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Listening to you stitch all the technology and innovation together, moving from the information world to the physical world, as a patient, almost brought me to tears.

You said this will be the standard of care in 30-years, but the capability is here today. Listening to your recording is a profound moment in my life.

Thank you for sharing your journey.

I can attribute jumping several economic classes to the social skills I honed in high school and college. I have many friendships that are decades-plus and I had 150+ of my invited friends / family attend my wedding.

Emotionally, I do not long for new friends. It's a lot of work to maintain the relationships I have with my friends, family, wife and daughter.

I find aimless socialization these days to be laborious. I just do not give a shit.

I recently moved to NYC. I am at a point in my career where it's networking and politics that will get me ahead. I see a lot of my net-new socialization moving this direction.

I'll personally wait to own best hardware (Unitree) and purchase my own 3P tele-operation service contract.

We're replacing old-school bed alarms and call buttons in Senior Living facilities.

The bed sensors that we manufacture are strapped to beds and monitor for out-of-bed, potential infection and medication error via algorithms on-top of real-time vital sign data.

We mount always-on iPad in high traffic area for the nurses to grab alerts. Sirens are mounted in hallways to grab audible attention. The whole system is Zigbee 3.0.

Nurses are leaving the industry in droves. The "Silver Tsunami" is approaching rapidly. We're helping nurses scale and keeping elderly safer in their homes.

As archaic as HIPAA is, the tools that we have today to obfuscate PHI (e.g. tokenization) respect the individual's privacy. The major cloud infrastructure providers are all HITRUST certified and ready to sign BAAs to keep everyone accountable.

I think we're in a good place right now for innovation with healthcare data. Multi-modal (think genome + claims + social determinants of health) are starting to become a thing. As a population, we'll benefit from more targeted therapies.

Technology is catching up with the swaths of data that has been amassed since the 2000's. I hope for more innovation vs. shackling it with uninformed regulation.

My back-end developer writes Serverless IaC with Python Lambdas for $40/HR. Our app developer writes Swift for $25/HR.

We manufacture a proprietary IoT sensor. I pay $30/HR for an embedded developer to write C in TI CCS. I pay a fixed rate for board layout / schematic / BOM edits.

A hard truth is coding skills are commodity if you know how to modularize and write spec. You don't need perfect English to write beautiful Python / Swift / C. I don't need you in the same timezone because you're pushing to a git repo and we review it when we wake up.

For permanent talent, they're more than happy with $40/HR. They like working with people who know what they're doing, they like that I write a PRD and leave them alone until deadline, and they believe in what we're doing.

We're an eldercare IoT company and I would say the bulk of our issues are on reliable pairing and maintaining our network mesh. An SDK that I could add and implement either in zigbee2mqtt or directly in our Z-Stack coordinator + router firmware would probably be the most useful to us.

You've really got to be okay with being alone with yourself and you have to have abnormal levels of self-assurance to make it out alive. When the dark thoughts come for me, I get high and go running / yoga. If I didn't have this outlet, I probably would have spun out into a negative, obsessive abyss and bowed out long ago.