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Theranos Is Subject of Criminal Probe by U.S

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41–50 of 226 posts

Re: Theranos Is Subject of Criminal Probe by U.S

#41
post #35
post #11

Like I've mentioned before, Theranos needs to shut down. The technology doesn't work (and likely it never will since blood constituents are not evenly distributed at small volumes) and its investors and executives are complicit in fraud. While half-completed/non-working solutions are fine in software world and with consumer electronics, a misreading or missed reading of blood parts can easily cost the health or life…

> blood constituents are not evenly distributed at small volumes You're saying they're running into statistical stochasticity? Are you claiming they were sampling femtoliter volumes? That's the how small you'd have to get for your claim to be true.

Actually, yeah. The variance in the amount of quantities present in the blood draws by Theranos is too high to get useful measurements (without very many replicates, defeating its purpose) according to published research: http://ajcp.oxfordjournals.org/content/144/6/885.abstract

I was also utterly astonished when I read this. Even if the experimental error of the instrument was zero, you cannot reduce the biological variance short of drawing more blood or doing multiple measurements. However, this is such a no brainer that the idea that Theranos skipped this step seemed too crazy to contemplate - apparently not though.

Re: Theranos Is Subject of Criminal Probe by U.S

#43
post #14
post #4

When I first read this headline I was thinking "Uh oh, Theranos must have very badly handled its interactions with FDA". But this is apparently the SEC investigating the company. Does anyone know how often the SEC investigates a private company with a product that's still essentially in beta testing?

The SEC is getting more aggressive about regulating large pseudo-public companies that haven't had a formal IPO, but which have many "qualified" investors.[1] Mutual funds now invest in these companies, which means ordinary investors are at risk. The SEC chair on "unicorns": "It is axiomatic that all private and public securities transactions, no matter the sophistication of the parties, must be free from fraud. Exch…

Good that the feds are doing their due diligence.

Re: Theranos Is Subject of Criminal Probe by U.S

#44
post #11

Like I've mentioned before, Theranos needs to shut down. The technology doesn't work (and likely it never will since blood constituents are not evenly distributed at small volumes) and its investors and executives are complicit in fraud. While half-completed/non-working solutions are fine in software world and with consumer electronics, a misreading or missed reading of blood parts can easily cost the health or life…

So if it doesn't work at one drop, if the Theranos sensing/sampling hardware is still good, then the fix would be to mix a large enough sample to present to the sensing system...

Re: Theranos Is Subject of Criminal Probe by U.S

#45
post #41
post #35

Earlier quoted context omitted.

> blood constituents are not evenly distributed at small volumes You're saying they're running into statistical stochasticity? Are you claiming they were sampling femtoliter volumes? That's the how small you'd have to get for your claim to be true.

Actually, yeah. The variance in the amount of quantities present in the blood draws by Theranos is too high to get useful measurements (without very many replicates, defeating its purpose) according to published research: http://ajcp.oxfordjournals.org/content/144/6/885.abstract I was also utterly astonished when I read this. Even if the experimental error of the instrument was zero, you cannot reduce the biological…

Well you also seem to have skipped what that paper is taking about. For cell counts, yes, the stochasticity claim would be true for microliter scale volumes. For molecular constituents of blood, the claim cannot be true until you drop to the femtoliter range. I don't think the company was ever approved for cell counts, but I could be wrong.

Re: Theranos Is Subject of Criminal Probe by U.S

#46
post #44
post #11

Like I've mentioned before, Theranos needs to shut down. The technology doesn't work (and likely it never will since blood constituents are not evenly distributed at small volumes) and its investors and executives are complicit in fraud. While half-completed/non-working solutions are fine in software world and with consumer electronics, a misreading or missed reading of blood parts can easily cost the health or life…

So if it doesn't work at one drop, if the Theranos sensing/sampling hardware is still good, then the fix would be to mix a large enough sample to present to the sensing system...

The one drop tech is the only reason Theranos was ever talked about. We already have equipment that works very well with larger samples.

Re: Theranos Is Subject of Criminal Probe by U.S

#47
post #35
post #11

Like I've mentioned before, Theranos needs to shut down. The technology doesn't work (and likely it never will since blood constituents are not evenly distributed at small volumes) and its investors and executives are complicit in fraud. While half-completed/non-working solutions are fine in software world and with consumer electronics, a misreading or missed reading of blood parts can easily cost the health or life…

> blood constituents are not evenly distributed at small volumes You're saying they're running into statistical stochasticity? Are you claiming they were sampling femtoliter volumes? That's the how small you'd have to get for your claim to be true.

You're wrong; a single red blood cell is several femtoliters. To get a good statistical count of much more rare (yet important) features one can sample much, much more than this and still get anomalies from having too small a sample.

Here's [1] a cool graphic showing the tip of the iceberg.

[1] https://en.wikipedia.org/wiki/File:Reference_ranges_for_bloo...

Re: Theranos Is Subject of Criminal Probe by U.S

#48
post #11

Like I've mentioned before, Theranos needs to shut down. The technology doesn't work (and likely it never will since blood constituents are not evenly distributed at small volumes) and its investors and executives are complicit in fraud. While half-completed/non-working solutions are fine in software world and with consumer electronics, a misreading or missed reading of blood parts can easily cost the health or life…

healthcare is a very hard problem. While we in the tech community may find it morbidly entertaining to watch Theranos burn to the ground. Someone out there needs to attack healthcare. The not dying motivation is fairly important.

> Someone out there needs to attack healthcare.

All the attacking that needs to be done is political/social, not technical. Want to attack healthcare? Strip middlemen out so that the money flows to providers and researchers (Single payer + pouring additional money into the NIH/NSF, with the results being public domain).

All of these YC startups I see "hacking" healthcare (Dr Chrono, HealthSherpa, etc) are just bandaids on a patient bleeding out from the jugular.

EDIT: Before you chime in to state that single payer can't be done, 58 countries [1] enable it just fine. Governments can be even more accountable than the current breed of private health insurance providers (I cannot replace the board at my insurance carrier, nor can I FOIA them).

If you want to "hack" healthcare and fix the problem, get involved in government and get single payer done.

[1] https://en.wikipedia.org/wiki/Universal_health_coverage_by_c...

Re: Theranos Is Subject of Criminal Probe by U.S

#49
post #35

Earlier quoted context omitted.

> blood constituents are not evenly distributed at small volumes You're saying they're running into statistical stochasticity? Are you claiming they were sampling femtoliter volumes? That's the how small you'd have to get for your claim to be true.

You're wrong; a single red blood cell is several femtoliters. To get a good statistical count of much more rare (yet important) features one can sample much, much more than this and still get anomalies from having too small a sample. Here's [1] a cool graphic showing the tip of the iceberg. [1] https://en.wikipedia.org/wiki/File:Reference_ranges_for_bloo...

No, I'm not wrong. You're talking about testing for cell counts, which is not -- as I understand it -- what this company was approved to do. For molecular and protein components of blood on the nanomolar range, you would not encounter this problem until you were sampling in the femtoliter regime. Just use Avogadro's number, and you'll get it.

Re: Theranos Is Subject of Criminal Probe by U.S

#50
post #45
post #41

Earlier quoted context omitted.

Actually, yeah. The variance in the amount of quantities present in the blood draws by Theranos is too high to get useful measurements (without very many replicates, defeating its purpose) according to published research: http://ajcp.oxfordjournals.org/content/144/6/885.abstract I was also utterly astonished when I read this. Even if the experimental error of the instrument was zero, you cannot reduce the biological…

Well you also seem to have skipped what that paper is taking about. For cell counts, yes, the stochasticity claim would be true for microliter scale volumes. For molecular constituents of blood, the claim cannot be true until you drop to the femtoliter range. I don't think the company was ever approved for cell counts, but I could be wrong.

Are you trying to model metabolites as perfectly diffusing molecules with D^2 proportional to an idealized Stokes radius?
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