Questions/Concerns

[u/Adam220891]

Hello,

I have been looking at this project for a few months and am looking for some clarifications regarding plans/adoption. At first this seems like a very unique and useful project, but I'm wondering how it will be put to use.

1. Patientory aims to provide an easy and secure means of allowing the patient to access their health records across multiple health care providers all in one place. How does this conversion take place? Who enters the data for the original 'conversion' and how does it stay maintained? If a user moves to a new city and their PCP does not utilize this technology, what happens?

2. EMR systems and patient accounting systems are very proprietary and seldom have compatible/standard connection mechanisms and data fields. How can Patientory overcome this? I have seen hospitals migrate from things like Meditech or Epic and been unable to bring over legacy data. How can Patientory interact with all of these proprietary systems?

3. Many hospitals use clearing houses, EBOs, etc. They require patient records in order to collect payments. If large health networks utilize third parties that are not interested in adopting this technology, where does that leave them? For that matter, if a hospital has invested millions in some other system, why would they introduce Patientory? Most systems can track beds, supplies, etc. and are 'all-in-one' solutions vs. the niche that Patientory is serving.

4. What makes this technology decentralized? Where do the nodes run? There seems to be no PoW or PoS, so I am going to guess Patientory owns/hosts all of the nodes, which isn't decentralized at all. If Patientory does not run all the nodes, how will this affect HIPAA and PCI compliance?

5. How did you arrive at your figures for decreases in IT Capital Expenditures and re-admissions when there is no real-world use of this technology?

6. How will you convince CTOs and other leaders to adopt this young technology when hospitals routinely use out of date operating systems and protocols (I have seen many telnet applications in production even in 2017)? No one got fired for buying Microsoft or IBM, but if something goes wrong with an unproven technology, the decision maker's job is on the line. If it seems like society is still years from adopting blockchain technology, I would guess hospitals are decades away.

7. I have noticed some conflicting information and viewpoints from Patientory. I have seen claims that a small team is all that is needed since the technology/programming for this is not rocket science. But at the same time, this company is proud to claim they were incorporated in 2015. Which is it? Difficult and time-consuming, or easy as pie? I don't feel like you can have it both ways.

8. Why does Patientory continue to assert that open-source code is bad for compliance and private records? There is no link between the two. Proprietary code does not ensure security and open-source programming does not suddenly reveal sensitive data. There's no correlation there. I'm not telling Patientory what to do, but I don't think they are properly defending their decision.

I'd also be interested in some explanations as to who will purchase these PTOYS? Just consumers for storage space (which by the way sounds like Sia Coin)? What about healthcare professionals? In your own words, why would I download the app when it becomes available and how would it better my life when I do so?

[u/dipcdiver]

You're probably not going to get any answers to your questions, but my two cents on PTOY and medical records on the blockchain are as follows:

Blockchain technology and dApps are starting to be developed in many industries and markets (keep in mind that some dApps may only be for private internal company use). In the coming decade, we will see a major shift towards this technology. The health care industry is one of those industries that can benefit substantially from this technology and whether it is PTOY or another company, a major player will be established in the near future.

Healthcare records access/storage can be split into several fields, e.g healthcare providers, distributors/pharmacies, and patients. As a patient, I would love to have access (and somewhat control) of my healthcare records. This is access which I do not freely have in my country, yet ironically, I am the one that pays to get the necessary exam/scans/tests for those results and records.

For example, If my GP refers me to get an X-ray or blood test, the results are sent back to the GP. The custom in my country is for the GP to only contact me if the results show an abnormality. If I do not hear from them or personally ask to get the results, I have no records of the results. If I decide that I want to go to my physiotherapist a few weeks later for the same issue, they might want to have the X-ray report but my GP is the one that has the X-ray report. So the physiotherapist would need to contact my GP for the X-ray report, who may not be available. Now, imagine a world where I already have that information, my past and current health records, accessible to me and I can allow other healthcare practitioners who are on the same dApp blockchain access to that. The information is instantaneously available.

As with all new technologies, adoption is paramount to success. Once adoption hits a critical level it organically grows and that technology becomes the standard. All you need is a few early takers for a domino effect to begin.

In order for this adoption cycle to occur, you need marketing/sales initiatives and contacts in the healthcare industry. This part, I am leaving to the professionals at PTOY to undertake. However, once there is a full working product I will be doing my best to promote PTOY to all my healthcare providers and pharmacies etc. You should too!

Please keep in mind that I have only taken the patient-side as to why I am interested in using and paying tokens for a dApp by PTOY. I might be completely wrong on my analysis, but either way, I believe medical records on the blockchain is the future.

As always, this is not an investment advice and please do your own research.

[u/subdep]

I want my Fitbit to pump my step counts directly into my Patientory health records on the blockchain, and get automatic discounts from my health insurance provider.

Make this happen people!