Christina Farr
@chrissyfarr
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Author/owner of “Second Opinion," a health-tech newsletter read by 19,000 industry professionals. Investor. Advisor. Mama.
Queens, NY
Joined November 2010
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Some personal news as they say… 🥁
I am writing a book!
Storytelling - who does it well, how it can be used to fuel success in the business world or mask epic failures - is a topic that I’ve been obsessed with for a long time.
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A friend told me the new term for Mansplaining:
Correctile Dysfunction
I died.
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This post from Olivia Munn is such a stark reminder ladies of why we need to be a lot more proactive about breast cancer. Munn tested negative for any of the genes known to be associated with increased risk. But a risk assessment score led to a biopsy, which led to a diagnosis.
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Crazy to look at San Francisco (pop. 880k) versus North Dakota (pop. 760k) right now.
San Francisco county, an urban area where most people wear masks, has reported 14k Covid cases.
North Dakota, which resisted mask mandates for months, has 60k cases.
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This is a ridiculous headline and I cannot believe this stuff is still being pushed on moms. Women who can breastfeed for longer tend to have higher paid jobs and can also afford educational opportunities for their kids.
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After worrying about this a whole lot, it happened. My 10-month-old has Covid.
Feeling for everyone getting this news right now for their unvaccinated infants. Stay safe.
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Wow. The Dr. Fauci of Germany (the virologist Christian Drosten) has a podcast called 'Das Coronavirus' where he discusses complex topics around Covid-19 and millions of people tune in. It's the
#1
podcast.
Locals are telling me this helped a lot with the response.
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I just postponed/cancelled my wedding. A really hard decision but safety of our guests comes first. And this health reporter will be following those CDC guidelines.😢
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We could fix a lot of problems if we divorced employment from health care - it makes zero sense!
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We had a virtual wedding on Zoom today. It worked out so much better than we expected. A super lovely way to mark the occasion 🥂
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Something is very wrong with health care when patients are going bankrupt, hospitals are in the red, doctors are unhappy, costs are going up, life spans are going down, innovators are struggling & Big health insurance seems to be the only group that is consistently doing well
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Putting politics aside...
Millions of American women and girls just watched a woman not put up with being interrupted by a man. Let that settle in.
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Three years after booking our wedding, it finally happened! 🎉🎉🎉
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Becoming more & more convinced that startups doing something really boring/unsexy that no one else wants to do is a moat.
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Twitter just suspended the fake
@Fauci
account, which has grown to tens of thousands of followers within minutes.
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** Some personal news **
I'm making a big career change. After almost 4 years, I’ve left CNBC to join
@OMERSVentures
as a health-tech investor!
I've also launched a newsletter called "Second Opinion," where I'll be writing these days. Subscribe:
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Such a secret weapon when a startup has a natural born storyteller on their early team
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Random thought: If the press routinely covers billionaires giving away $100m to charity, should they also cover people making $50k a year giving away $500? For the latter, it’s a much bigger sacrifice.
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I have friends who are moving out of NYC and SF because they're convinced their offices won't ever re-open. They're looking at cities like Austin, Denver, Miami, as well as more remote/suburban areas. I wonder how common this will become...
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Imagine a restaurant with no prices (u find out only after u order) & a bill that fluctuates based on where you sit -- that's healthcare.
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The solution to preventing patients from missing appointments is to to blast them with MyChart messages that require two factor plus login plus an extensive pre check-in survey plus re-entering insurance plus re-entering DOB. Just text. Respond with “yes” if you’re confirmed.
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THREAD: A lot of folks are rightfully worried about *tech* companies like Amazon and Google gaining access to their health data.
But here are some legal, and very common, ways that *health care* companies are already taking advantage of your data:
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Dr. Fauci says he hasn't had a "single day off" since the beginning of January.
@ashishkjha
asked: So how do you keep going?
Fauci: "I have an extraordinary partner, my wife. And we're taking care of my daughter's dog... It's soothing."
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I tracked down some of the scientific advisors behind the eerily accurate movie "Contagion" and asked them what they didn't see coming.
The answer: That we would send out medical workers into the frontlines without adequate PPE.
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Do you ever think about how crazy it was that we used to be okay with people smoking on planes? And at restaurants? What will seem crazy that we do now in 20 years?
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I spoke with several health system CEOs for a story who told me they are losing $5 million per day because they're cancelling high-priced elective surgical procedures in the midst of the pandemic.
Me: Right... You mean per week.
Them: No. Day.
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Every company I know is struggling to hire great talent.
Meanwhile, there are 1.6 million mothers who dropped out of the workforce during the pandemic & have not returned in part because of the childcare crisis.
This issue affects everyone. It is not limited to parents.
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Fave this tweet if you’re interested in advising digital health companies or joining digital health boards. And reply with more info!
(Whenever I hear about these opportunities, I’d love to suggest a more diverse crew - particularly those who are leaning in for the first time.)
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An interesting thing about health vs. tech cultures.
When a health event happens, a lot of the tech folks with no medical background flood in with opinions. When it's the other way around - and the big story is tech - you almost never see health care folks weighing in.
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A big part of me is so excited to see him grow. But another part wants him to stay this snuggly forever. 🥰
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People who say the fertility space has a small TAM are the same people who would have argued that the TAM for Airbnb is essentially the lux travel market.
Demand is far, far outstripping supply right now. So if anyone can bring the price down, the market majorly opens up.
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How many hours does Sam Altman sit in traffic every day? This is easy for investors and CEOs to say. Harder for employees, especially moms with young kids.
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Sorry but if you keep calling women’s health “femtech,” I will start calling men’s health “brotech.”
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Let’s stop asking this q. of Telehealth versus in person like it’s a binary choice. The best models will be all the things. In home, in clinic, by email, by phone, by video, in community - and flexible, depending on the patient.
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Weird question but do you think after this whole pandemic is over some subset of Americans will continue to wear masks in crowded, public places when they feel sick with things like colds? It's much more common in many Asian countries.
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Been in VC now for a year.
Here’s a few things I’ve learned:
1) it’s actually a sales job
2) mentorship is everything
3) it’s essential to have a tribe
4) founders don’t want offers to be helpful - they want u to be helpful
5) it takes a v long time to know if you’re good
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What I love about Europe is that fast food is more likely to be fresh and healthy. Cheap doesn’t equal processed and fried. Easier to eat well.
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Men: If it's offered to you, please do us ladies a solid and take your paternity leave 🙏
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@janevandis
@lesliejz
and I are designing an observational study showing that kids who use the phrase “I summer in the Hamptons” also report higher test scores
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Story I keep hearing over and over in various forms: oftentimes it’s the low-tech, services-based interventions that work: A nurse visit to the home, an SMS.
Digital health startups out here are often over-engineering the problem, leading with cool tech and falling short.
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Everyone in tech: I want all the blood tests, all the imaging, all the health data.
Everyone in medicine: SLOW YOUR ROLL.
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Just got told I might be treated by a doctor who's out of network in an in-network hospital & therefore could get a crazy bill.
I asked if I could put a sign up next to my bed saying: "Do not treat me if you're out of network."
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I vividly remember the first time I got sick in America and someone asked me for my insurance info to ensure they got paid before I could get care. I was shocked. In the UK, they just treat you.
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Countries that offer universal health coverage are so misunderstood in the U.S.
You can provide care to everyone - so no one goes bankrupt - and still have private insurance/private hospitals. Some of these systems are also highly decentralized, like Switzerland.
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Made a drastic hair change because Omicron. Goodbye blonde, hello red.
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Those in health policy, what is the most annoying myth/misconception you'd want to bust once and for all?
Here's mine:
Single👏payer👏and👏universal👏coverage👏are👏not 👏the👏same👏thing
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My baby boy is 8-months-old. He’s the sweetest, giggliest and most observant soul and I’m so grateful to have him in my life.
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When a woman can pull an Adam Neumann, I will know we have truly reached gender parity
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It’s a sunny day in San Francisco. I’m on a walk and so far I haven’t spotted a single person without a mask 💪
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Health care workers: How are you all feeling? Must be a lot of emotions today.
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If I had one piece of unsolicited advice for people who want to be quoted or in the media more, it would be:
Talk like you'd talk normally. Don't try to sound smart or stick to messaging points. Be real, have a point of view, and I'll call you over and over again.
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Had a call with an obstetrician in the U.K. and told her about our system:
- $10,000 births
- No home visits postpartum
- Maternal mortality higher than any other developed nation, particularly impacting BIPOC women
- 1/4 Women back to work in 2 weeks
Her reaction was shock.
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NEW: The Stanford Medicine faculty have taken a stand against Dr. Scott Atlas, a radiologist who’s been advising Trump of late during the pandemic 👇
Wow, many
@StanfordMed
faculty took a stand for science and truth in the battle against
#COVID19
misinformation being pushed by Dr. Atlas. These faculty are respected infectious disease doctors, microbiologists, epidemiologists, and more.
#MedTwitter
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Fitbit has 28 million active users, but it has sold more than 100 million devices.
So most people that bought one aren't using it. Can Google fix the all important engagement problem? 75% churn is high, from what I understand.
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Doctors to technologists: Want to build me software I’ll actually use? Shadow me for a few weeks first.
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My son got to spend time with his great grandpa today. Feeling incredibly grateful for the tests and vaccines that have gotten us here.
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Breastfeeding is really, really hard. That’s the tweet.
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I have one observation post-HIMSS, now that i'm back in SF.
There was an elephant in the room, so I'll just say it. We'll all be patients and/or caregivers someday. So are we going to fix health care now, while we can, or continue to make $ through the current inefficiencies?
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Just got some happy news in the past hour:
- I tested negative for Covid right ahead of going to the hospital for a birth.
-My cat, who had a cancerous tumor removed last week, is now considered cured.
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HUGE: “HHS is issuing a regulation today that will allow all doctors and medical professionals to practice across state lines, to meet the needs of hospitals that may arise in adjoining areas,” Pence said.
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SCOOP: Amazon just launched Amazon Care, virtual medical clinics for its own employees.
That includes pharmacy, virtual visits, and in-home care.
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It's official: FDA has cleared Apple's ECG and heart health apps, says Jeff Williams.
A "de novo clearance" - the first of its kind. It's alert has also been cleared.
We NEED TO STOP saying that big tech won't get into regulated spaces, like health. It's on.
#Appleevent
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Just so ya'll know, a group of physicians have been quietly making real progress on fixing prior authorization. Check out what's been happening in New Jersey. It's small, but it's something. 👇
@TinaShahMD
@statnews
@nishamehtamd
@DrDevikaB
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If anyone needs this right now, I taught my 3 month-old kitten how to play fetch this weekend:
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Start-up idea for someone: A women's clothing brand that is both stylish and yet every item includes pockets.
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Spending 4 days in the hospital is an important reminder of what an incredible thing a really good nurse is
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A doctor friend just now - sharing because this comment spoke to me:
“Health-tech is missing the big value prop. It should disappear into the background, making the relationship between two humans better (the medical provider and the patient). Not be the product.”
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I’ve always been a person who didn’t think twice about working far too much & getting burned out. Becoming your mother this year has taught me the importance of balance. Loving what I do but also enjoying every minute with this tiny human who is growing up so fast ❤️
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We need to break away from this narrative that telemedicine is necessarily worse than in-person care. Sometimes it is; sometimes it isn't. Sometimes it's better, per the clinical evidence. Lots of nuance here.
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If you’ve noticed me sharing research about pregnancy, vaccines and coronavirus, it’s because I’m due in a few months. 🤰
For all the fellow expecting mums, I’m here for you! It’s so scary watching Covid surge. Follow OBs like
@janevandis
@CatchTheBaby
for updates.
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Anecdotally I’ve never had more friends or friends of friends with Covid than this moment
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I would really appreciate more articles written about how to talk to people in your life who aren't getting the vaccine.
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Is anyone else feeling over-Zoomed? I'm reverting back to plain old phone calls.
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Day 6 and we’re doing a lot better except for fatigue, a bad cough and congestion. Covid - 0, baby - 1. ❤️
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Ugh, just got forwarded an invite to a med-tech webinar featuring 9 males; 0 women. Are meninars the new manels?
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When are we going to stop making HIPAA an excuse for really crappy user experience?
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Our experience this morning with so-called mild Covid in a baby who is finally napping: low grade fever, cough, congestion, inconsolable crying for several hours starting at 6am followed by a vomiting episode.
Again: Stay safe, stay vigilant. This isn’t over.
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Would love to do a health care conference called “this sh*t is hard” and you can only speak if you have something of substance to add to the conversation, or lessons learned, or vulnerability. Who’s in?
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My husband booked me a massage for Mother’s Day (Yay!) but just warned me that my name auto corrected to “Christina Fart” and now I have to introduce myself as such. 😆
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Thank you to the people in medicine/ public health who are willing to talk to the media and are on social media. It might not always seem like it, but it is resonating and it matters. We need more of you. 🙏
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Some personal news:
After a 12-year run in the Bay Area, I moved last month to New York. Queens, NY to be exact.
I landed in my dream hood: Forest Hills Gardens. It also happens to be 15m from JFK, so look me up if you want a tour! Or I’m a subway ride to Manhattan.
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I would pay out-of-pocket for a concierge service that booked in-network appointments for me, checked bills for accuracy & managed out-of-network claims. Realizing I’ve been avoiding care b/c it’s too much of a hassle. And I’d probably save $ by using a service like that.
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When I see all these lists of innovative people in health care, I almost never see nurses, home health care workers or social workers.
They're probably doing far more innovative things to improve patient care on a day-to-day basis than most health care execs.
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Never forgot the story I did where a bunch of investors 5 years ago told me women’s health was niche...
Yep, just half the population.
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I’ll be fascinated to see if all this increased focus, adoption or usage of telemedicine extends beyond the pandemic. If consumers get a taste, will they embrace it more permanently? What does everyone think?
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Just got off the phone with a health system CEO who runs hospitals in Seattle.
With Seattle area closing down schools, they anticipate some health workers will need to go home if they lack childcare. We will need more support for doctors/nurses who are single parents.
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Do any medical schools teach courses on how to deal with insurance companies and talk to patients about their options around cost?
If the system doesn't change, this seems like it should be part of the curriculum...
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Instead, she responded to me: “no, are YOU okay?”
Looked me in the eye.
And then insisted on buying me a coffee.
They then chitchatted with us and brought the coffee to our car so I had an extra pair of hands.
It made not only my day, but my month.
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So far, the thing that the countries with the best Covid-19 responses seem to have in common:
- strong leadership
- consistent/clear communication
- a public that's community-minded
- politicians placing their trust in science/public health
- a functioning health care system
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Have lived in Silicon Valley about 10 years now. Reading twitter right now, I’m reminded that a lot of the dynamics here are driven by a lot of hurt feelings generated from being the smart/ nerdy kid in school. So much insecurity that can never be truly solved with power/ money.
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Thanks to
@acweyand
's tweets, I just went to my PCP and got my ferritin levels checked. Had to ask for it specifically.
Indeed, my numbers are low. Now making an action plan.
This is medicine in 2024.
Engaged patient ✅
Following smart doctors on social media ✅
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The problem with digital health isn’t just that it’s mostly for privileged populations.
The problem is that it’s for super motivated folks.
I’ve tried a lot of these products/ apps and usually make it ~2 weeks. There isn’t enough to keep me engaged and a lot is expected of me.
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Patients👏should👏have👏the👏right👏to👏their👏own👏health👏data
(Oh, and privacy is not an excuse)
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I’m at this phase of pandemic life where I watch TV shows featuring big crowds and I can’t help but think: “omg why aren’t they six feet apart”
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Update: After taking today’s hate mail into consideration, I will very much still be quoting assistant professors. Thank you.
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