
Microfluidics: Miniature Chemistry Labs 57
enkidu writes: "The NYTimes has a story (free reg, yaba yaba) about the rapidly emerging field of microfluidics and describes some of the methods used in making micro-valves, pumps and other components. In the future, you won't need to send your blood/urine sample to a lab, your doctor will put in his "lab-in-a-box" and hand you a printout before your leave."
But the insurance companies won't allow it... (Score:5, Insightful)
*However*, the insurance companies have put a stop to that. My doctor has to send out my bloodwork and wait almost a week to check my cholesterol, instead of using his own equipment and getting me an answer within an hour or so... In the process, I end up paying *more* to my insurance company and they get to negotiate mass-quantity lab work with the lowest bidder.
Re:But the insurance companies won't allow it... (Score:1, Funny)
Solution (Score:1)
Re:But the insurance companies won't allow it... (Score:5, Insightful)
Specifically, Rep. Pete Stark in his three versions of Stark Acts have reduced how much a physician can do for you. Pharmacies, labs and x-ray cannot be owned or used by the doctor if he does have an interest in the facility. I don't have a problem with that given the kickbacks a few doctors got in the past.
However, as always with federal regulation of individual/local problems, it has extended into areas that no longer make sense and actually make it worse for you as a patient. This office-lab in a box being a case in point.
While on my soap box, it would be nice if the federal government limited and regulated the legal, esp. civil court system as much as the medical one. Given spiraling malpractice insurance costs and the actual closure of some rural hospitals due to legal liability and insurance costs, maybe as the federal government did with medicare/medicad in setting limits on what reimbursement would be to doctors and hospitals for a given disease, lawyers in this country should be limited in what they are paid for say a divorce, murder defense or malpractice / workman's comp. case.
Daily drug screenings! Yay! (Score:2, Interesting)
sorry, your blood sample was declined (Score:1, Insightful)
shudder.
Re:sorry, your blood sample was declined (Score:1)
Obligatory no-reg link (Score:4, Informative)
Re:Obligatory no-reg link (Score:1)
On the hardware side... (Score:2, Interesting)
...or combine the medical side of it and pump your own body fluids through your cpu - ooah. scary.
In other news... (Score:1)
Re:On the human side... (Score:1)
Re:On the hardware side... (Score:2, Interesting)
Unlikely. The flow that you can get through a very small channel is absolutely tiny. Over a large range, the backpressure goes up as one over the square of cross-sectional area, so a large array of small channels can allow substantially less flow at a given pressure drop than a single large channel of the same area. Using channels the size that you can make using this kind of process you simply aren't going to be able to get enough flow to make much difference.
(BTW, I do have some idea of what I'm talking about; I've worked in microfluidics and still work in a closely related field.)
Re:On the hardware side... (Score:2)
'OH NO! He's crashing!.. Code Blue!'
takes on brand new meanings!
Won't this hurt accuracy? (Score:3, Interesting)
I've been wrong before; maybe a biochemist could chime in and let us know how much blood or urine constitutes a true statistical sample?
Re:Won't this hurt accuracy? (Score:5, Informative)
Things DO fall apart (as you intuit) when the concentration of the analyte gets vanishingly small. We see this routinely when we try to quanitate DNA using PCR (Polymerase Chain Reaction) methods. PCR is sensitive enough that we can detect ONE copy of a DNA molecule in a volume of sample. So if you have say, one copy in 1ml of volume, and you sample
Paul Yager at U. Washington (Seattle) has a good introduction to microfluidics:
Microfluidics Tutorial and Prognostication [washington.edu]
Re:Won't this hurt accuracy? (Score:2, Interesting)
My guess is by looking at the relative complexity (in number of components) of the pumps/mixers/detectors compared with a several hundred million transistor CPU, that an array of perhaps millions of separate testers could be easily built, one which would run millions of simultaneous tests.
Only comparing those results with known working ones would show if the results were comparable - certainly one more type of testing can't hurt, and if it only proves extra accuracy in a few cases, they may be ones with a great impact.
Re:Won't this hurt accuracy? (Score:2, Informative)
It's not the sample volume I'd be questioning, but calibration, standarization, and QA procedures. These are the root of inaccurate (and imprecise) test results.
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Re:Won't this hurt accuracy? (Score:1)
It's widely believed that climate change models "don't account for water vapor", too. It amazes me that people can convince themselves that scientists can work on a project for years and still miss things that are obvious to amateurs.
There's plenty wrong with science these days, but still it's just about impossible to be transparently wrong in the hard sciences. Subtly wrong, sure, nut not obviously wrong.
This posting was basically a nice question, but something about the way it was asked bothers me a lot.
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Re:Won't this hurt accuracy? (Score:1)
For the best results doctors should take no less than five liters of the patient's blood for testing.
Incredible Shrinking Labs (Score:1, Informative)
A small blurb on Dr ramseys work.
http://www.chipcenter.com/columns/bmcginty/col0
Another article on fludic chips.[check the links at the bottom]
Great news... (Score:2)
Re:Great news... (Score:1)
A fingerprick will give enough volume for microsampling, but the number of fainters will diminish, not disappear. I volunteer at Red Cross blood drives, and I've seen a high-school football player faint from the fingerprick. I've also seen non-donors have issues (bring a friend for "moral support", watch THEM collapse!)
Anyone who tries to give blood is a hero, and those who are uncomfortable with the proccess, but donate anyway are bigger heros...
Re:Great news... (Score:1)
Sweet! (Score:1)
Dr. Quake (Score:2)
No, I wasn't going to comment on his framerate.
Whay not in manual??????? (Score:1)
My own physician finds it lucridous that the HMO he is affiliated with will not allow him to draw his own blood nor do his own routine tests. Hell the lab charges $145.00 for a CBC that he could have done in his office for $35.00