Cushla McKinney

In 2014-15, one of the most highly fêted names in biomedical circles was Elizabeth Holmes. 31 year-old Holmes had founded a company called Theranos, to manufacture a small, easy-to-use device – the Edison– that was capable of running multiple analyses on a single drop of blood. Although the Edison was not yet commercially available, the company was testing blood samples from Palo Alto patients on their in-house machines, and had signed agreements with the Cleveland Clinic, Capital BlueCross and AmeriHealth Caritas.
Holmes predicted that Thaneros technology would slash the cost of blood tests, spare patients the stress and pain of repeated blood draws and allow everyday people to monitor their own health on a daily basis, just as a diabetic checks their blood sugar levels. What investors and consumers did not know, however, was that beneath its elegant housing the Edison consisted of little more than a pipette robotic arm, only able to carry out one of the three types of tests Theranos offered, and that with very poor reproducibility. Other tests were carried out on standard equipment but on such dilute samples that their results were also unreliable, and doctors using the company’s services were frequently having to reorder tests from other providers.


After twenty years as a nurse in the British National Health Service (NHS), Christie Watson is leaving medicine to pursue a literary career. But with the generosity that characterises the job to which she has devoted much of her life, she has taken the time to share what it has taught her.




Five thousand years ago Oman was the centre of the world’s frankincense trade. Frankincense was traditionally burned at funerals and to repel malaria-bearing mosquitoes in the coastal regions. Other uses included the treatment of wounds, nausea, blood pressure, fever and inflammation. It was in great demand by the Greeks, Romans, Egyptians and Israelites for their religious ceremonies. A whole year’s supply was burned at the funeral of Nero’s wife. As one of the gifts to the Christ child, frankincense was considered more valuable than gold. To transport frankincense across the desert, camels were domesticated in southern Arabia. At least one of the Magi is said to have started his journey to Bethlehem from southern Oman.
