, who for once seemed serious, “He’s got a different job for you.”

Lee looked over at the bar and made her way over. She watched Ezra for a few minutes, not wanting to interrupt him from his work. As soon as he finished with his customers, he set a box full of dirty dishware on the bar in front of her.

“Take these to the back,” he said, “Get them clean and bring them back out. Be quick about it.”

Lee was surprised by this request, but did as she was told. As she was cleaning her fifth glass, she noticed that Sam was watching her.

“You don’t have to wash those,” he said, “I can have someone take care of it. Or you could take out the clean ones we already have.”

“Ezra told me to,” she said, rinsing it off. She was a little angry about it.

“Is that so?” he said, his face cracking a smile, “You must’ve done something to make him mad. I’d watch out if I were you. He holds grudges.” Lee watched as he walked away.

About a half of an hour later, Lee returned with the cleaned glasses.

“These aren’t dry,” Ezra said, picking them up and inspecting each one. Lee felt herself getting annoyed. He handed her a clean rag and she began to wipe them down, hiding her irritation. Ezra set down a tray with drinks next to her.

“Take these over to that table.” Lee put down the glass she was working on and grabbed the tray. Behind the bar, she could see that Ezra had plenty of glasses to last him a few hours. Maybe Sam had been right. Ezra was mad at her for some reason. As soon as Lee returned, Ezra turned his attention to her once again.

“Did you finish with the glasses?” he asked.

“No, I’m almost done.”

“You’re not moving fast enough.”

“But you told me to bring those drinks to them.”

“You’re not moving fast enough,” he repeated, “You need to hurry up. This is a fast paced job. If you don’t like it, then I’ll send you to work in the back.”

“Okay,” said Lee, trying to contain her temper. She picked up the rag again and had them done a few minutes later. She stood next to the bar and waited patiently for him to come over and take them from her. He ignored her instead.

“I’m busy,” he said without looking at her, “Come back here and put them up.” She sighed and stepped behind the bar. She was surprised to find that it was much wider back there than she had expected. She knelt down and stacked the glasses up on top of the others. A piece of paper waved in her face.

“I need these,” Ezra said, “Give it to Sam, he’ll help you get them.”

“Ok. I’m almost done with the glasses,” she said, taking the paper from him.

“And get a bag of ice while you’re back there,” he added. Lee rolled her eyes as she walked away. As she walked into the back room, she ran into Ben, who was walking back out. He looked at the bar and pulled her aside for a moment.

“If you want to impress him,” he said, “You should also grab a bottle of vodka and maybe some lemons and limes. He’s running low. And make sure you use the cart, but don’t bring it onto the floor. Well, unless you really want to see him yell. Just leave it next to the door.”

“Oh. Thanks,” said Lee, her face tinted a light pink, “Does he do this to everyone?”

“Nope, you’re just his new favorite target,” said Ben, a wide smile on his face as he went back out into the bar, “But I got your back!”

Lee went into storage and found the cart that Ben had told her about. She asked Sam about what she needed and he stacked it onto the cart for her.

“Also, a lemon and a lime,” she said, timidly.

“It’s not on the list,” said Sam.

“Ben told me to do it. Ezra might get off my case if I make him happy.” Sam smiled.

“A noble pursuit,” he said, “Stupid, and pointless, but still noble.”

Lee brought the vodka and the ice out to Ezra first. She handed the bottle directly to him, and he took it without a word of thanks.

“The ice goes into this bin. Close it when you’re done. Put the drinks in the fridge,” he said in response, “After you’re done that, I need lemon wedges.” Lee took the lemon and lime from out of her apron and set them down next to him, and finished putting everything else away.

Lee cut the lemons and limes, and set them in their own bowls in the ice. She noticed that the bar was getting cluttered with glasses, and so she began to clear the empty ones. Ezra looked over at her as she did this, and nodded. Lee felt slightly uplifted at this notion, but a second later that feeling vanished as she knocked over a drink onto a customer’s lap.

“What the hell!” the man yelled, jumping up.

“Oh god, I’m so sorry!” she said.

“The fuck is wrong with you?!” he yelled.

“Let me get you a towel,” she said. She looked up at Ezra, but he wasn’t watching what had just happened.

“What are you, fucking stupid or something? Not even watching what the fuck you’re doing.” Lee felt herself growing more pissed off at the customer.

“This fucking bitch isn’t even acting like she’s sorry.” That was it for Lee. She turned to tell him to fuck off, but noticed something strange was going on. The sounds around her were becoming more stretched out, almost warping. She watched the man’s mouth open and close, the speed reduced significantly. His voice no longer seemed to be coming from him. Lee looked across the room. It wasn’t just the man. Everyone in Lee’s line of vision was moving as though someone had put them on slow motion.

“Keep going,” she heard Ezra say from behind her. Her head turned to see him. He was standing upright, watching her.

“What are you talking about?”

“See if you can bring him to a complete stop,” he said.

“You’re not doing this?” she asked, bewildered.

“No,” he said, “And it isn’t the first time you’ve done it.”

“What-?”

“Focus. Face him,” he said, “Concentrate on his movements.” Lee was skeptical, but did as she was told.

“Deep breath,” he said. It was no good, however. The man stayed at his speed, screaming in slow motion. Lee felt herself losing her grip, as if she were lifting a weight that was too heavy, and her muscles were going to give in. She closed her eyes and squeezed them shut, trying to hold on a little longer.

The sound returned to her ears and Lee opened her eyes. Her heart was pounding slightly faster than usual. It was then that she remembered that she was being yelled at just a minute ago. She turned to look at the customer, who was no longer screaming and cursing. Instead he was casually talking to a woman who was sitting next to him. The glass was back on the bar, untouched and still partially filled. She looked over at Ezra, who had gone back to work as though nothing had happened. She turned back to the customer. He caught Lee looking at him, and smiled.

“Is there anything I can get for you?” Lee found herself asking, nervously. Her voice didn’t feel like her own. The man smiled again.

“I’m alright, thanks sweetheart,” he said, and continued his conversation. Lee was surprised by his extreme and sudden change in attitude, but didn’t have time to think about what had just happened.

“Lee,” said Ezra, “Go take a break.”

“Was he nice to you?” asked Rose. The two of them were straightening up the dining room. Rose was almost finished her side, but Lee was dragging behind. Between Ezra’s demands and what had happened earlier, she felt like she had no energy left.

“Not really,” said Lee, “Ben helped me a little though.”

“Nice of him,” said Rose, “He likes you.”

“Ben?”

“Yeah,” said the waitress, “I mean Ben likes everyone. But certain people he takes to really easily.”

“You mean all the girls he flirts with?”

“He doesn’t like you that way,” she said, “At least I don’t think so.”

“How did you get involved with all of this anyway?” asked Lee. The waitress’ eyes dimmed. Lee immediately realized that she shouldn’t have asked.

“Sorry, I didn’t mean to-”

“No it’s fine,” she said, and then looked away, “My agreement…” She mused for a moment.

“Sometimes we make mistakes that cut a little too deeply. Either way, I didn’t realize that what I was really giving up was a part of my life.” A sad smile crossed her face, “Maybe I was desperate to at the time though.”

“Do you remember it?” asked Lee, who sat down across from her.

“Some of it,” said the waitress, “At least, I know the basics. It’s one of those tragic love stories. Well, tragic for me, anyway.” She paused.

“They say it’s better to have loved and lost, but I guess I only preferred the latter. Sometimes I get moments where it hurts for no reason. They pass eventually but those moments…I could understand why I did what I did. Heartbreak is a bitch.” Lee shuffled uncomfortably, thinking about her loneliness from earlier.

“What about you?” asked Rose, “Any ideas yet?”

“I almost got run over by a bus,” she said flatly. The waitress frowned.

“That’s all? Here I thought you’d have something dramatic and interesting,” she said, “Even if it was though, you probably wouldn’t remember it anyway. Well, I’m going home for the night. Don’t let them keep you too long.”

“Wait,” said Lee suddenly, “How did you meet Ezra?” The waitress looked surprised at this question, and had to think about it.

“The first time, when I wanted to forget what happened,” she said, “I’d like to think that I came here, and found him easy to talk to. When I was drunk and miserable, at least. He seems to attract that kind of company. Anyway, goodnight.” And then she left.

Lee slumped back in her seat. She hadn’t found out anything useful for her own situation, and stared at the votive that was still burning on the table. What would I trade?

“Slacking off again?” Ben was watching her from near the doorway. He’d ditched the uniform and was back to wearing t-shirts and jeans that seemed perfectly too tight. “You should be ashamed.”

“Everything’s done,” said Lee, “And you should talk, flirting with girls all night.”

“Bigger tips that way,” he said with a shrug, “So I was working quite hard. You should thank me.”

“Whatever,” said Lee, “Does this mean I can go home?”

“What do you think?”

“I think that’s not a real answer,” said Lee.

“It’s more of an answer than you think,” said the messenger, staggering backwards toward the door, “Take control of your own life. Don’t take shit from nobody.” He slammed the door. Lee realized he was drunk.

Lee put tossed the rag into the sink behind the bar. Sam, Travis and Isaac were shooting a game of pool. Ezra stood silent near the corner in the dark, leaning on the wall and waiting for his shot. She watched them for a few minutes. She felt odd and out of place, and found herself wondering what she was doing there. A familiar uncomfortable feeling was rising in the pit of her stomach, and she immediately felt as though she should leave as soon as possible.

After grabbing her stuff, she went back into the bar, discovering that everyone had left. Only Ezra remained, shooting pool quietly.

“Are you leaving?” he asked.

“Yeah,” said Lee. Ezra put the pool cue down and walked over to her, his footsteps echoing strangely in the dark room. Once again, he adjusted the watch on her wrist.

“Why do you do that?” Lee asked, immediately regretting the question.

“You don’t live nearby. It’s better if you leave earlier.” Lee felt her cheeks glow.

“I’d be fine,” she said, embarrassed.

“You wouldn’t. There are things in this world you don’t understand,” he said, then he added, “Have you experienced anything strange?”

That feeling began to return to her stomach. It was similar to the one she had the first time she had met him. Something wasn’t right. Lee realized that Ezra wasn’t looking at her. His eyes were trained on the door. He adjusted the watch again, and a strange coldness began to creep over her. She looked up at Ezra, and noticed that he was barely breathing.

“Is something wrong?” asked Lee.

Ezra moved toward the door and placed his finger on the lock, but he didn’t turn it. Lee watched him, wondering what he was up to.

“Follow me. Push the pin in when I tell you. And then go home. Do not come back tonight.” Lee began to feel as though something terrible was about to happen. She could hear something shuffling around outside.

“Are you ready?” he asked. Lee felt uneasy. He wasn’t talking about her going back to her dorm room. Something was on the other side of that door.

“Yes,” she said, uncertainly. He turned the lock and opened the door. Lee gazed over his shoulder and stepped out after him. It looked as though all of the lights had gone out, and Lee could see nothing but darkness. A loud roar filled her ears.

“NOW!” he yelled. Lee pushed the pin in.

#timeline #wyueprouqi #chapter 6 #chapter six #ezra #pain #djinn #scifi #fantasy #sci-fi & fantasy #time travel #alternate universe #alternate universes #mcallister's

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imma-vincent-van-gogh-kms · 2 months ago

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wha-POW

OC x Canon tickle art!

Spinny wheels :3

#finding Frankie tickles #lee!henry hotline #sfw twords #my art #OC x canon #ler!clark clipboard #my oc #tickle art

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kristinsimmons · 5 years ago

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Those Digital Health IPOs—Flipping the Stack & Filling the Gap

By MATTHEW HOLT

But just by virtue of making it this far and being around the 1/10th of 1% of health tech startups to make it to IPO, we can call all three a success. But what do they do?

They are all using new technologies to tackle longstanding health care problems.

Phreesia gives provider organizations tablets which their patients use to fill in that clipboard information, pay their bills, and get to see a little (pharma-sponsored) health content.

The type of problem that they’re individually going after tells you about the major problems in health care.

A. Clinical care delivery in the current system

B. The New New Thing

So the real question that emerges is what is the future of health care delivery? And who is in charge?

And of course what do the other giants, the insurers who are adding technology and delivery capability–notably United/Optum and CVS/Aetna–end up doing in-house and what do they outsource?

Matthew Holt is the publisher of THCB and co-founder of Health 2.0

Those Digital Health IPOs—Flipping the Stack & Filling the Gap published first on https://wittooth.tumblr.com/

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