medical research

Genetics, Genomics, Nanotechnology, and more

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Science has been interesting to me for most of my lifetime, but it wasn’t until my first child was born that I shifted from “interested” to “involved.” My eldest daughter was diagnosed with Systemic Onset Juvenile Idiopathic Arthritis (SoJIA – originally called Juvenile Rheumatoid Arthritis, or JRA) when she was 15 months old, which also happened to be about six months into the start of my old Consulting company and in the middle of a very critical Y2K ERP system upgrade and rehosting project. It was definitely a challenging time in my life.

At that time, there was very little research on JRA because it was estimated there were only 30,000 children affected by the disease, and the implication was that funding research would not have a positive ROI. This was also a few years before the breakthroughs of biological medicines like Enbrel for children.

Illustration of a human genome
Source: history.nih.gov/exhibits/genetics/images/main/collage.gif

One of the things that I learned was that this disease could be horribly debilitating. Children often had physical deformities as a result of this disease. Even worse, the systemic type that my daughter has could result in premature death. As a first-time parent, imagining that type of life for your child was extremely difficult.

Luckily, the company I had just started was taking off, so I decided to find ways to make a tangible difference for all children with this disease. We decided to take 50% of our net profits and use them to fund medical research. We aimed to fund $1 million in research and find a cure for Juvenile Arthritis within the next 5-7 years.

As someone new to “major gifts” and philanthropy, I quickly learned that some gifting vehicles were more beneficial than others. While most organizations wanted you to start a fund (which we did), the impact from that tended to be more long-term and less immediate. I met someone passionate, knowledgeable, and successful in her field who showed me a different and better approach (here’s a post that describes that in more detail).

I no longer wanted to blindly give money and hope it was used quickly and properly. Rather, I wanted to treat these donations like investments in a near-term cure. In order to be successful, I needed to understand research from both medical and scientific perspectives in these areas.  That began a new research and independent learning journey in completely new areas.

There was a lot going on in Genetics and Genomics at the time (here’s a good explanation of the difference between the two).  My interest and efforts in this area led to a position on the Medical and Scientific Advisory Committee with the Arthritis Foundation. With the exception of me, the other members were talented and successful physicians who were also involved with medical research. We met quarterly, and I did ask questions and made suggestions that made a difference. But, unlike everyone else on the committee, I needed to study and prepare for 40+ hours for each call to ensure that I had enough understanding to add value and not be a distraction.

A few years later we did work for a Nanotechnology company (more info here for those interested). The Chief Scientist wasn’t interested in explaining what they did until I described some of our research projects on gene expression. He then went into great detail about what they were doing and how he believed it would change what we do in the future. I saw that and agreed. I also started thinking of the potential for leveraging nanotechnology with medicine.

While driving today, I was listening to the “TED Radio Hour” and heard a segment about entrepreneur Richard Resnick. It was exciting because it got me thinking about this again – a topic I haven’t thought about for the past few years (the last time, I was contemplating how new analytics products could be useful in this space).

There are efforts today with custom, personalized medicines that target only specific genes for a specific outcome. The genetic modifications being performed on plants today will likely be performed on humans in the near future (I would guess within 10-15 years). The body is an incredibly adaptive organism, so it will be very challenging to implement anything that is consistently safe and effective long-term. But that day will come.

It’s not a huge leap from genetically modified “treatment cells” to true nanotechnology (not just extremely small particles). Just think, machines that can be designed to work independently within us to do what they are programmed to do and, more importantly, identify and understand adaptations (i.e., artificial intelligence) as they occur and alter their approach and treatment plan accordingly based on changes and findings. This is extremely exciting. It’s not that I want to live to be 100+ years old – because I don’t. But, being able to do things that positively impact the quality of life for children and their families is a worthy goal from my perspective.

My advice is to always continue learning, keep an open mind, and see what you can personally do to make a difference. You will never know unless you try.

Note: Updated to fix and remove dead links.

Using Technology for the Greater Good

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My company and my family funded a dozen or so medical research projects over several years. I had the pleasure of meeting and working with many brilliant MD/Ph.D. researchers. My goal was to fund $1 million in medical research and find a cure for Juvenile Arthritis. We didn’t reach that goal, but many good things came out of that research.

Something that amazed me was how research worked. Competition for funding is intense, so there was much less collaboration between institutions than I would have expected. At one point, we were funding similar projects at two institutions. The projects went in two very different directions, and it was clear that one would be much more successful than the other. It seemed almost wasteful, and I thought there must be a better, more efficient, and cost-effective way of managing research efforts.

So, in 2006 I had an idea. What if I could create a cloud-based (a very new concept at the time) research platform that would support global collaboration? It would need to support true analytical processing, statistical analysis, document management (something fairly new then), and desktop publishing. Publishing research findings is very important in this space, so my idea was to provide a workspace that supported end-to-end research efforts (inception to publication, including auditing and data collection) and fostered collaboration.

This platform would only work if there were a new way to allow interested parties to fund this research that was easy to use and could reach a large audience. Individuals could make contributions based on areas of interest, specific projects, specific individuals working on projects, or projects in a specific regional area. The idea was a lot like what Crowdtilt is today. This funding mechanism would support non-traditional collaboration and hopefully greatly impact the research community and their findings.

Additionally, this platform would support the collection of suggestions and ideas. Good ideas can come from anywhere  especially when you don’t know that something is not supposed to work.

During one funding review meeting at the Children’s Hospital of Philadelphia (CHOP), I made a naïve statement about using cortisone injections to treat TMJ arthritis. I was told why this would not work. A month or so later, I received a call explaining that my suggestion might work, with a request for another in-person meeting and additional funding. Conceptual Expansion at its best! That led to a new research project and positive results (see http://onlinelibrary.wiley.com/doi/10.1002/art.21384/pdf).

You never know where the next good idea might come from, so why not make it easy for people to share those ideas.

By the end of 2007, I had designed an architecture based on SOA (service-oriented architecture) using open-source products that would do most of what I needed. Then, in 2008 Google announced the “Project 10^100” competition. I entered, confident that I would at least get an honorable mention (alas, nothing came from this).

Then, in early 2010 I spent an hour discussing my idea with the CTO of a popular Cloud company. This CTO had a medical background, liked my idea, offered a few suggestions, and even offered to help. It was the perfect opportunity. But, I had just started a new position at work, so this project fell by the wayside. That was a shame, and I only have myself to blame. It is something that has bothered me for years.

It’s 2013, and far more tools are available today to make this platform a reality, and something like this still does not exist. I’m writing this because the idea has merit, and I think there might be others who feel the same way and would like to work on making this dream a reality. It’s a chance to leverage technology to potentially make a huge impact on society. And it can create opportunities for people in regions that might otherwise be ignored to contribute to this greater good.

Idealistic? Maybe. Possible? Absolutely!