Privacy in the AI era is possible, says Proton’s CEO, but one thing keeps him up at night


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Radhika Rajkumar/ZDNET

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ZDNET’s key takeaways

  • AI and Big Tech are eroding personal privacy.
  • Proton’s encrypted tools are increasingly appealing.
  • Proton CEO Andy Yen worries about a future inundated by rogue agents. 

As AI’s popularity continues to soar, privacy and safety concerns surrounding the technology have kept pace, especially during the last year. 

AI is now a common tool for cybercriminals, making it much easier for bad actors to steal your data. The technology also enables the scaling of mass surveillance to new extremes. AI agents like OpenClaw have continued to go rogue despite being embraced by tech giants like Nvidia and Meta, leaking or deleting sensitive information. 

Also: Proton just launched a Google Workspace alternative – and it’s fully encrypted

Earlier this month, I attended Semafor World Economy in DC, where 500 CEOs joined government leaders to discuss the state of global business, including AI’s impact on security and privacy. Andy Yen, CEO of VPN and private digital service provider Proton, spoke on the topic; I sat down with Yen after his panel to discuss whether privacy can coexist with AI, what its future looks like, and why he thinks Proton is well-positioned to succeed. 

Privacy in the public consciousness

AI and privacy trade-offs go hand in hand: the thinking goes that the more data AI tools have access to, the better they perform, whether for enterprise or individual use. That directly pits implementation and efficacy against risk tolerance. Still, popularity has skyrocketed over the last two years, especially for sensitive use cases such as healthcare

Also: How to audit what ChatGPT knows about you – and reclaim your data privacy

Since Proton’s founding in 2014, long before AI use exploded amongst everyday consumers, the company has offered users privacy-first alternatives to tools from the Big Tech likes of Google, Microsoft, and Meta. However, Yen doesn’t think the rise of AI tools has popularized data privacy concerns amongst the public. In his view, the issue is a generational mismatch between privacy awareness and tech adoption.

“There are more people who really care about privacy, but are not tech savvy enough and don’t know how to protect themselves,” he said. “Then there’s sort of the middle-aged people — we’re actually kind of the worst because we don’t have the privacy focus of our parents, yet we’re adopting all this tech. So we are more ignorant and more exposed.” 

That said, Yen is optimistic that education will solve that. 

Also: 5 reasons you should be more tight-lipped with your chatbot (and how to fix past mistakes)

“The best way to protect somebody is to simply teach them about the risk,” he said. “If the education piece is done correctly, then everything else will kind of naturally follow.” 

Beyond that solution, though, he’s hopeful that mass lack of awareness is simply a matter of time.

“I think we need to take this in the context of long-term trends,” he said. “When we started Proton in 2014, maybe one in 10 [people] understood the business model of Google and Facebook. Today, it’s maybe 4 in 10, and when OpenAI started running ads and pushing bias suggestions for revenue, that gets seen by more people — maybe 7 in 10.” 

At the moment, Yen believes the next generation is best prepared for the world AI is creating, despite what appears to be apathy. 

“The young people are the most aware — they know how Google makes money, how ads work, about the algorithms, but they don’t seem to care,” he said. “Given the choice between ignorance versus not caring, I sort of prefer an audience that’s aware and doesn’t care, because you can get them to care.” 

Also: This privacy-first chatbot is taking off – here’s why and how to try it

Duck.ai, the chatbot from private browser company DuckDuckGo, saw an uptick in web traffic earlier this year. Despite not gaining on industry leaders like ChatGPT and Claude, the spike echoes a trend Yen said he’s seeing at Proton, and convinces him that more people will eventually turn to privacy-first options. 

“Lumo is the fastest-growing product within Proton today,” Yen said of the company’s encrypted chatbot. “That sort of shows that people need AI; they use it day to day, it is very much part of life today, but fundamentally, no one trusts it. The ability to get the benefits of AI, but have a guarantee of your conversation staying private into the future, that’s quite powerful. As time goes on, more people are going to want that.”

AI’s biggest threat 

But the protections Proton offers have their limits. When I asked Yen what he believed he and Proton weren’t prepared for when it comes to AI, he answered immediately: Agents. 

“You could have the strongest encryption in the world, but if you as a user freely give your agent access to Proton Mail on your device, and that agent goes crazy and posts all the information online somewhere, encryption in Proton isn’t going save you,” he said. “That’s an inherent limitation to what we’re able to do.” Theoretically, he said, Proton could develop its own agent built against these vulnerabilities, but that’s not in the works yet. 

Also: The permissions behind your AI Chrome extensions deserve a closer look – they may be spying on you

Yen sees local AI as one of the best ways to address privacy concerns. (Proton’s own Scribe AI writing assistant offers users the option to run locally.) Right now, it’s hard to scale compute on personal devices, but he thinks local AI will be significantly more operational in the next few years. 

“If you look at the modern iPhone and compare it with the first smartphones from 10 years ago, the amount of compute, of storage, is orders of magnitude higher, and that trend will continue,” Yen said. “But LLMs don’t necessarily get larger. In fact, we’re gonna have smaller models that are just as effective as time goes on.” 

Earlier intervention 

One way to protect future generations from data privacy risks is to keep them out of Big Tech’s ecosystem altogether. Yen said he is laser-focused on protecting kids, because that’s where he believes Proton can have the biggest impact. Last month, the company launched the option for parents to reserve their child’s first email address with Proton, even before they’re born.

Also: Worried about AI privacy? This new tool from Signal’s founder adds end-to-end encryption to your chats

“For a lot of people, the moment they start caring is when they have children,” he said. “You have a choice: are you going to sign them up to the Google ecosystem, with all the downsides and pitfalls that that entails, and lock them in to a lifetime of being a commodity that is abused by big tech? Or are you going to take an alternative path and set them up with a different start to life?”

For Yen, timing is critical to that decision. 

“If I provide an alternative to somebody when they’re 40, after they’ve been exploited for two decades by Google, yeah, better late than never, but I think it’s much better if we can get the next generation the best possible start at the beginning,” he said. 

Can privacy-first AI compete?  

A future with less AI-powered data creep is perhaps only meaningful if done at scale. Companies like Proton face the challenge of getting individual consumers and enterprise customers to care enough about privacy to leave legacy systems and the enticing features they offer. For example, personalization is one of AI’s most appealing upsides, which is only possible with tons of data. Does that limit what AI that runs on encryption can do, or how successfully it can grow? 

Yen noted that it’s possible to compute effectively with encrypted data, but that the biggest differentiator between privacy-first AI and leading frontier labs is cost. 

“There’s Google Workspace and Proton Workspace, and they look kind of equivalent,” Yen said of his company’s recently released enterprise suite. “But actually, our job is 10 times harder, because we have encryption on top of all that. So it’s going to cost more, it’s also going to take longer. But in the end, it’s going to deliver a better product for most users, because it’s actually going to protect the data.”

Also: Proton launches a Google Workspace alternative – and it’s fully encrypted

Privacy may yield a better product, but who covers those additional costs? Proton’s own announcement for Workspace says it’s competitively priced, ranging from $12 per month (paid annually) to $15 (paid monthly) for the Standard tier, and from $20 per month (paid annually) to $25 (paid monthly) for the Premium tier. Proton also said it doesn’t raise prices annually or on existing customers. To clarify, a spokesperson for Proton told ZDNET that running “a more efficient shop” keeps prices lower for customers despite those higher costs Yen mentioned.

“I don’t really see any technical barriers to getting to comparable performance,” Yen added. “It’s just going to take longer.” In the big picture of the company’s business model, he said Proton’s premium offerings have proven worth the money so far. 

“The fact that we have no VC investors sort of shows that, actually, this model probably is more scalable than most people think.” 





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Complex-sounding medical procedures are notorious for creating feelings of anxiety in those who face them, and a cystoscopy is no exception. The name itself can sound intimidating, and the idea of a procedure that involves the bladder and urethra might even create additional worry. However, while the term might sound intimidating, a cystoscopy is a relatively quick and straightforward procedure frequently performed right in your doctor’s office.

Learn more about cystoscopies and what you can expect from this common procedure.

What Is a Cystoscopy?

A cystoscopy is a minimally invasive medical procedure performed with the purpose of examining a person’s urethra and bladder for abnormalities. During a cystoscopy, a physician uses a thin, telescope-like tube equipped with a light and a camera called a cystoscope. As the thin tube is gently inserted through the urethra and into the bladder, the camera transmits to a monitor, providing your doctor with a clear view.

There are two types of cystoscopes: rigid and flexible. As its name suggests, a rigid cystoscope is a straight, relatively firm tube often preferred for its clear images and its ability to enable the smoother passage of other medical instruments for biopsies. A flexible cystoscope is made of thinner, bendable materials that can more easily navigate the curves of the urethra. This can be more comfortable for patients.

Cystoscopy may identify several issues related to the urinary tract

Why Is a Cystoscopy Performed?

Cystoscopy may identify several issues related to the urinary tract.

These can include: 

  • Blood in the Urine (Hematuria) – Identifying the source of blood in the urine is a common reason for performing a cystoscopy. The procedure can reveal infections, bladder stones, tumors, or other abnormalities.
  • Painful Urination (Dysuria) – Cystoscopy can help determine the cause of pain or burning during urination, such as inflammation, infection, or structural issues.
  • Frequent Urination or Urinary Urgency – These symptoms may indicate bladder irritation, an overactive bladder, or other underlying conditions. A cystoscopy can help providers reach a diagnosis.
  • Urinary Incontinence – This procedure can help providers evaluate the bladder and urethra to identify potential cases of incontinence, such as structural problems or nerve issues.
  • Difficulty Starting or Stopping Urination – Cystoscopy could help identify blockages that are creating problems with urination.
  • Recurrent Urinary Tract Infections (UTIs) – If UTIs are frequent, the procedure could help identify contributing factors.
  • Incomplete Voiding – People experiencing the feeling of incomplete bladder emptying may need a cystoscopy to identify the cause.
  • Chronic Pelvic Pain – In some cases, a cystoscopy may be performed to investigate urinary tract involvement in chronic pelvic pain.

In general, cystoscopies give medical providers the opportunity to identify and diagnose bladder, urethral, and urinary tract conditions.

Identify and diagnose bladder, urethral, and urinary tract conditions

A cystoscopy can be used to diagnose:

  • Bladder cancer
  • Bladder stones
  • Bladder inflammation (cystitis)
  • Urethral strictures
  • Congenital abnormalities
  • Foreign bodies
  • Interstitial cystitis/painful bladder syndrome

Other bladder and urethral conditions can be treated using a cystoscopy camera and a tube to guide medical instruments.

Procedures and interventions may include:

  • Removal of small bladder tumors or polyps
  • Removal of bladder stones
  • Widening narrowed areas of the urethra through urethral dilation
  • Overactive bladder injections
  • Placement or removal of stents (small tubes) to relieve blockages
  • Repairing small fistulas, which are abnormal connections between the bladder and other structures.

Early detection and diagnosis are key to avoiding the serious and life-altering complications that can come with bladder and urinary tract issues. Prompt intervention prevents worsening symptoms and the development of chronic conditions, creates the opportunity for more effective treatment, improves outcomes, and boosts survival rates for conditions like urinary tract cancers.

Preparing for the Procedure

If your physician has recommended a cystoscopy, it is crucial that you ask questions and review cystoscopy information so that you are comfortable and informed. Your physician will explain the details of the test to you, including what to expect before, during, and after the procedure.

They will discuss:

  • The purpose of the test
  • Whether it will occur in the office or another outpatient setting
  • How it will be performed
  • Whether local or general anesthesia will be used
  • Any potential risks or discomforts you can expect
  • When and how you can expect to receive the results

Before the procedure, you’ll be asked to sign a consent form. This indicates your agreement to undergo the test. Make sure you review this form thoroughly and ask your healthcare team to clarify anything you may not understand.

Physician has recommended a cystoscopy

If the cystoscopy is used as a diagnostic tool, you’ll likely only need local anesthesia to numb the urethra. However, if the cystoscopy is used to perform a procedure or biopsy, you may require general anesthesia, though this is extremely rare. If so, there will likely be specific fasting guidelines you’ll need to follow before the test. Be sure to carefully follow any instructions you receive about when to stop eating and drinking, or what you might be allowed to drink. You might also receive instructions about following a special diet for one to two days before the test.

Remember:

  • It is crucial to inform your healthcare provider if you are pregnant or suspect that you might be.
  • Let your healthcare provider know if you have any sensitivities or allergic reactions to medications, latex, iodine, tape, or any type of anesthesia.
  • Be sure to inform your healthcare provider of all the prescription and over-the-counter medications you take, including any vitamins, supplements, and herbal remedies.
  • You will need someone to drive you home after receiving sedation or anesthesia.

What to Expect During a Cystoscopy

A cystoscopy is a standard and generally well-tolerated procedure. However, getting informed about what to expect can ease some anxieties you may have.

The process typically begins with your physician positioning you comfortably, which usually  means lying on your back with your knees bent. The medical staff will ensure your privacy and maintain a professional and discreet environment throughout the procedure.

Before the cystoscope is gently inserted, a local anesthetic gel is typically applied to the urethra to numb the area and minimize any discomfort. In some cases, depending on your medical history or anxiety levels, your doctor might recommend light sedation. If another procedure is scheduled, you may receive general anesthesia.

Cystoscope

The cystoscope is then carefully passed through the urethra and into the bladder. Your physician may allow sterile saline to flow into your bladder to help expand it and make the lining of the bladder easier to see. You may feel some pressure or a mild urge to urinate, but the procedure should not be painful. The cystoscopy procedure is generally relatively quick, often taking about 5 to 15 minutes to complete.

After the Cystoscopy: Recovery and Side Effects

Following the procedure, if you received sedation or anesthesia, you will be moved to a recovery area for monitoring. The specifics of this recovery will depend on the type of sedation you received. Once your blood pressure, heart rate, and breathing are consistent and you are awake, you will either be transferred to another room or allowed to go home. You can typically return to your regular diet and activities unless your healthcare provider advises otherwise.

Important Post-Cystoscopy Notes

  • It is important to increase your fluid intake after a cystoscopy to help dilute your urine and ease urinary discomfort.
  • To ease any remaining discomfort, you can apply a warm, damp washcloth over your urethral opening or take a warm bath.
  • It is normal to see some blood in your urine, pink urine, or experience mild burning during urination for the first day or two.
  • Take pain medication for soreness or discomfort only as recommended by your healthcare provider. Avoid aspirin and NSAID medications like ibuprofen and naproxen that may increase bleeding risk.
  • Your doctor may prescribe an antibiotic; be sure to take it as instructed.
  • You should contact your healthcare provider if you experience fever or chills, frequent or urgent need to urinate, inability to urinate, lower back pain, or continued burning or blood in your urine.

Answering Frequently Asked Questions about Cystoscopies

If you are facing a cystoscopy, you may have questions about what to expect before, during, and after the procedure.

Here are some of the most frequently asked questions our patients have about cystoscopy:

Is a Cystoscopy Painful?

For most women, a cystoscopy only causes mild discomfort rather than significant pain. You might feel some pressure or a temporary stinging sensation during insertion. This pressure may feel strange due to the sensitive nature of your urinary system, but cystoscopies are generally a quick process.

At Arizona Gynecology Consultants, we prioritize your comfort and your health. Our experienced team is committed to using only the most gentle, non-invasive techniques during your procedure. We understand that even mild discomfort can be a source of anxiety, and we take every measure to ensure the procedure goes smoothly while you are as comfortable as possible.

Will I Need to Take Time Off Work?

If your cystoscopy will require general anesthesia, you should plan to take the next day off work, but you should likely be able to return on the second day. You should also avoid driving for 24 hours after general anesthesia. If your physician recommends only local anesthesia, you should be able to return to work the next day if you feel well enough.

Do Cystoscopies Have Any Side Effects?

Experiencing a mild, temporary burning sensation during urination after a cystoscopy is not uncommon. The majority of individuals undergoing cystoscopies will have minimal to no side effects. However, if you notice a fever or chills or ongoing painful urination, it is crucial to call your doctor.

What Are The Risks of a Cystoscopy?

While infection is the primary risk associated with a cystoscopy, it is quite uncommon. Introducing bacteria into the urinary tract during the procedure is what causes infections, and infections that occur after cystoscopy are very rare. The only other potential risk is a minimal chance of urethral scar tissue formation due to scope irritation, but this is most common with patients who receive frequent cystoscopies.

When Should I Know the Results of the Cystoscopy?

For a diagnostic cystoscopy, your provider will likely know the results during the procedure. If a biopsy is taken, the results typically take up to two weeks. Please ask your healthcare team when you can expect your results in your records or if you will hear from them directly.

Cystoscopy at Arizona Gynecology Consultants

If you are facing a cystoscopy at Arizona Gynecology Consultants, you can trust our experienced team to provide exceptional care and genuine compassion. Our dedicated physicians and staff have performed many cystoscopies. We approach each unique case with a deep understanding and refined technique.

We believe in clear communication and strive to ensure you feel informed and empowered. Before your cystoscopy, the procedure will be explained to you thoroughly, and any questions or anxieties you may have will be addressed. We understand the personal nature of gynecological health, and our staff is trained to guide you through each step.

If you would like to learn more about AZGYN cystoscopy or have specific questions, we encourage you to visit our services page for more detailed information.

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Please do not hesitate to call our office to speak with a member of our caring team. We are here to support your health journey.

Schedule Your Consultation at AZGYN

Urinary issues can be disruptive to your life and lead to additional health concerns. Understanding the root cause of your symptoms is the first step towards finding relief and regaining control over your health. Take the first steps to address your concerns by consulting with a specialist who can ensure you receive an accurate diagnosis and personalized treatment options. Book a consultation with a women’s health specialist at AZGYN today.

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