Show HN: Crowdsource your optimal health stack (healthstack.app)

1 points by jamesfly ↗ HN
Dear HN, I’m proud to present healthstack.app, an idea I’ve been working on for over a year and will continue enhancing with an extensive roadmap of ideas. I made this with a friend partly out of my own personal need to keep track of my therapies after a couple accidents, but also as the basis of a greater vision for an intentional research-oriented community that provides continual value to those fighting all sorts of conditions, from something as grave as, say, cancer to something as ubiquitous as aging.

Keeping on the lighter note of aging, I’ve tested it on perhaps the biggest stack ever, the one from Bryan Johnson’s blueprint site [0]. Healthstack surfaces nearly 40 potential interactions that stack introduces. It also shows if any of the substances used are contraindicated with any of your conditions. And you’ll see a log of someone’s activity, including rich-text journal posts. Viewing a page for a substance, procedure, or condition links to relations on it (e.g., which conditions those who use a substance have). And you can check interactions without even signing up [1].

I know that publishing your health info publicly can feel weird, but it’s not without positive precedent. I have seen reddit, facebook, telegram, and twitter communities as well as sites like stuffthatworks where people do so to collaborate and help others fighting the same conditions, and it has personally helped me to see others’ successes, mistakes, and research. I’ve shared my own experiences there and made people rethink things they were deciding on with added info about complications and alternatives. I want to take the good things from those and improve on the not-so-constructive things—for example, I’ve seen some of these communities where people feel lost and without hope because they just can’t find info. I have a big feature planned to address just that.

Very importantly, please don’t do anything just because you see it on Healthstack. I think so much of the value of something like it is in provoking you to come up with questions and ideas to ask your doctors about, so you can shrink the huge power- and information-differential that often exists in such a relationship. Reading the experiences of others should help you feel empowered that you know how to get the info you are after, whether that is insisting on a test to be performed, bringing up the potential complications of something and asking how you can minimize them, or just knowing to seek a second opinion when things don’t line up. A single doctor will rarely have all the answers, but in conjunction with Healthstack I suspect you can be a much more informed patient than you would be with just one of the two.

Even if you aren’t interested in the community features, I think Healthstack is valuable enough as the living health record you own. Access to it is not contingent on continual health-insurance coverage that gives access to your health-provider portal, and you can record your own notes. How many times have you shown up for a doctor’s appointment and been asked to provide all your medications and health history and struggled to think of them? I know that won’t be a problem for me anymore [2].

I welcome any and all feedback here, in the site’s feedback form, at the email in the site’s privacy policy, or on this Trello card [3]. Be aware that the first time any particular query for a substance, condition, or procedure is searched, the request will take longer than usual since it hits a couple external APIs to store data. Take this time to revel in the fact that you were the first one to think to search something :)

[0] https://www.healthstack.app/u/MildArchaicGibbs

[1] https://www.healthstack.app/check

[2]

5 comments

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What is the business model? How do you propose to remain financially sustainable?
Important question! I plan to keep the core product free forever because I think it's important in a world of profiteering healthcare. My minimal wish is to make enough to keep it running forever. It costs about $3k a year right now, but I expect I could get these costs down with a couple infra changes. I'm fortunate to have Startup School credits covering a large part of it for the next 10 months. I have ideas for a premium plan that will give extra insights, the ability for users to make money by adding their own affiliate links to things they use, and perhaps adding over a certain number of therapies or adding things in certain categories like test results to their stack. I welcome any ideas as well.
Pretty decent answer!

In matters of health and personal data, not only are there strict laws on the books (e.g. HEPPA), but there remains the matter of trust.

I, too, think in terms of the "freemium" model, but I do so in the context of b-corps, the idea being that stockholders in a b-corp are not free to sue the board over financial matters. What that signals is that the entity was created with no option for exit strategies of the usual kind.

I work on open source biomedical NLP projects which aim to dive into the vast (and messy) PubMed literature, and all of the many databases on health, disease, microbiome, and etc. It seems to me that a project such as yours may end up wandering in similar directions.

Yes, I am conscious of the immense protections health and personal data need to be guarded under when stored together. I recognize that there are strict certifications companies get to handle such info and I don’t have those. This is another place my decision to make everything public actually shines in my opinion. If I allowed making things "private", it might give a false sense of security (and require convincing the user to entrust that I could maintain that) whereas right now I hope it is clear that you should anonymize anything you input. I do not collect any personally identifiable info other than email (which can be a burner). Even if/when I integrate payments, the user should be able to use something like privacy.com.

I'm not well versed on business structures, so I'm having a bit of trouble following your second point about b-corps with relation to freemium.

Wow, that is exactly a path I have been thinking of taking this from the start. Vaguely, I'm interested in integrating biomedical papers linked by the conditions, therapies, and causative effects they mention and allowing discussion on them. Some of the higher-quality APIs I've found with this info do charge, so I'd be especially interested to hear about the projects you work on and if their license allows for use.

We simply need to find a way to open a communication channel. I'll ping you through your website.

Our projects are open source under a viral license, one which does not preclude you from using them, but with care.

Edit: pinged in the feedback message.