WEBVTT

00:00.000 --> 00:08.920
Saturday morning, twenty past nine. My phone rings. It's my mother-in-law, Joanna. She's seventy-three.

00:09.920 --> 00:17.180
Ease a love. I've just got a quick question. That pink tablet, the one for my blood pressure,

00:17.880 --> 00:24.620
I think I've taken it, but I took it yesterday as well, and now I can't tell whether it was twice,

00:24.780 --> 00:33.460
because yesterday I got up, and then I got up again. And there it is. Me. Two kids, still in my

00:33.460 --> 00:40.100
pyjamas, phone in one hand, coffee in the other. And I meant to work out whether to tell my mother-in-law,

00:40.840 --> 00:49.060
take the pink one, or don't, you might have already. Eight medicines a day, three different consultants.

00:49.440 --> 00:52.480
Not one of them knows what the others have prescribed.

00:53.520 --> 01:00.140
Hello, I'm Tomasz Szuster. I built the mojApteczka app, and what you've just heard is exactly what

01:00.140 --> 01:09.240
today's episode is about. Hi, Iza. Hi, Tomek. So, is there actually a fix for this? Because honestly,

01:09.800 --> 01:16.300
ringing my mother-in-law and going, Mum, please, go and check your dosette box. I've done that one.

01:16.880 --> 01:24.120
It doesn't work. There is, but before we get to it, one figure. There's a major study here in England,

01:24.120 --> 01:31.460
thousands of people, all 65 and over, and nearly one in two of them on five or more medicines a day.

01:31.900 --> 01:38.640
Every day. And here's the bit that stopped me. Twenty years earlier, it was about one in eight.

01:39.180 --> 01:45.400
It's quadrupled in a generation. So it's not just Joanna's had a run of bad luck.

01:45.780 --> 01:51.100
It's far more common than people think, right up until a phone call like that on a Saturday morning.

01:51.100 --> 01:58.980
And here's the catch. Most of what's out there is an alarm. Or a dosette box, Monday, Tuesday, Wednesday.

01:59.480 --> 02:04.760
Or the grown-up child ringing every four hours. And all three have the same flaw.

02:05.400 --> 02:09.720
They need the older person to remember they've got something to check.

02:09.860 --> 02:15.580
Well, quite. Mum, have you taken it? Because to answer yes or no,

02:16.060 --> 02:19.340
Mum first has to remember whether she took it in the first place.

02:19.340 --> 02:26.760
Exactly. Now, picture this. In Joanna's kitchen, on the wall next to the fridge, there's a tablet.

02:27.440 --> 02:35.500
On all the time. On charge. And on that tablet, her page in the mojApteczka app is open. All day.

02:36.900 --> 02:41.920
And Joanna, wandering past for her afternoon coffee, sees a progress bar.

02:41.920 --> 02:51.020
Two of four today. Four times a day. Eight in the morning, midday. Four in the afternoon, eight at night.

02:51.740 --> 03:01.160
Eight. Green dot. Midday. Green dot. Four. Grey. Not due yet. Eight at night. Grey.

03:01.160 --> 03:07.500
So she's not asking herself whether she's taken it. She sees that she has.

03:08.020 --> 03:14.180
Yes. And that's the whole trick. I don't believe in apps that turn an older person into a patient.

03:15.080 --> 03:18.660
I believe in apps that do the counting, so you don't have to.

03:19.160 --> 03:23.780
Hang on. Tomek, there's one thing that bothers me about this.

03:23.780 --> 03:50.020
Good question. Look, two things it is not.

03:50.020 --> 03:55.060
First, it's not surveillance, because Joanna's the first to see the colours.

03:55.880 --> 03:58.640
The tablet's on her wall, in her kitchen.

03:59.540 --> 04:02.280
She walks past first. She sees it first.

04:03.040 --> 04:06.760
If she misses the four o'clock dose, an hour later at five,

04:07.120 --> 04:10.920
that bar turns amber and shows the four o'clock's still due.

04:11.780 --> 04:15.520
No shouting, no phone ringing. The screen just changes colour.

04:16.300 --> 04:18.820
She sees it, and she decides for herself.

04:18.820 --> 04:21.440
And if she still doesn't take it?

04:22.200 --> 04:25.740
Three hours after the time, so at seven, if the dose was at four,

04:26.340 --> 04:29.660
the colour turns red, and it marks that dose as missed.

04:30.440 --> 04:35.520
In the app, it's now clear. That one's missed. Not late. Missed.

04:36.100 --> 04:40.000
An hour to amber. Three hours to red.

04:40.260 --> 04:42.940
Yes. And those aren't numbers I've plucked out of the air.

04:43.340 --> 04:44.980
They're the values written into the app.

04:44.980 --> 04:47.100
The same for every single user.

04:47.900 --> 04:49.860
An hour late is still just life.

04:50.360 --> 04:53.660
She nodded off in the chair, popped to the loo, got chatting to a neighbour.

04:54.600 --> 04:57.980
Three hours, though, is a fair bet that dose never happened.

04:58.720 --> 05:01.440
All right. And the second thing it's not?

05:01.440 --> 05:05.060
Second, it's not a stand-in for seeing the doctor.

05:05.820 --> 05:08.300
The tablet doesn't know whether Joanna's running a temperature.

05:08.820 --> 05:10.360
It doesn't know her sodium's low.

05:10.920 --> 05:13.320
It doesn't know the new tablet from the neurologist

05:13.320 --> 05:15.840
clashes with the old one from the cardiologist.

05:16.480 --> 05:19.140
Though, as it happens, the app does check for that.

05:19.700 --> 05:20.940
But that's another conversation.

05:21.520 --> 05:22.280
Another episode.

05:23.000 --> 05:25.280
The tablet's there to prop up her memory.

05:25.760 --> 05:26.720
Not to diagnose.

05:26.720 --> 05:29.500
Right. That does sound honest.

05:30.300 --> 05:31.420
Most apps do the opposite.

05:32.060 --> 05:33.600
They pretend they'll handle the lot.

05:34.220 --> 05:36.980
You're saying, I'll do this one thing well,

05:37.200 --> 05:39.160
and I'm not pretending to do the rest.

05:39.980 --> 05:40.340
Exactly.

05:41.040 --> 05:41.820
And one more thing.

05:42.360 --> 05:44.280
Because carers always ask this one.

05:44.840 --> 05:46.720
Me, as the daughter or the son,

05:47.280 --> 05:48.340
where do I come into it?

05:49.020 --> 05:49.940
Well, exactly.

05:50.700 --> 05:51.820
Because in this story,

05:52.040 --> 05:54.320
I don't live in the same flat as my mother-in-law.

05:54.880 --> 05:56.540
I'm a hundred-odd miles away.

05:57.400 --> 05:59.820
You open the mojApteczka app on your own phone,

06:00.320 --> 06:01.400
go to the Family tab,

06:01.780 --> 06:04.040
and you see the very same bar Joanna sees.

06:04.680 --> 06:06.180
A card with Joanna's name on it.

06:06.560 --> 06:07.640
The 2 of 4 bar.

06:08.080 --> 06:09.180
The times in colour.

06:09.860 --> 06:10.480
The status.

06:11.060 --> 06:11.860
Due at 4.

06:12.420 --> 06:13.280
Or missed.

06:13.940 --> 06:14.540
Or done.

06:14.940 --> 06:17.820
So, I'm not getting a text at midnight saying,

06:18.300 --> 06:19.640
Mum hasn't taken her pills.

06:20.520 --> 06:20.720
No.

06:21.220 --> 06:22.620
The app doesn't ring round for you.

06:23.140 --> 06:23.760
You open it.

06:23.940 --> 06:24.280
You see.

06:24.620 --> 06:25.180
You decide.

06:25.780 --> 06:27.680
If you spot an amber due at 4,

06:28.080 --> 06:28.880
you ring and say,

06:29.400 --> 06:30.900
Mum, have a look at the screen.

06:31.340 --> 06:32.320
The pink one's due.

06:33.020 --> 06:34.240
You don't drive all that way.

06:34.720 --> 06:35.400
You don't shout.

06:35.900 --> 06:36.580
You just ring,

06:36.940 --> 06:38.640
because you know there's something waiting there.

06:38.700 --> 06:40.100
It's a subtle difference,

06:40.620 --> 06:41.620
but it's a big one.

06:42.340 --> 06:44.440
I'm not some digital carer.

06:45.000 --> 06:45.760
I'm family.

06:46.600 --> 06:48.540
We're both looking at the same screen.

06:48.540 --> 06:50.400
That's exactly it.

06:51.600 --> 06:52.000
Right.

06:52.560 --> 06:53.520
The practical bit.

06:54.380 --> 06:55.460
What do I buy?

06:55.920 --> 06:56.980
Where do I hang it?

06:57.340 --> 06:58.520
What's it going to cost?

06:59.260 --> 07:00.180
And can I,

07:00.620 --> 07:03.560
a 35-year-old mum with two kids and a job,

07:04.020 --> 07:05.340
set it up in half an hour?

07:05.340 --> 07:06.960
The tablet.

07:07.560 --> 07:08.720
It needn't be anything new.

07:09.160 --> 07:11.840
An old iPad or a second-hand Android

07:11.840 --> 07:13.480
does the job perfectly well.

07:14.180 --> 07:15.680
Only three things really matter.

07:16.380 --> 07:17.400
It stays plugged in,

07:17.760 --> 07:19.180
the screen doesn't lock,

07:19.660 --> 07:22.760
and it hangs somewhere Joanna already looks every day.

07:23.340 --> 07:23.840
The kitchen.

07:24.400 --> 07:25.060
By the clock,

07:25.280 --> 07:25.920
by the calendar,

07:26.680 --> 07:28.860
somewhere the eye naturally goes.

07:28.860 --> 07:32.200
And how do you stop the screen going dark?

07:33.240 --> 07:36.580
Apple and Google both have a built-in setting for exactly that.

07:37.020 --> 07:39.060
You set it once and forget about it.

07:39.840 --> 07:42.560
The full step-by-step guide is in the episode description.

07:43.120 --> 07:43.680
There's a PDF.

07:44.820 --> 07:48.920
And if Joanna accidentally unplugs the tablet?

07:50.120 --> 07:52.160
That's the most common question, that one.

07:52.160 --> 07:53.320
The answer?

07:53.900 --> 07:55.720
Cable tucked behind the kitchen unit.

07:56.160 --> 07:58.140
Extension lead round the other side.

07:58.840 --> 08:00.460
And if she really wants to unplug it,

08:00.820 --> 08:02.920
well, that's not the app's problem anymore.

08:04.260 --> 08:04.700
All right.

08:05.340 --> 08:06.460
And the last one,

08:07.000 --> 08:09.760
because I know it's on someone's mind right now.

08:10.760 --> 08:11.720
Data protection.

08:12.600 --> 08:13.740
Data protection.

08:14.260 --> 08:14.580
Yes.

08:15.220 --> 08:16.820
Medical data on a tablet

08:16.820 --> 08:18.780
in an older person's home.

08:19.600 --> 08:20.200
Short version.

08:20.740 --> 08:22.140
Joanna's account is hers.

08:22.680 --> 08:24.220
You're not peering into her account.

08:24.780 --> 08:26.980
She invites you into her family medicine cabinet.

08:27.520 --> 08:28.360
That's the difference.

08:29.000 --> 08:29.900
The tablet's hers.

08:30.220 --> 08:31.140
The data's hers.

08:31.420 --> 08:33.740
And she decides who's on the other side.

08:34.800 --> 08:35.100
Right.

08:35.660 --> 08:37.220
So it's her tablet,

08:37.860 --> 08:38.980
her medicine cabinet,

08:39.680 --> 08:40.980
and I'm invited.

08:42.160 --> 08:42.660
Exactly.

08:43.280 --> 08:45.980
And that's the whole idea behind the sandwich generation.

08:46.500 --> 08:47.580
We don't take control.

08:47.580 --> 08:48.960
We share the view.

08:49.200 --> 08:49.760
By the way,

08:50.380 --> 08:52.300
everything we're talking about here

08:52.300 --> 08:55.680
really is a feature of the mojApteczka app.

08:55.680 --> 08:57.420
This isn't an advert,

08:57.860 --> 08:58.780
just so we're clear.

08:58.780 --> 09:00.560
If you're listening to this

09:00.560 --> 09:01.820
and there's someone in your family

09:01.820 --> 09:02.660
on five,

09:02.860 --> 09:03.220
six,

09:03.520 --> 09:04.700
eight medicines a day,

09:05.300 --> 09:07.260
do give the mojApteczka app a look.

09:07.880 --> 09:08.740
The app is free

09:08.740 --> 09:10.000
and works offline.

09:10.660 --> 09:11.360
You'll find the link

09:11.360 --> 09:12.440
in the episode description.

09:13.520 --> 09:15.520
And if you found this episode useful,

09:16.200 --> 09:17.460
do pass it on to someone

09:17.460 --> 09:18.800
who knows a Joanna

09:18.800 --> 09:20.840
or someone like her.

09:20.840 --> 09:23.920
One more thing before we go.

09:24.600 --> 09:26.560
This podcast is made with the help

09:26.560 --> 09:28.100
of artificial intelligence.

09:29.220 --> 09:30.580
I wrote the dialogue myself,

09:30.960 --> 09:33.480
but the voices you're hearing aren't ours.

09:33.840 --> 09:36.400
They're AI-generated synthetic voices.

09:37.440 --> 09:39.280
We're telling you this straight out

09:39.280 --> 09:41.620
because we think it should be the standard

09:41.620 --> 09:43.580
for any podcast made this way.

09:44.580 --> 09:46.160
Full details are in the show notes

09:46.160 --> 09:48.520
and in every episode description.

09:49.420 --> 09:50.540
Until next time.

09:51.420 --> 09:52.680
Until next time.

