PULSE Podcast Episode Summary
Episode Information
Episode Title: The Other 8,765 Hours - with Sara Riggare
Episode Number: Episode 62
Release Date: April 3, 2026 (13 hours ago)
Duration: 27 minutes
Guest: Dr. Sara Riggare
Main Topics Discussed
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Patient-Generated Knowledge in Healthcare
- How patients can be active producers of knowledge rather than passive recipients of care
- Challenging embedded assumptions in healthcare systems
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The “8,765 Hours” Concept
- Highlighting the limited time patients spend in the healthcare system
- Emphasizing how much of patients’ lives and data exist outside clinical settings
- The importance of recognizing life outside the healthcare system
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Epistemological Gap in Modern Medicine
- Why healthcare systems struggle to recognize patient-generated knowledge as valid
- The disconnect between clinical knowledge and patient experience
- How this creates gaps at the heart of modern medicine
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Designing Healthcare Around Patients
- The need to redesign healthcare systems with people living with disease at the center
- Empowering patients as active participants in their own care
Guest Information
Dr. Sara Riggare
- Background: Chemical engineer by training
- Expertise: Patient advocacy and healthcare innovation
- Personal Experience: Diagnosed with Parkinson’s disease at age 32
- Academic Work: Completed a PhD in “personal science,” studying her own Parkinson’s condition to generate new insights
- Impact: Has spent over a decade challenging deeply embedded assumptions in healthcare, particularly regarding patient involvement and knowledge generation
- Key Contribution: Developed the iconic “I vs 8,765 hours” concept that reframes how we think about patient time and healthcare
Key Takeaways and Insights
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Patients as Knowledge Producers: Healthcare systems need to recognize that patients generate valuable knowledge about their conditions and should be treated as active contributors to medical understanding.
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The Time Paradox: Patients spend only a tiny fraction of their lives (represented by the 1 hour in 8,765 hours) in healthcare settings, yet most of their relevant data and lived experience occurs outside these systems.
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Epistemological Challenge: Modern medicine has an epistemological gap—it struggles to validate and integrate knowledge that comes from patients rather than clinical research, creating inefficiencies and missed insights.
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Power and Knowledge: The discussion emphasizes that true healthcare transformation requires shifting power dynamics and recognizing that knowledge about disease comes from multiple sources, not just medical professionals.
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Practical Redesign: Healthcare systems should be fundamentally redesigned to center on the people living with disease every day, incorporating their insights and experiences into care design.
Resources and Links Mentioned
Key Resources
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“Patients Are Not Waiting For Permission” Lancet Article
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Sara Riggare’s LinkedIn Profile
PULSE Podcast Resources
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PULSE+IT News
- https://www.pulseit.news/
- Subscribe for breaking digital health news, weekly newsletters, and archival material
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PULSE+IT LinkedIn
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Follow the Hosts:
- Louise Schaper - https://www.linkedin.com/in/louisesch…
- George Margelis - https://www.linkedin.com/in/drgeorgem…
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BlueSky Profiles:
- Louise - https://bsky.app/profile/drlouisescha…
- George - https://bsky.app/profile/drgeorgem…
Contact & Feedback
- Email: pulsepod@pulseit.news
- Production: Octopod Productions (https://octopod.productions/)
- Additional Credits: Ivan Juric (https://www.linkedin.com/in/ivan-juri…)
Episode Context
Welcome to Pulse: Amplify, where hosts Louise Schaper and George Margelis sit down with leaders and changemakers shaping the future of health. This episode features an in-depth conversation with Dr. Sara Riggare about reimagining healthcare systems to recognize and value patient knowledge and experience.
Summary created: April 3, 2026 Podcast: PULSE - Amplifying voices in digital health