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

  1. 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
  2. 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
  3. 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
  4. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.


Key Resources

PULSE Podcast Resources

Contact & Feedback


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