Q&A with Bill Davenhall on Medical Place History, TEDMED, and the Importance of a Story Well Told

to tell your story, and here’s this application that’s going to do it. Even though the EPA does have applications like this, you’d have to exactly know what you’re looking for before you could find it. It’s sort of hidden under bureaucratic-type technology thinking. It’s not that they’re on a different path than I’m on, it’s just that they’ve been so focused on the technology part of it that they have failed to recognize why people engage with technology. We engage because we’re curious, we want to improve our understanding. It’s not just for the sake of having a cool app.

X: So what are you doing with this app?

BD: It’s about your place history. The example is toxic chemicals. But it could just as easily be put to use in a whole wide variety of things. Say you want to look at a lifetime of real estate values of the places where you have lived. Or you want to look at a lifetime of energy consumption where you have lived. When you start to think of all the things that are related to place, you realize there are social things, cultural things, health things, police things, fire things. Now what we want to do is re-aggregate the data in a different fashion. We want to say this is our place, now all you people who have data that is relevant to that place come on, bring it into this application. We wanted something that would transcend any individual marketplace.

X: OK. So then what?

BD: The next phase in this whole thing of my place history is we’re giving people this information in terms of toxic releases and what’s? around them. Now people are asking, “What does it mean? What’s the difference between chromium and copper?” So it’s back to the technology drawing board. Now we have to move to this next phase where people begin to focus on how do we explain this data, and how do we get it so it can be useful to the consumer or useful to the physician.

X: I’ve talked to some doctors who say environmental risks are important, but most chemicals are practically impossible to correlate to specific ailments. They say it makes more sense to understand a patient’s genetic makeup and lifestyle because that can be more directly tied to health.

BD: The EPA says on the front page of their TRI database that the database is to inform consumers about what exists in their community. It’s not to prove that it causes any kind of disease. They’re just providing the information. Medical practice hasn’t incorporated this analytical framework yet, so that’s another thing this app is trying to do. You know, somebody in medicine stopped blood-letting [as a medical treatment], it only took 200 years. I’m not suggesting this will be quick. I’ve got interest at the Institute of Medicine at the National Institutes of Health, where they’re beginning to really seriously think about this, about how they would drive more geo-medicine into their curriculums.

Author: Bruce V. Bigelow

In Memoriam: Our dear friend Bruce V. Bigelow passed away on June 29, 2018. He was the editor of Xconomy San Diego from 2008 to 2018. Read more about his life and work here. Bruce Bigelow joined Xconomy from the business desk of the San Diego Union-Tribune. He was a member of the team of reporters who were awarded the 2006 Pulitzer Prize in National Reporting for uncovering bribes paid to San Diego Republican Rep. Randy “Duke” Cunningham in exchange for special legislation earmarks. He also shared a 2006 award for enterprise reporting from the Society of Business Editors and Writers for “In Harm’s Way,” an article about the extraordinary casualty rate among employees working in Iraq for San Diego’s Titan Corp. He has written extensively about the 2002 corporate accounting scandal at software goliath Peregrine Systems. He also was a Gerald Loeb Award finalist and National Headline Award winner for “The Toymaker,” a 14-part chronicle of a San Diego start-up company. He takes special satisfaction, though, that the series was included in the library for nonfiction narrative journalism at the Nieman Foundation for Journalism at Harvard University. Bigelow graduated from U.C. Berkeley in 1977 with a degree in English Literature and from the Columbia University Graduate School of Journalism in 1979. Before joining the Union-Tribune in 1990, he worked for the Associated Press in Los Angeles and The Kansas City Times.