Aging in Place

The single most expensive outcome of aging is the loss of independence at home, and most of the leading indicators are visible in the bathroom months before the event. The room becomes infrastructure for healthspan, not a passive utility.

Issues that live here

• Issue

  Falls & gait

  Detect falls risk and gait change months before the first fall.

• Issue

  Frailty trajectory

  Continuous frailty signal across gait, weight, hydration, and biological-age proxies.

• Issue

  Medication adherence

  Adherence as observed behaviour, with biochemistry as ground truth.

• Issue

  UTI (delirium + sepsis cascade)

  Break the UTI → delirium → sepsis cascade. Roughly one in three sepsis cases starts as a UTI, and untreated infection is a leading driver of hospitalization and loss of independence in older adults. This is the smart-seat wedge.

• Issue

  CHF (congestive heart failure)

  Catch CHF decompensation at home from daily heart, weight, and fluid signal, before the ED visit.

Issues that touch Aging in Place

Primary home is elsewhere. They show up here because the work cuts across.

• Cross-cutting

  BPH (prostate enlargement)

  Catch prostate change from urinary flow signal, longitudinally, before symptom referral.

• Cross-cutting

  Nocturia & sleep

  Treat nocturia as the daily signal at the intersection of prostate, sleep, and aging risk.

• Cross-cutting

  Gut, GLP-1 & metabolic

  The toilet as the first daily feedback loop for the GLP-1 era. Gut, metabolic, microbiome.

• Cross-cutting

  Biological-age biomarkers

  Biological-age proxies from urine, behaviour, and motion, without monthly bloodwork.

• Cross-cutting

  Microbiome

  Long-arc microbiome signal as the connecting tissue across gut, immunity, and metabolic health.

• Cross-cutting

  STI (sexually transmitted infections)

  Catch chlamydia, gonorrhoea, and other STIs from passive urine signal. Restore the screening continuity primary care has lost.

• Cross-cutting

  Migraine

  Catch migraine prodrome from hydration, autonomic, and hormonal signal in the room people already use. Three times the prevalence in women; ~78B/yr in US lost productivity.

• Cross-cutting

  Residential standard (BHOS-spec)

  A BHOS-spec for the residential bathroom. Interoperable, privacy-first, deployable at scale.

• Cross-cutting

  Senior living & aged care

  The bathroom as preventive infrastructure inside senior living and aged-care operators.

• Cross-cutting

  Medicare Advantage / payer cohorts

  The bathroom as preventive infrastructure inside payer cohorts where outcomes drive economics.

• Cross-cutting

  Public-health surveillance

  Anonymous, cohort-level surveillance from bathroom signal, done in a way the public will accept.