--- author: New York Times Podcasts date: '2026-10-27' guest: '' layout: post.njk source: https://www.youtube.com/watch?v=hHSB-nuzBTc speaker: New York Times Podcasts tags: - health-tracking - wearable-device - preventive-health - data-privacy title: 全天候健康追踪的希望与隐忧：6个月自费检测与穿戴设备的亲历反思 summary: Wirecutter 主持人 Christine 亲身测试了为期6个月的健康追踪，涵盖自费血液检测、DEXA 扫描、VO2 max 测试及智能穿戴设备。虽然数据帮助改善了部分胆固醇指标和睡眠，但也暴露了引发焦虑、缺乏专业解读、过度检查以及数据隐私未受 HIPAA 保护等潜在风险。 insight: '' draft: true series: '' category: health-wellness area: life-family project: [] people: [] companies_orgs: - Wirecutter - Function Health - Quest products_models: - Apple Watch - Oura Ring media_books: [] status: evergreen --- ### 亲历6个月健康追踪 我比想象中更喜欢它。 我是那种如果得到一点胡萝卜或一个目标，就会朝着它努力的人。就像一只追逐目标的小狗。
Original English I liked it more than I thought I would. I am a kind of person who if they are given a little bit of a carrot or a goal, I work towards it. Like I'm a little dog like going after going after the thing.
>> **[Rosie Garren]**: 我是 Christine Sierra Cyr-Clisset。我是 Rosie Guerin，您正在收听的是《The Wirecutter Show》。
Original English >> I'm Christine Sierra Classette. I'm Rosie Garren and you're listening to the Wire Cutter Show.
>> [music] [music]
Original English >> [music] [music]
>> **[Rosie Garren]**: Christine，今天就只有你和我。
Original English >> Christine, it's you and me today.
>> **[Christine Cyr-Clisset]**: 确实如此。
Original English >> It is indeed.
>> **[Rosie Garren]**: 不过我们为这期节目加了点调料，加了一点点缀，增添了点辛辣感。[笑]
Original English >> But we got a little uh seasoning. We got a little sprinkle to this episode. A little spiciness. [laughter]
>> **[Rosie Garren]**: 今天我要让你坐上被审问的“热椅”。 **[Christine Cyr-Clisset]**: 确实。我们可以聊聊你做了好一阵子的这个项目，现在已经整理成文章发表在 Wirecutter 网站上了。没错。
Original English >> Um I've got you in the hot seat today. You do. We get to talk about this project that you've been working on for a while now that is now in article form. It's been published on the Wire Cutter website. That's right.
>> **[Rosie Garren]**: 这就是关于你进行健康追踪的那篇文章。
Original English >> This is your piece about health tracking.
>> **[Christine Cyr-Clisset]**: 没错。我花了6个月的时间，通过各种穿戴设备以及直接面向消费者的自费检测来追踪我的健康，学到了很多东西。有些事情我会愿意再做一次，而有些事情我绝对再也不会做了。
Original English >> It is. I spent six months tracking my health with various wearables and direct to consumer self-pay tests for 6 months and I learned a bunch. There are certain things I would do again and certain things I would absolutely never do again.
>> **[Rosie Garren]**: 你真是彻底折腾了自己一番。[笑] 文章的标题是《全天候追踪健康的希望与隐忧》（The Promise and Peril of Tracking My Health 24/7）。我们马上就要深入探讨这个话题，我要好好“拷问”你一番。
Original English >> You really you really put yourself through it. [laughter] Um the piece is called The Promise and Peril of Tracking My Health 247. We are going to get into it. I am going to grill you.
>> **[Christine Cyr-Clisset]**: 天哪。休息之后见。[笑]
Original English >> Oh man. After the break. [laughter]
>> **[Rosie Garren]**: 别走开。 [音乐] 欢迎回来。大家可能对我的下一位嘉宾很熟悉，她是《The Wirecutter Show》播客的联合主持人 Christine Sierra Cyr-Clisset。嗨，Christine。
Original English >> Stick around. [music] Welcome back. You may know my next guest as a co-host of a podcast called The Wire Cutter Show. It's Christine Sierra Classette. Hi Christine.
>> **[Christine Cyr-Clisset]**: 你好，Rosie。很高兴来到这里。
Original English >> Well, hello Rosie. So nice to be here.
>> **[Rosie Garren]**: 很高兴在这个位置看到你。
Original English >> It's really nice to see you on the other side here.
>> **[Rosie Garren]**: Christine，你最近在网站上发表了一篇文章，题为《全天候追踪健康的希望与隐忧》。 在我们深入探讨实际项目的具体细节之前，你能否多谈谈这篇文章诞生的背景故事？
Original English >> Christine, you recently published an article on the site and it's called the promise and peril of tracking my health 247. Okay. So before we kind of jump into the nitty-gritty of the actual project, can you talk a little bit more about the backstory of how this article came to be?
### 健康寿命与追踪测试的初衷 >> **[Christine Cyr-Clisset]**: 我长期以来对健康和健身都很感兴趣。我可以说是在虔诚地收听各种播客、阅读书籍和文章，多年来我一直听说各种各样的测试和追踪工具，你可以用它们来获取自己的健康基线、改善健康状况，超越每年一次看医生和做年度体检的范畴。多年来我也一直在想，我到底该怎么做这些事情呢？我连这里面一半的东西是什么都不知道。我甚至不知道该怎么预约做一次 DEXA 扫描。给不知道的人解释一下，DEXA 扫描是一种测量骨密度以及体内脂肪和去脂体重的检测。
Original English >> I have long been interested in health and fitness. I sort of religiously listen to podcasts and read books and articles and I had been hearing for years about all of these different tests and trackers you could use to sort of get a baseline on your health, improve your health, go beyond what you might do in your doctor's visit once a year and your annual physical. And for years, I'd also wondered, how do I even do any of this stuff? I don't know what half of this stuff is. I don't know how to even make an appointment to get a DEXA scan. Like, and for those who don't know what a DEXA scan, it's a test that will measure your bone density and your fat and lean body mass.
>> **[Rosie Garren]**: 好的。
Original English >> Okay?
>> **[Christine Cyr-Clisset]**: 我之前真的不知道该如何着手，而且当我在播客、文章里或者 Instagram 上听网红们讨论这些时，感觉就像营销说辞一样。
Original English >> You know, I was just sort of I don't know really how to approach this and I don't know. It felt almost like marketing speak when I was listening to this sort of stuff on on podcasts or in in articles or from influencers on Instagram.
>> **[Rosie Garren]**: 是不是成了精准投放的目标？ **[Christine Cyr-Clisset]**: 是的，我完全被广告定向投放了，感觉就像“哦，这些挺有意思的，但我真不知道自己该怎么入手”。
Original English >> Say, were you getting targeted? Yeah, I was totally getting targeted and it felt kind of like, oh, these are sort of interesting, but I don't really know how I would approach this.
>> **[Rosie Garren]**: 在文章中你用到了“健康寿命”（healthspan）这个词。它是什么意思，或者对你而言意味着什么？
Original English >> In the piece, you use this term health span. What does that mean or what did it mean to you?
>> **[Christine Cyr-Clisset]**: 你大概熟悉“寿命”（lifespan）这个词，对吧？那是你活多久。我们都希望寿命长久，但你完全有可能寿命很长，晚年生活却非常糟糕，对吧？你可能会病得很重，或者处于漫长而缓慢的衰退之中。健康寿命是指一个人在没有患严重疾病的情况下生存的时间跨度。其理念在于，希望你能活到80多岁、90多岁甚至更久，并且依然相当健康。除了我目前正在面对的自身健康状况之外，这也是这项测试的一大动力——展望未来，想看看现在是否有我能做出的改变，来改变我的人生轨迹，让我有更好的机会拥有较长的健康寿命。
Original English >> You're probably familiar with the term lifespan, right? That's how long you live. Um, we all want to have a long lifespan, but you could of course have a long lifespan and a really terrible end of your life, right? You could be very ill or, you know, just it it could be in like a slow long decline. Health span is a term that is used for how long a person lives free of serious diseases. So the idea being hopefully you could live into your 80s or 90s or beyond and be pretty healthy. This was a big impetus for this project beyond the sort of the health situation that I'm dealing with right now. just looking forward and wanting to see if there were things that I could change now to change my trajectory to give me a better shot at having a belong health span.
>> **[Rosie Garren]**: 对。当你使用“健康追踪”这个词时，指的是什么？
Original English >> Right. What do you mean when you use the word health tracking?
>> **[Christine Cyr-Clisset]**: 我们把这作为一个统称，至少就我为这篇文章所做测试的方式而言，我通常会将其分为三类。第一类是穿戴设备。也就是像 Apple Watch、Whoop、Fitbit 这样的健身追踪器；然后是睡眠追踪器，Oura 是该类别中的大牌，不过 Fitbit、Whoop 也都是不错的睡眠追踪器。第二类是自费检测。比如自费验血、全身扫描——类似于 MRI。人们最近大概看到过很多关于 MRI 的广告，所以它属于这一类。我还会把 DEXA 扫描和我做过的最大摄氧量（VO2 max）测试归入此类。第三类我认为不太适合直接归入前两类，那就是持续葡萄糖监测仪（CGM）。现在很多人用它们来追踪自己对不同食物的反应，看看是否有不同食物导致血糖飙升。传统上 CGM 仅供糖尿病患者使用，官方也确实只推荐给糖尿病患者，但很多人一直在用 CGM 追踪身体对不同食物的反应。我没有用这个，但它们已经变得相当流行了。
Original English >> We're using this as an umbrella term that I would generally break into three categories, at least in the way that I tested for this article. So, you have wearables. So that's fitness trackers like an Apple Watch, a Whoop, Fitbit. And then you have sleep trackers and Aura is the big name in that category, but Fitbit, Whoop, these are also good sleep trackers. In the next bucket, you have self-pay tests. So that would be things like self-pay, blood work, full body scans, and that's like an MRI. People probably have seen a lot of ads lately for MRIs, so that fits into that category. And I would also put into that category a DEXA scan and a V2 max test, which I took. And then this third category I would say doesn't fit quite into either of those other ones and that's a continuous glucose monitor CGMs. And and these have become quite popular for people to track how they are reacting to different foods. So if there's different foods that are kind of spiking their blood sugar. CGMs have traditionally been used just by diabetics and they're really only recommended officially for diabetics, but a lot of people have been using CGMs to track how their body reacts to different foods. I did not use one of those, but those have become pretty popular.
>> **[Rosie Garren]**: 所以这些设备、这些穿戴设备，它们不被视为医疗设备。
Original English >> So, these devices, these wearables, and they're not considered medical devices.
>> **[Christine Cyr-Clisset]**: 没错。它们不是医疗设备。制造穿戴设备的所有公司对此都非常明确。它们的精度也比不上医疗设备。例如，如果你戴着 Apple Watch 看心率，它的准确度不会像在医院里连接心电图（EKG）那样高。所以它们真的主要是用来娱乐或休闲使用的设备，尽管人们会以非常认真的方式使用它们，来了解自己的健康状况基线。
Original English >> Correct. They are not medical devices. And and all of the companies that make wearables are very clear about that. They're also not as accurate as a as a medical device would be. So, for instance, if you are wearing an Apple Watch and you're looking at your heart rate, it's not going to be quite as accurate as if you were connected to an EKG in a hospital or something like that. So, they're devices that are really meant to be used kind of in a recreational way, I would say, although people use them in a very serious way to kind of get a baseline on what what is happening with their health.
>> **[Rosie Garren]**: 我们已经知道你对这个报道进行了6个月的调查。我很好奇，在报道这项内容时你希望发现或做到什么，以及你的具体方法是什么。
Original English >> So, you reported the story out for 6 months, which we established. I'm curious just what you hoped to find or do as you reported this out and what your kind of approach was.
### 初步检测与意外发现 >> **[Christine Cyr-Clisset]**: 我真正想做的是获取关于我健康的基线数据。我每年都会去做年度体检看医生，每年都会验血，但那些就诊时间非常短暂。我想看看使用其中一些其他工具是否能让我更深入了解自己的健康，并可能标出我想要改进的地方。我四十多岁快五十了，正在经历围绝经期的各种症状，而且我之前与癌症诊断有过一次相当惊险的擦肩而过，我是癌症高风险人群。所以——[抽气]
Original English >> What I really wanted to do was get a baseline on my health. I go and see my doctor every year for an annual physical. I get blood work done every year, but those visits are pretty short. And I wanted to see if using some of these other tools could give me more insights into my health and maybe flag things that I would want to work on. I'm in my late 40s. I've uh you know I'm experiencing the lovely symptoms of parameopause and then I also had had a a pretty scary brush with a cancer diagnosis and I'm I'm high risk for for cancer. So [gasps]
>> **[Christine Cyr-Clisset]**: 我经历了中年人常遇到的那些经典心理状态，比如“天哪，我总有一天会死的，我希望我能——”[笑]“我希望能延长那段时间。”是的。所以我想看看通过追踪并在更深层次上理解健康，我能了解什么并可能改善什么。 于是，我首先进行了一系列的3项测试。我通过 Function Health 进行了自费验血，这是提供该服务的最大公司之一。我在一家 Quest 实验室做了血液化验，也留了尿样。这给我生成了一份包含100多种不同生物标志物的庞大报告。
Original English >> I had all these sort of like classic things that happen to people in midlife where you're like oh my gosh I am going to die someday and I hope I can [laughter] I I hope I can lengthen that time. Yeah. And so I wanted to see what I could learn about my health and potentially improve with my health by tracking it and and sort of understanding it a little bit deeper. And so I ended up starting by taking a series of three tests. I took self-paid blood work through Function Health, which is one of the biggest companies that offers that. And I did the blood work at a Quest lab. I also gave urine. This gave me this huge report of over a hundred different biomarkers.
>> **[Rosie Garren]**: 你还记得他们抽了多少管血吗？
Original English >> Do you remember how many vials they took?
>> **[Christine Cyr-Clisset]**: 一开始他们抽了19管。是的，抽了19管血。而那其实只是他们提供的基础检测。你可以选很多不同的附加项目，比如添加激素测试或癌症筛查，或者任何数量的额外检测，但我只做了基础检测。 然后，我在曼哈顿的一家运动机能实验室做了最大摄氧量测试和 DEXA 扫描。那是为了让我了解自己在健康方面的现状。比如体内的胆固醇、各种营养素水平如何，我很好奇血液检查还会显示出什么。至于最大摄氧量测试，我想了解我的心肺系统是否健康。对于 DEXA 扫描，起初我以为只是去测量身体成分，因为我有举铁，非常专注于增肌，所以想了解我体脂率和去脂体重的真实数据。当我到了做 DEXA 扫描的地方并与检验技师交谈后，我们决定再加做一次骨密度扫描，而这其实是做 DEXA 扫描最主要的原因。这也是医生们开具骨矿物质密度检查的原因，而且它的测量非常准确。 我非常庆幸自己最终把这项加入了检测，因为检测显示我髋部和脊柱的骨骼——也就是他们实际测量骨密度的部位——
Original English >> They took 19 to to start out with. Yeah. So, I had 19 vials of blood taken. And that was actually just the base test that they offer. You can do a bunch of different add-ons. So, you could add on >> hormone testing or cancer testing or any number of other tests that that would add on, but I just did the base test. Then I did the V2 max test and the DEXA scan at a sports performance lab here in Manhattan. And that was to just give me sort of a picture of where I was health-wise. So what was going on in my body in terms of you know things like cholesterol or different nutrient levels or and I was just curious like what other things would show up on the blood work. And then for the V2 max test I wanted to get a sense of is my cardiorespiratory system healthy. from the DEXA scan. I really wanted to understand at first I thought I was going in just to get my body comp because I lift weights and I'm, you know, very focused on building muscle and so I kind of wanted to get a sense of what is my actual percentage of body fat and lean body mass. Once I went in for the DEXA scan and talked to the lab tech, we decided that I would also do a bone density scan, which is actually really the main reason to take a DEXA scan. It's why doctors. Yeah, doctors will prescribe these for for bone mineral density and it's a very accurate measure of that. And I was so happy that I ended up adding that on to the test because it revealed that my bones in my hips and my spine, which is where they actually measure the bone density,
>> **[Rosie Garren]**: 那些支撑着你、让你能够站立的部位。
Original English >> the things that need to keep you up and
>> **[Christine Cyr-Clisset]**: 是的，那些让你保持直立站姿的部位。没错。检测显示我有骨质减少（osteopenia）的趋势，这是骨质疏松症的前兆。这并不一定意味着我的注定结局是骨质疏松，但这是一个有用的警示，就像提醒我：“嘿，你的骨骼正在变薄，你可能需要关注一下这个了。”所以这真的很有帮助。 通过做这最初的三项测试，我随后制定了一些目标。同样，没有直接与医生配合，在这里我又感到有点迷茫，比如我到底该把什么作为目标？但我足够有信心确定：“好吧，我觉得我可以确定几个想要重点关注的目标。”最终确定的目标是降低某些胆固醇指标、增强骨骼，并尝试改变身体成分——也就是人们常说的增肌减脂。这些是当时的主要目标。此外，从使用 Oura 戒指和日常生活中我也知道，我想改善睡眠，这也是我的一大目标。 这些就是我设定的主要目标。在接下来的6个月里，我一直使用追踪器——Oura 戒指、相关应用程序、Apple Watch——来帮助我保持在正轨上，随着我做出各种生活方式的改变。6个月后，我回去重新做了这三项测试：验血、最大摄氧量测试和 DEXA 扫描。
Original English >> Yeah. that need to keep you standing upright. Right. And that revealed that I am trending towards osteopenia, which is the precursor to osteoporosis. So, it's not necessarily it doesn't mean my destiny is to have osteoporosis, but it was kind of like a useful flag like, "Hey, your bones are thinning a little bit. You probably want to pay attention to this." So, that was really helpful. And and from taking those first three tests, I was then able to kind of work out some goals. And again, this was one of those places where not working directly with a doctor, I felt kind of at sea a little bit, like what should I be targeting? But I felt confident enough to say, "Okay, I think I can target a few things here that I want to focus on." And that ended up being reducing some of my cholesterol numbers, strengthening my bones, and trying to kind of change my body composition. So, when people say that, they essentially mean gain muscle, lose fat. So, those were kind of the the big targets. And I also knew from using the Aura Ring and just living my life that I wanted to improve my sleep. That was a big goal for me too. And so those were the big goals that I set out to do. And I ended up using trackers over the next 6 months. So the Aura Ring, the apps, the Apple Watch to help me keep on track, you know, as I was making different lifestyle changes. And then after 6 months, I went back and took those three tests again, the blood work, the V2 max test, and the DEXA.
### 最大摄氧量测试与日常追踪的体验 >> **[Rosie Garren]**: 你提到了最大摄氧量。我对它的印象是那东西看起来几乎像防化服一样。
Original English >> You mentioned the V2 max. My vision of that is the looks like a hazmat almost.
>> **[Christine Cyr-Clisset]**: 哈哈，我们一直叫它贝恩面具（Bane mask）。因为，是的，最大摄氧量测试测量的是心肺耐力，有些人可能熟悉在自己的 Apple Watch 或其他穿戴设备上看到的最大摄氧量数值，但在穿戴设备上看到的只是一个估算值。
Original English >> Well, it's like we kept calling it a bane mask because um yeah, so a V2 max test, it measures your cardiorespiratory fitness and some people might be familiar with seeing a V2 max score on maybe their Apple Watch or some other wearable. That's kind of an approximation when you see it on a wearable. Okay,
>> **[Christine Cyr-Clisset]**: 最大摄氧量测试测量的是心肺适应能力，即肺部、循环系统以及一定程度上心脏的健康水平。这是衡量长寿状况或长寿潜力的一种极佳方式。基本上，做这个测试的方法就是戴上面具，测量你的氧气摄入量以及呼出的二氧化碳。是的。与此同时你在一台跑步机上奔跑。你也可以在不同的器材上做，但我是在跑步机上测的。基本上，测试结束时你会得到一个分数，告诉你在心肺系统方面大体有多健康。整个过程非常折磨人。
Original English >> V2 max test is measuring your cardiorespiratory fitness, the fitness of your lungs and your circulatory system and your heart to some extent. It's like a very good way of measuring your longevity or like your potential for longevity. Essentially, the way you do this test is you you have this mask on that measures your intake of oxygen and when you exhale carbonide. Yes. Yes. While you're running on this this treadmill. You can do it on different machines, but I did it on a treadmill. And essentially, you're given a score at the end of it that tells you how healthy you are essentially in that cardiorespiratory system. Okay. And it was grueling.
>> **[Rosie Garren]**: 听起来挺艰难的。[笑]
Original English >> Sounds [laughter] tough.
>> **[Christine Cyr-Clisset]**: 确实很艰难。不过我的表现其实相当不错。如果要说哪项测试我“赢”了的话，我在上面表现得挺好，甚至可以说相当出色，但我真的一点也不喜欢它，毫无享受可言。
Original English >> It was Yeah, it was tough. Um, but I actually did pretty it was one of the the tests that I if we're if we're like saying I I won like it was actually like I I did I did okay on it. I did pretty well on it, but I didn't really like it. I didn't enjoy it. So,
>> **[Rosie Garren]**: 听起来太可怕了。
Original English >> it sounds awful.
>> [music]
Original English >> [music]
>> **[Rosie Garren]**: 那么，你觉得日常追踪有用吗？我很想知道哪些方法奏效了，哪些没有。
Original English >> So, did you find that the daily tracking was helpful? I'm curious what worked and what didn't.
>> **[Christine Cyr-Clisset]**: 我比想象中更喜欢它。我是那种如果得到一点胡萝卜或一个目标，就会朝着它努力的人。就像一只追逐目标的小狗。我也不是那种会对数据感到不知所措或焦虑的人。因此，例如在使用 Oura 约一个月后，它能够为我提供更多有关睡眠趋势的信息，我确实觉得这些工具有帮助。它们就像我在文章中形容的那样，是“督促我的小伙伴”（accountability buddies）。比如：我睡得怎么样？昨天是什么导致了睡眠不佳，或者是什么促成了良好的睡眠？在健身房里，戴着 Apple Watch 随时查看心率真的很有帮助，能知道在举铁时什么时候需要休息更久，或者在进行高强度间歇训练（HIIT）时什么时候需要把心率提得更高。再次强调，Apple Watch 或任何这类穿戴设备上的心率监测并不是完全精准的，它更偏向指导性，但我发现它非常有用。各种应用程序也让我觉得很有帮助。所有这些都在某种程度上帮助我更加关注自己的身体。我想对某些人来说，这可能并不管用，他们可能会非常焦虑。为这个报道我采访了许多医生，他们多次提到这一点：过多的数据最终可能会让人感到非常焦虑。
Original English >> I liked it more than I thought I would. I am a kind of person who like if they are given a little bit of a carrot or a goal, I work towards it. Like I'm a little dog like going after going after the thing. I'm also not the type of person who gets really overwhelmed or anxious about data. So after using the Aura for example for about a month, it was able to provide me more information around trends in my sleep, I really did find these tools helpful. They were kind of I describe it in the piece like little accountability buddies. Okay, how did I sleep? What contributed to poor sleep yesterday or what contributed to great sleep yesterday? in the gym, it was really helpful to just have my Apple Watch on to be able to read my, you know, my heart rate or to understand, you know, when I needed to be taking a longer break during weightlifting sessions or when I needed to get that heart rate up higher during HIT workouts. And again, the the heart rate monitor on an Apple Watch or any of these wearables is not totally totally accurate, so it it's more kind of directional, but I found it really helpful. And the and the apps also I found helpful. It just all kind of helped me pay attention a little bit more. I think for some people this might not be helpful. They might be really anxious. This is something that many of the doctors I spoke with for this story mentioned that, you know, a lot of data can end up making people really anxious.
>> **[Christine Cyr-Clisset]**: 穿戴设备对某些人来说可能非常有建设性，他们像我一样会觉得“哦，这能激励我，我感觉很好”，而且我也不是那种会被数据淹没的性格。但对另一些人而言，它可能根本没有帮助，反而会引发焦虑和压力，让他们觉得面对一堆数据却毫无实质助益。
Original English >> Wearables can be really, I think, constructive for some people where they, like me, like, oh, it motivates me. I'm I'm feeling good about this, but I'm I'm also not the type to be overwhelmed by it. Other people, it just might not be helpful. It might cause anxiety. it might cause stress and they might just feel like it's a lot of data without really helping them.
### 半年成果：有效与无效的改变 >> **[Rosie Garren]**: 那么6个月结束时结果如何？最初设想改善的那些健康问题，你成功改变或调整了吗？
Original English >> Right. So, at the end of 6 months, what happened? Were you able to change or alter any of the health issues you'd set out to change at the beginning?
>> **[Christine Cyr-Clisset]**: 是的，我确实改变了一些东西。我觉得有些方面算是成功，而有些方面则是彻底的失败，或者说没有达到我认为的成功标准。令我惊讶的收获之一是我降低了胆固醇，特别是两项胆固醇指标。大家可能对 LDL（低密度脂蛋白）很熟悉，也就是所谓的“坏胆固醇”。先澄清一下，Function Health 这项测试涵盖了大量关于胆固醇的生物标志物，不只是年度体检时通常看到的那几项，有很多指标你可能根本没听说过。除了我的 LDL 有点偏高之外，另一项偏高的指标是载脂蛋白B（Apo B）。人们通常简称它为 Apo B。它测量的是体内有害的脂蛋白颗粒，包括 LDL。机制有些复杂，但本质上 Apo B 能够更好地指示患心脏病和中风等疾病的风险。实际上，美国心脏协会（American Heart Association）等组织目前已建议部分人群进行这项检测，它被纳入了新的胆固醇指南中。这是我第一次做 Apo B 检测，结果显示略有升高。好的。
Original English >> Yeah. So, I was able to change some things. I think some things were a success, I would say, and some things were a total failure or just not what I considered to be a success. So, one of the surprising things for me was that I lowered my cholesterol. Two cholesterol markers in particular. So, folks are probably familiar with LDL, which is your quote unquote bad cholesterol. It's the bad cholesterol. And just to be clear, the um this function health test tests for a ton of biioarkers around cholesterol. It's not just the usual ones you would see when you go in for an annual physical. There are a bunch on there that you might not recognize. So in addition to LDL, my LDL being a little bit high, one of the other markers that was high was my apo B, which that is apo lipoprotein B. People just call it Apo B for short. And this measures your harmful lipoprotein particles including LDL. It's kind of complicated, but essentially Apo B can be a better indicator of your risk for developing things like heart disease and stroke. And this is actually a test that the American Heart Association and other organizations now advise for some people. So they're they're included in the new cholesterol guidelines. So this was the first time I had an APO test and it was slightly elevated. Okay.
>> **[Christine Cyr-Clisset]**: 在这6个月里做出一些生活方式上的改变后，我从指标略高偏向临界高位，降回了正常范围。所以这算是一项成功。 验血得出的另一项发现是，我体内一种名为性激素结合球蛋白（sex hormone-binding globulin）的激素水平很高。这个名字非常拗口，我为了简便就叫它“性地精”（sex goblin），因为读音听起来就像 sex goblin，而且——[笑]
Original English >> Um after making some lifestyle changes over the course of the 6 months, I went from being slightly elevated kind of going towards high to back into range. So that was a success. I another thing that came from the blood work is that I had a high level of a hormone called sexbinding hormone globulin which is like a real mouthful and I I call it just for short I call it sex goblin because it just sounds like sex goblin and it and it [laughter]
>> **[Rosie Garren]**: 确实很像。
Original English >> it really
>> **[Christine Cyr-Clisset]**: 这也能当我的乐队名字了。它是一种结合体内其他性激素的蛋白质，比如—— **[Rosie Garren]**: 比如睾酮。 **[Christine Cyr-Clisset]**: 睾酮、雌激素。是的。刚在血液检测报告上看到时我没当回事，觉得“不知道啊，我都48岁了，身体各项机能都在变乱”。我之前也从未听说过它。
Original English >> it would also be my like my band name. Um but it is this protein that binds onto other sex hormones in your body and >> like testosterone >> testosterone estrogen. Yeah. And at first I saw that on my blood work and I didn't think anything of it. I was like, I don't know. I'm 48. Things are going crazy. Yeah. I had never heard of it either.
>> **[Christine Cyr-Clisset]**: 于是我开始使用一些 AI 工具，想看看能否把收到的各项不同报告——血液检查、DEXA 扫描、最大摄氧量测试——关联起来。我基本上把所有这些数据都丢进了聊天机器人里。
Original English >> And I started using some AI tools to figure out if I could connect any dots between my various reports that I had gotten, the blood work, the DEXA scan, the the V2 max test, and I was like putting all this into chat bots basically.
>> **[Rosie Garren]**: 我们稍后会—— **[Christine Cyr-Clisset]**: 我们稍后会聊到那个。但基本上，与聊天机器人对话的最终结果是，有几个机器人建议我去咨询医生这个偏高的“性地精”数值，因为它可能导致我正在出现的一些症状。在带着这个问题去看了我的妇科医生之后，我才意识到其中一个症状是盗汗。我之前甚至没意识到自己有盗汗，但仔细回想后，我发现自己夜里醒来确实浑身是汗。
Original English >> And we're going to we'll talk >> we'll talk about that later. But essentially what ended up coming out of all of these conversations with chat bots is that several of them recommended that I talk to my doctor about that high quote unquote sex goblin number because it could be contributing to some symptoms that I was having. And one of those symptoms I sort of figured out after bringing this to my my gynecologist was that I was having night sweats. I didn't even really realize that I was having night sweats, but after I really started thinking about it, I realized I was waking up sweating at night.
>> **[Rosie Garren]**: 很有意思。
Original English >> Interesting.
>> **[Christine Cyr-Clisset]**: 于是我和医生谈了这件事。我把血液检查结果拿给她看，问她：“我应该对这个偏高的‘性地精’数值感到担心吗？”她说：“单看这个数字并不是问题，算不上危险信号，但你的症状是什么？我们来谈谈你的症状。”当我们开始讨论夜间盗汗、半夜醒来因为太热而无法入睡后，我们决定调整我的避孕药，那是我用来缓解围绝经期症状的药物。调整避孕药几个月后，我就不再盗汗了，而且它确实帮助我获得了更好的睡眠。
Original English >> And once I talked to my doctor about this, you know, I had brought the blood work to her and I said, "Should I be concerned about this this high sex goblin number?" And she said, "That number alone is not a problem. It's not a red flag, but what are your symptoms? Let's talk about your symptoms." And once we started talking about the night sweats and waking up at night and staying awake because I was really hot, we decided to change my birth control pill, which I take to manage parameopausal symptoms. So, a couple months after changing that, I I didn't have night sweats anymore. I was and it really helped with having better sleep. So,
>> **[Christine Cyr-Clisset]**: 说了这么多，长话短说就是，在这6个月结束时，这对我来说是一个巨大的改变。我认为这是最大的生活质量提升之一。如果不是做了血液检查并看到这个我不太熟悉的标志物，我觉得自己不会发现这一点。这并不是说验血本身改变了什么，更多的是促成了我与医生就此进行沟通。 我还想说，另一件稍微有所改变的是我的内脏脂肪减少了一点点。那是包围在器官周围的脂肪，在代谢上更危险，但减得并不多。至于完全没有改变的方面，我原本为改变身体成分设定了宏大目标，想减脂、增肌，还想提高骨矿物质密度，但这些数据我几乎完全没有推动。原因可能有很多，可能是营养问题，也可能是我进行的锻炼类型所致。这有点难以剖析，但完全未能改变那些指标确实让我感到非常沮丧。
Original English >> all of that is just a long way of saying that at the end of this 6 months, that was a big change for me. It was like one of the biggest, I think, quality of life improvements. And I don't think I would have gotten there without having taken this blood work and kind of seen this, you know, marker that I wasn't really familiar with. And that's that's not to say that taking the blood work in itself changed anything. It was more about having a conversation with my doctor about that. And then I will say that the other thing that changed a little bit was I lost a little bit of visceral fat. That's the kind of fat that's around your organs. It's more metabolically dangerous, but not that much. I didn't I didn't lose that much. What I did not really change was I had this big goal about body composition change. Like I wanted to lose fat, gain muscle. I also wanted to increase my bone mineral density and I just wasn't able to move those numbers very much. There could be any number of reasons. Could be nutrition. It could be the kinds of exercise I was doing. That is a little bit hard to parse, but yeah, I was definitely frustrated that I wasn't able to change those at all.
>> **[Rosie Garren]**: 是的，这很有意思。关于睡眠的改善，我猜想在某种意义上会让人很兴奋，因为从很多方面来说，睡眠几乎是健康的中心枢纽，与太多不同的事物息息相关。
Original English >> Yeah, it's interesting. The sleep one I imagine felt exciting in the sense that that is almost the the center of your health in so many ways. It's connected to so many different things.
>> **[Christine Cyr-Clisset]**: 影响睡眠的因素实在太多了，任何有过睡眠困扰的人都深有体会。
Original English >> There are so many things that impact sleep. Anybody who's had trouble sleeping knows that knows this.
>> **[Christine Cyr-Clisset]**: 无论是因为身边的人、你的孩子、配偶等等，还是周围的噪音，此外仅仅是身体内部的物理状况也可能让你彻夜难眠。所以我真的觉得睡眠这一块非常有帮助。 好的，我们先短暂休息一下。回来后，我们将讨论与健康追踪相关的隐患、局限性和风险。我们马上回来。 [音乐]
Original English >> Um whether it's, you know, the people in your life, your children, your spouse, whatever, the noise around you, but then just also what's physically going on with you can can keep you up at night. So, I really feel like the the sleep part was very very helpful. Okay, we are going to take a quick break. When we're back, we'll talk about some of the perils, limitations, and risks associated with health tracking. We'll be right back. [music]
### 健康追踪的隐患：医疗过度与数据隐私 >> [music]
Original English >> [music]
>> **[Rosie Garren]**: 欢迎回来。我的嘉宾 Christine Cyr-Clisset 平时通常与我坐在一起主持，但今天我们互换了角色，我正在采访她最近在 Wirecutter 网站上发表的一篇文章，题为《全天候追踪健康的希望与隐忧》。 在休息前，Christine，我们聊了你的报道过程，以及由此获得的一些积极数据、知识和见解。你从所做的测试和追踪中获得了大量数据。 我们谈到了在6个月里接收所有这些数据，或者一次性接收海量数据可能给某些人带来的焦虑。你认为进行如此高程度的追踪还存在其他风险吗？ **[Christine Cyr-Clisset]**: 是的，绝对存在风险。如果现在让我根据已知的信息重新做这个项目，我可能会因为意识到这些而采取略有不同的做法。
Original English >> Welcome back. My guest Christine Sirette is usually sitting in the host seat with me, but today we have switched it up and I am interviewing her about an article she recently published on the Wire Cutter site and it's called The Promise and Peril of Tracking My Health 24/7. So before the break, we talked about your reporting process, Christine, and some of the positive data and knowledge and insight that came from it. you got a lot of data back uh from the testing and the tracking that you did. We talked about the the the anxiety piece maybe for some people receiving all of that data um over 6 months or receiving a lot of that data at once. Um do you think that there are other risks of tracking to this degree? Yeah, there definitely are risks and this is something that if I were redoing this project now knowing what I know, I probably
>> **[Christine Cyr-Clisset]**: 所以我想先在焦虑这一点上稍作停顿。我认为这里存在两大风险领域。第一个是医疗层面的，焦虑就属于这一类。我认为属于这一类的其他一些问题甚至超出了焦虑的范畴。比如我没有做全身 MRI，但我打算拿它作为例子，因为最近新闻里经常提到它。做全身 MRI 这类检查的一大风险就是你可能会查出点什么。可能会发现所谓的“偶发瘤/偶发病变”（incidental），可能只是一个小囊肿，而且实际上可能是良性的，对你不会有任何真正的负面后果。但因为被发现了，他们就必须进去做活检，否则你无法对其视而不见，这会让你压力巨大。而且这可能不仅是心理焦虑，还可能具有侵入性，你可能需要做个小手术去取活检，这可能会引发一系列的医疗照护级联反应（cascade of care），花费大量金钱，并在身心上给你造成巨大折磨。这是一个巨大的弊端。这可能会让你陷入许多对整体健康没有建设性或帮助的无底洞中。 另一个主要的风险领域是数据隐私。你之前也提到了这一点，随着我了解得越多，我意识到自己在开始这个项目前本该更加谨慎。[笑] 关于数据隐私和健康追踪，我认为有很多事情是人们需要了解的。首先，我使用的大多数应用程序、穿戴设备和 AI 工具都不在《健康保险携带和责任法案》（HIPAA）的管辖范围内。HIPAA 是当你向医疗机构或保险公司沟通时保护你的法规，他们不能泄露你的个人信息，对吧？
Original English >> would do things a little bit differently because of of knowing that. So, I just want to pause on the anxiety part of it. I think that there are two big areas of risk here. The first I would say is medical and anxiety fits into that. I think some other things that fit into this category go beyond anxiety. So, I did not take a full body MRI, but I'm going to use that as an example because that's been in the news a lot lately. One of the big risks of something like doing a full body MRI is that you could find something. There could be like what is called an incidental, which is a little it might be a cyst and it actually might be benign and not have any real negative outcome for you, but because they've found it, they need to go in and biopsy it or unknown. you can't unknow and it's going to stress you out and it might not just be anxiety. It might be actually like invasive. You might need to have do a little surgery, biopsy it and that might just kind of cause this like cascade of care which will cost a lot of money and may cause you a lot of physical and mental strife essentially. That is a big downside. Um so it could send you down a lot of rabbit holes that maybe aren't going to be that constructive or helpful for your overall health. The other big area of risk is data privacy. And you you mentioned that before and this is where I probably might have been a little bit more cautious before [laughter] I started this project as I learned more. So when it comes to your data privacy and health tracking, I think there are a lot of things you that people should be aware of. First of all, most of the apps and wearables and AI tools that I used do not fall under HIPPA. Now, HIPPA is the thing that gives you protection when you go and talk to your medical provider or your insurance company. They can't divulge your personal information, right?
>> **[Rosie Garren]**: 比如你会拿到写字板并在上面签字，承诺他们不会分享你的信息。[笑]
Original English >> You get the clipboard and you sign the thing that [laughter] we're not going to share your information.
>> **[Christine Cyr-Clisset]**: 没错。但当你使用绝大多数此类工具时，它们不受该法规约束。你无法获得同等保护。你可能会主观觉得受到了保护，因为这些与健康相关。 目前许多人正在使用聊天机器人来咨询医疗问题或心理健康问题，而这些数据并不一定受保护。我们在网站上发表过一些文章，讨论数据经纪人如何收集你的信息。你采访过我们的撰稿人之一 Max Eddy，那是一期非常精彩的节目。如果有人好奇自己的信息如何被卖给数据经纪人并被建立风险画像最终分享给其他公司，应该去回听那一期。
Original English >> Exactly. And when you're using most of these tools, they don't fall under that. You don't have the same protections. You might kind of feel like you do because it's health adjacent. A lot of people are using chat bots at this point to ask medical questions, to ask mental health questions, and that is not protected necessarily. And we have published some pieces on the site about how data brokers collect your information. You interviewed Max Eddie, one of our writers, about this and it's a great episode. People should go back and listen to it if you're if you're curious about how your information can be sold to data brokers and they can build these risk profiles of you that can end up being shared with companies.
>> **[Rosie Garren]**: 真可怕。 **[Christine Cyr-Clisset]**: 是的。目前很多风险还处于假定阶段，比如那些信息可能会流向人寿保险公司，进而影响你获得保险的能力。这目前虽然是假定的，但在其他行业确实发生过这类事情。除了这种风险，还存在其他数据隐私隐患。你的数据并不必然受你控制。而当涉及到健康时，问题就变得相当严肃了。 所以我想，今后在将个人健康信息输入聊天机器人时我会谨慎得多。我也会更加仔细地审查不同应用的条款，确保关闭某些数据共享设置等等。我们在 Wirecutter 上有很多这方面的信息。我不是数据隐私专家，在撰写这篇文章涉及数据隐私的部分时，我与我们的数据隐私撰稿人 Max Eddy 进行了非常密切的合作。但这确实是人们应该谨记在心的事情。
Original English >> Scary. Um, yeah. And it, a lot of it is at this point kind of hypothetical, like maybe that information could make its way to a life insurance company and that could impact your ability to get coverage. Um, this is all hypothetical, but it has this sort of thing has happened in other industries. So, there's that risk, but there's some other other data privacy risks. You know, it's just your data is not in your control necessarily. And so, that's when it comes to your health, that's pretty >> that's pretty serious. And and so I think that, you know, now going forward, I'll be much more careful about what I put into a chat bots about my personal health. I'll be much more careful about reviewing the the terms in different apps and making sure that I, you know, I turn off certain sharing settings and things like that. We have a lot of information about that on Wire Cutter. I'm not a data privacy expert. I worked really closely with Max Eddi, our our data privacy writer on on this piece when it came to data privacy. But yeah, it's just something that people should keep in mind.
>> **[Rosie Garren]**: 是的。对于医疗信息这部分数据，人们的想法可能会有所不同，对吧？ **[Christine Cyr-Clisset]**: 我还觉得，尤其在使用聊天机器人时我曾体验过这种感觉：当你独自面对电脑时，会产生一种隐秘感，觉得给这个机器人的输入是一场私密对话。但事实并非如此。
Original English >> Yeah. The subset of medical information, people might think differently about it, >> right? I I also think that there is just this I've experienced this when when using chat bots in particular where you're alone with your computer and you kind of feel like it's private. You kind of feel like whatever you're giving this chatbot is a private conversation. but it really isn't. So,
### 用 AI 剖析体检数据：幻觉与医生求证 >> **[Rosie Garren]**: 是的。比如你向聊天机器人输入了什么类型的内容？
Original English >> yeah. What were the types of things you fed into like a chatbot for instance?
>> **[Christine Cyr-Clisset]**: 首先我必须声明，我隐去了所有个人信息，比如姓名、地址、任何识别号码等。 我使用的是 Claude、ChatGPT 和 Gemini。我把最初的那三份报告——验血、DEXA 扫描和最大摄氧量测试——输入到这些工具中，询问它们不同报告之间是否存在任何关联。起初，它们给我的信息并没有超出报告本身的范围，我觉得没太大帮助。但当我开始深入追问后，各个聊天机器人便开始给出一些有趣的分析结果。有一瞬间我真的觉得自己像夏洛克·福尔摩斯一样，[笑] 正在揭开关于自身健康的所有奥秘，当时心想“天哪，这一定会写成一篇绝佳的报道”。 但最终，当我带着其中的一些问题向医生求证时，他们的反应却是“完全不对，根本不是那回事”。
Original English >> First, I should say that I redacted all of the information, all the personal information like my name, my address, any kind of identifying numbers or anything. So, I fed I did this with Claude Chat GPT and Gemini. I fed those first three reports, the the blood work, the DEXA scan, and the V2 max test and put those into these tools and asked them if there were any connections to be made between the different reports. And at first, they didn't really give me much more than what the reports gave me. So, I didn't feel like it was all that helpful. But once I started digging in and asking questions, that's when the various chat bots started giving me sort of interesting results. And at at one point I really felt like I was like Sherlock Holmes and I was like [laughter] discovering all these things about my health and I was like wow this is going to be such a great story. But in the end after I brought some of those questions back to my doctors they were like yeah no that's totally wrong. Like
>> **[Rosie Garren]**: 跟我说说这个。[笑] 那些医生和专家对于利用 AI 来研究个人健康有什么看法？ **[Christine Cyr-Clisset]**: 我就此咨询了几位医生，所有受访医生基本都表示他们理解现在大家都在用聊天机器人询问医疗问题。其中一位医生说，几年前人们会通过谷歌搜索健康问题，去问“谷歌医生”。而现在他看到很多病人带着显然至少经过 AI 润色提炼过的问题前来就医，他提到现在的病人带来的问题比以往要复杂老练得多。 我自己甚至也带着些许羞怯与我的一位医生沟通说：“那个，我带了一堆从 AI 那里得来的问题。”她只是耸了耸肩说：“我知道。”[音乐]
Original English >> yeah so [laughter] so tell me about that. Tell me about what these physicians and experts had to say about using AI, you know, for researching your health. Yeah, I spoke with a couple doctors about this and all of the doctors I spoke to basically said that they understand that people are using chat bots at this point to ask medical questions. One of the doctors I spoke with said that a couple years ago people would be googling their health. They'd be going to Dr. Google, you know, and now he sees a lot of patients coming in with questions that have clearly been at least kind of sharpened by AI, right? And you know he said that there are people are coming in with much more sophisticated questions than they they used to. So I even talked to one of my doctors about this you know kind of sheepishly saying hey I you know I came in here with a bunch of questions from AI and she just kind of shrugged and said yeah I know [music]
### 自费检测与医疗系统的现实距离 >> **[Rosie Garren]**: 鉴于许多穿戴设备和追踪器都是科技产品，源自硅谷。我有些好奇，人们对它们是否一直存有一种印象，即认为它们是某类特定人群用来追求极致优化的工具，比如“让我活到200岁”。[笑] **[Christine Cyr-Clisset]**: 祝他们好运。 **[Rosie Garren]**: 但你觉得现在还是这种情况吗？
Original English >> because of the fact that many of these wearables these trackers they're tech so they're coming out of Silicon Valley. I do wonder if there has been this idea around them that they are used by a certain type of person to optimize like and you know and let's let me live till I'm 200. [laughter] >> Good luck with that. >> But um is that do you think that's still the case?
>> **[Christine Cyr-Clisset]**: 我觉得很多工具正变得越来越普及、更容易获取。虽然它们仍需花钱，对于某些人来说依旧难以企及。但现在你可以非常轻松地做自费验血；如果你生活在大城市，也能很方便地做全身 MRI；当然，任何人也都可以买到各种各样的穿戴设备。我认为在过去十年里，这些东西对大众而言变得容易获取得多了。
Original English >> I think the a lot of these tools are becoming much more widely available and accessible. So they still cost money. they still are going to be out of reach for some people. But, you know, just the fact that you can now so easily get, you know, self-paid blood work or you can so easily, you know, if you live in a big city, you can get a full body MRI or, you know, and absolutely you can buy any number of wearables. I think these things have become much much more accessible to people over the last decade.
>> **[Rosie Garren]**: 你提到把你获得的部分信息、数据和结果拿给了全科家庭医生，但你开篇也说明了，在整个过程中你并没有私人全包医疗顾问（medical concierge）陪同。这对你解读所获得的数据意味着什么？ **[Christine Cyr-Clisset]**: 拿到了血液检查报告后，我独自消化了一段时间。我看到有些指标在正常范围内，有些超出了范围。我很自然地将注意力放在那些异常指标上，琢磨了一阵子：这值得去找医生吗？指标偏离了多少？这是我该担心的事情吗？ 我最终确实把血液报告寄给了我的妇科医生和全科医生，只是想让他们看一眼那些超出范围的数值，帮我确认一下这到底值不值得担忧。他们大体上说：“不用担心。”但我接触到的许多医生表示：“听着，我完全愿意看外部的血液化验结果。虽然我认为这是过度检测，也不一定支持大众去盲目做这些，但如果你真要这么做，建议尽量结合医生的意见来进行。”
Original English >> You mentioned bringing some of the information, some of the data, some of the results you got to your primary care doctor, but you also said at the beginning that you were not working with a a medical concierge throughout this entire process. So, what did that mean for you in terms of interpreting the data you got back? So, I got my blood work, for instance, I got that report and kind of sat with it for a little while and I saw that some of my markers were in range and some of them were out of range. So, of course, I paid attention to the ones that were out of range and kind of sat on that for a little while. Is this worth bringing to my doctor? How out of range is this? Is this something I should be worried about? I did end up sending my blood work to my gynecologist and my primary care physician just to have them look over the out of range numbers to just flag like is this something I should be worried about or not. Mostly they said no don't worry about it but this is something that the doctors I spoke with kind of many of them said look I'd be totally willing to look at external blood work. I think that it's over testing and I don't necessarily think people should be doing this but many of them said yeah I mean you know if you can they encouraged people if you're going to do this then try to work with your doctor on it.
>> **[Rosie Garren]**: 你之前提到了自费全身 MRI，我听到的这类讨论也越来越多。我记得演员 Busy Philipps 曾说她做了一次全身扫描，[清嗓子] 发现了一个恶性脑肿瘤。是的。听起来确实令人害怕，但根据个人身份、身处地域和财务状况的不同，这些检查的费用非常昂贵。那么这一因素是如何影响你的文章报道的？ **[Christine Cyr-Clisset]**: 我们讨论过让我去做一次 MRI，因为这现在确实是一个热门话题。但当我们真正深入研究有关 MRI 的医学背景后，医生们普遍并不建议去做。而且它们非常昂贵，价格大概从1500美元到2000、3000美元不等，具体取决于扫描身体的部位范围。对比之下，我当时测了整整一堆项目，总花费才2000美元。 因此我们认定这不适合这篇报道，决定不做。与此同时，我们决定做血液检查。虽然我们也清楚大多数医生不建议盲目验血，但只要400美元。所以我们觉得，不妨做做看。如果当时有非常充分的医学理由支持做 MRI，我们肯定会去做。但全身 MRI 通常只会产生一堆并不能真正改变临床治疗方案的数据。
Original English >> You referenced them earlier and I have heard more and more about these full body MRIs that you can pay out of pocket for. I remember hearing about Bizzy Phillips, the actor, who said she [clears throat] got one and that it caught a malignant brain tumor. Yeah. And that was really spooky to hear about, but they're really cost prohibitive depending on who you are, where you are, what your circumstances are. So, how did that factor in to your article? We talked about me getting an MRI because of course this is really it's like a buzzy topic right now, you know, >> but once we really started digging into the research around MRIs, doctors really don't recommend that you get them. They're also quite expensive. They're anywhere from like about 1,500 to, you know, 2,000 3,000 depending on the how much of the body they're scanning. And, you know, when you look at what I ended up testing, I did a whole bunch of tests for $2,000. MRI for decided that it wasn't going to work for this story that we didn't want to do it for. At the same time, we did decide to do blood work. We also knew that most doctors don't recommend doing that, but that only cost $400. So, we were kind of like, well, let's just do it. You know, I think if we had had a really strong case for doing an MRI, we would have gone ahead and done it. But full body MRIs generally result in a lot of data that doesn't usually change the approach to patient care.
### 花销考量与更理性的健康关注 >> **[Rosie Garren]**: 听你讲述这6个月的经历轶事，我脑海中浮现的一个问题是：所有这些测试都要花很多钱。所以我的首要问题是，谁为这一切买单？
Original English >> As I was listening to you sort of talk anecdotally about what that six months was like, one of the things that occurred to me is that all of these cost a lot of money. So there's the question to me about well number one who paid for this.
>> **[Christine Cyr-Clisset]**: 是 Wirecutter 买单的。因此我得以完成这个项目并由公司承担费用。如我之前所说，我原本就有一块 Apple Watch，但除了这块表，其他所有的项目——两次 DEXA 扫描、两次验血、两次最大摄氧量测试、Oura 戒指以及 Oura 戒指的订阅费——全部加起来大概是2000美元。所以这确实很昂贵，有些人可能会觉得远远超出承受范围。
Original English >> So Wire Cutter paid for this. So I was able to uh do this project and have the company pay for it. I, like I said, I own an Apple Watch, but I will say that everything I did besides the Apple Watch, the blood work, the DEXA scan, the two two rounds of DEXA scans, two rounds of blood work, two rounds of the V2 max test, the Aura Ring, the Aura Ring subscription, everything altogether came up to about $2,000. So, >> that's certainly expensive. Some people might feel like that's really out of range.
>> **[Christine Cyr-Clisset]**: 是的。不过我想说的是，如果让我重新来过，我不会一次性把所有测试全做了。如果你把这些单项分开来看，它们会平易近人得多，对吧？比如一款穿戴设备大概300到400美元；一次验血费用大约在100到400美元之间。这在很大程度上取决于你平时习惯如何在健康类消费品上分配可支配收入。[清嗓子] 对有些人来说可能觉得非常昂贵，而对另一些人而言则相当合理。
Original English >> Yeah. Yeah. What I will say though is that like if I were going to do this again, I wouldn't do it all at once. And I think that if you look at these things individually, they're going to be far more approachable, right? So like a wearable might cost $3 to $400. A blood test might cost between$1 and400. So it kind of just depends on how you tend to spend your >> disposable income on on [clears throat] sort of wellness types of products. Um, for some people I think that might seem really expensive and to some people it might seem very reasonable.
>> **[Rosie Garren]**: 是的。而且你当时也是去搜集大量不同类型的信息和数据。正如你所说，并不是每个人都需要一次性探求所有数据。
Original English >> Yeah. You also went out to get a lot of different kinds of information and data. So, not everyone necessarily might go looking for everything at once as you're saying.
>> **[Christine Cyr-Clisset]**: 没错。如果你对这类事情感兴趣，理智的做法是仔细思考自己究竟想改变什么，或者遇到了什么健康困扰。而且，如果你有一位信任且愿意在此类事情上与你配合的医生，提前与医生充分讨论哪些检查最有帮助是非常明智的。 我认为很有意思的一点是，获得这些穿戴设备和数据信息，确实能让人们更有力量去探寻比以往更多的自身健康信息。但对我而言，这也引出了一个问题：鉴于这些检测、流程和产品无处不在，加上大众对它们的兴趣日益浓厚——这种兴趣显然是切实存在的——你认为这反映出我们现有的传统医疗保健处于怎样的状况？
Original English >> Yeah, exactly. I think it would be smart if you're interested in something like this to really think through what you are trying to change or what issues you're having. And it would be very wise also to talk to your doctor if you have a doctor you trust and is open to working with you on this sort of thing um to talk through what would be most helpful. I think there is something really interesting about how access to these wearables and access to this information can really empower people to seek more information about their health than they probably ever have been able to do before. But to me it also begs the question um what do you think just the ubiquity of these tests, procedures, these products and people's increased interest in them because obviously the interest is is there. What do you think it says about where we are in terms of health care,
>> **[Christine Cyr-Clisset]**: 传统医疗？是的，这是一个极大的问题，其中很多层面已经超出了我在这篇文章中讨论的范围。但在我与许多医生的交流中，一个普遍共识是他们理解人们渴望获得更多关于自身健康的信息，对吧？正如你所说，我们拥有前所未有的获取渠道——互联网、各类研究工具、提供海量数据的穿戴设备。大家对此充满渴望。但与此同时，很多人觉得自己没有足够的时间与全科医生深入探讨可能面临的所有健康疑问。我提到这一点的原因在于，人们感受到了这种空白，期望从医疗中获得更多支持。而大型科技公司正向他们提供这类工具，承诺——不论最终能否兑现承诺——能帮他们获取更多信息。 同时不可忽视的现实是，你确实无法从全科医生那里获得期望那么多的就诊时间，这也是事实，对吧？
Original English >> traditional healthare? Yeah, I mean that's a huge that is a real big question and a lot of that goes beyond what I covered in this story. But a common conversation that I had with many of the doctors that I spoke with is they understand that people want more information about their health, right? And we have, like you said, we have more access than ever before. We have the internet. We have all of these research tools. We have all of these wearables that are giving us all this data, right? So there's a hunger for it. At the same time, I think a lot of people feel like they don't get enough time with their primary care physician to dig into all of the sort of health questions that they might have. And the reason I bring that up is that people feel like there's this void. They want more from their health care. these big tech companies are offering them these tools that are promising whether they deliver on the promise or not, but that are promising to help them kind of give them more information >> and they're holding at the same time this idea that you don't get as much time as maybe you would want with your primary care physician. That's also true,
>> **[Rosie Garren]**: 没错。 **[Christine Cyr-Clisset]**: 甚至连约到一个医生可能都是个难题。我生活在全美最大的城市之一，拥有全国最好的医生资源，但即便作为某位医生的现有老病患，预约看一次病也得等上好几个月。 所以说这些只是为了表明，我认为我们的医疗体系存在很多问题。我并不是说任何穿戴设备或自费测试能解决这些问题，但这表明人们对此存在强烈的渴求。他们渴望更健康，渴望得到答案，正在通过这些工具去探寻。不过我认为必须说明的一点是，绝大多数人如果做了我做过的这些测试，就会和我一样，无法独立解读那些数据。我并没有医学学位，对吧？
Original English >> right? And and you know, maybe it's even an issue with finding a doctor. You know, I I think it can be I live in one of the biggest cities in the country with some of the best doctors in the country. It can take a long time to get a visit even if you are considered a current patient with someone, you know, it can take months, you know. So, >> that's all just to say that I think there are lots of issues with our health care system and I'm I'm not saying that any of these wearables or tests or anything solve any of that, but I think that it just is indicates that there's a real hunger for people. They want to be healthier. They want answers. They want, you know, they're seeking seeking that out in these tools. I I do think it's important to just say that, you know, most people if they do some of these tests that I did, just like me, they're not going to be able to interpret that data on their own. You know, I don't have a medical degree, right?
>> **[Rosie Garren]**: 所以它会引发焦虑。它可能会让你产生一种错觉，以为自己掌握了比实际更多的控制权。 **[Christine Cyr-Clisset]**: 就我个人而言，我使用这些工具和测试的态度是：这些是有用的信息，但我不会投入过多的情绪和执念。我会与医生核实把关，确保自己不把这些数据直接当作医疗建议来使用，它们本来就不应该被这样使用。记住这一点非常重要。 **[Rosie Garren]**: 我想你6个月后的测试结果也印证了这一点：在那段时间里，有些事情你可以改变，而有些事情则纹丝不动。
Original English >> So, it can cause anxiety. You know, it can make you feel like maybe you have more control than you actually do. For me personally, I was able to use these tools and and tests in a way that kind of was like, this is helpful information. I'm not going to put too much of my heart and soul into it. I'm going to vet it with my doctor. I'm going to make sure that I'm not just sort of like using this as medical advice on its own, which it shouldn't be used as. But yeah, I think it's just important to to remember that. I think your results too after six months kind of drive that point home is like there were some things you could change in that period of time and there were some things that didn't change.
>> **[Christine Cyr-Clisset]**: 是的。总的来说，使用所有这些工具对我最有用的一点，就是它促使我更加关注自身健康。在做完 Function Health 验血的两天后，我在年度常规体检中得到了相同的胆固醇报告。当时我和医生的对话基本上是：“指标一切正常。”我询问了偏高的胆固醇，他说：“没关系，不用担心，你没有其他心脏病风险因素。”医生的说法完全合情合理，胆固醇稍高一点完全可能是无碍的。但是在 Function Health 网站上深入查看那些数据时，我真切地觉得它的界面比 MyChart 好用得多。[笑] 如果你熟悉 MyChart 的话，就会知道它非常功能化、非常简陋，基本上只显示你的指标是否在正常范围内。但 Function Health 网站提供了更丰富的信息：这个标志物是什么？为什么它很重要？通过哪些方式可能改变它？有哪些饮食方面的建议需要考虑？有哪些运动健身方面的建议需要注意？拥有这种程度的信息让我更加密切地关注自己的健康。而这种关注本身就是最有价值的，它让我意识到：“我要对这个多加关注，多思考一下，并做出一些改变。”
Original English >> Yeah. I mean I think overall the most useful thing for me in using any of these tools was just that it it made me pay closer attention. I had gotten the same cholesterol report at my annual physical which I took 2 days after my function health blood work. And the conversation I had with the doctor about my blood work was kind of like, "Yeah, everything's fine." And I asked about my cholesterol, which was a little high. And he said, "It's okay. I'm not worried. You don't have other risk factors for heart disease." Which is totally legit, right? Like I you you can have a little bit of a higher cholesterol and it and it can be fine. But being able to sort of dig into the numbers on the function health site and I I honestly felt like the the interface of that site was a lot more helpful than the my chart uh [laughter] if you're familiar with my chart which is you know it's very very utilitarian. It's very basic. Um it just shows you kind of like whether you're in range or out of range. But the function health site gave a lot more information about what is this marker? Why is it important? What are ways that you might be able to change it? What are dietary things you might want to think about? What are fitness things you might want to think about? And just having that level of information made me pay closer attention. And that in itself was was the useful thing, right? It was like, oh, I'm going to pay more attention to this. This is something that I'm going to think more about and make some changes.
>> **[Rosie Garren]**: 这太有意思了。大家都应该去读读这篇文章。祝贺你，Christine。感谢你的分享。
Original English >> This is super interesting. Everyone should go out and read the piece. Congrats, Christine. Thanks for chatting.
>> **[Christine Cyr-Clisset]**: 谢谢你。
Original English >> Well, thank you.
>> [music]
Original English >> [music]
>> **[Rosie Garren]**: 《The Wirecutter Show》由我 Rosie Guerin 担任监制，[音乐] Abigail Keel 担任制作人。Mattie Maziello 和 Nick Pitman 提供工程支持。本期节目由 Sophia Lanman 混音。[音乐] 原创音乐由 Dan Powell、Marian Lozano、Alicia Etup、[音乐] Rowan Niemisto、Catherine Anderson 和 Diane Wong 创作。Cliff Levy 是 Wirecutter 的副出版人兼总经理。Ben Frumin 是 Wirecutter 的总编辑。我是 Christine Cyr-Clisset，[音乐] 我是 Rosie Guerin。感谢您的收听。
Original English >> The Wire Cutter Show is executive produced by me, Rosie Garin, and [music] produced by Abigail Keel. Engineering support from Mattie Maziello and Nick Pitman. This episode was mixed by Sophia Lanman. [music] Original music by Dan Powell, Marian Loausano, Alicia Etup, [music] Rowan Nisto, Catherine Anderson, and Diane Wong. Cliff Levy is Wire [music] Cutter's deputy publisher and general manager. Ben Fman is Wire Cutters editor and chief. I'm Christine Sirette. [music] And I'm Rosie Garin. Thank you for listening.