 Welcome everybody. Let's go ahead and get this started. Hold up. We are Working on our security. It's excellent this week. Welcome to designing on the front lines episode three I'm your host Morgan Hutchinson. Hey, and I'm Matt fields I'm an emergency physician and also a faculty in the health design lab at Thomas Jefferson And this is the third episode of designing on the front lines Well, we are bringing together designers and health care providers to make health care delivery better through better design Welcome hope you guys are enjoying a nice Friday is rainy here in Philadelphia, and we are joining you with happy hour drinks His and hers drinks. I've got a soft block. What do you have over there? I have a little bit of bourbon one of my all-time favorites basil Hayden Yeah, awesome. Awesome tried and true. So we've got an amazing group of guests with us today We're gonna jump in sorry work a couple minutes late We would like to encourage everybody to turn your video on join us on our happy hour And use the chat box to introduce yourself Tell us who you are where you're from and what you do what you're interested in anything really as long as you're not zoom bombing us Yeah, awesome. So we got some great guest. Hey guests here today We have Sabrina paceman from fix the mask We have Aaron TV from HKS architecture and we have Nick Dawson from the emergency design collected So I am super excited to hear from all of them about that what they've done and the cool design stuff They're doing But first I think we're gonna do you mind if I do a quick share from this week Morgan absolutely absolutely. I'm helping Sabrina jump on so you know what? I I guess I'll allow that the justice month Awesome. Okay, cool. So this past week I was working a clinical shift in the emergency department and I got inundated with covid patients actually a nursing home local nursing home Became a hot spot and they started shipping all their patients over and I was running around like crazy and I needed to find one of our paper algorithms for Working up the covid patients and how to triage them appropriately and I came across another example of poor design and healthcare Which was the lack of organization of any of our documents It's again another example of how I feel like healthcare is always a black hole of design and I feel like it could really be better I mean like imagine if this was the cockpit of an airplane and this was how all of the emergency landing instructions were organized Sorry am I sharing my screen? I didn't share my I don't think so. Oh, I didn't okay. Sorry. I wanted to try that again My screen didn't share Now it is now it is okay. Although there's a lot of things You may want to maximize that. Oh, whoops. All right that Went better in this in the rehearsal. Awesome. All right so This is what I came across and this was how things were organized at my desk. It looks like a picture probably The in a hospital from 20 years ago, but this was last week and this is what it looked like and again Imagine if it was like the cockpit of an airplane and these how things were organized and this was like emergency landing gear appears I think I just things really wouldn't fly literally and so, you know a design challenge out there How can we make this better and why haven't we? Absolutely, that's a great design challenge. I suppose since you've mentioned one of the design challenges I'll mention one of the design successes our students here at Thomas Jefferson University are super creative in our design lab And they have been kicked off of the campus in order to keep them safe keep our PPE supply Stable and so they have been helping us in every way they can to design ways to help us maintain our PPE supply This is one of our students here Who designed this 3d printed adapter to help us fix broken pappers This is the bunny suit that we use when we're doing high-risk innovations and other procedures and so super proud of this guy Yeah, that was awesome because these pappers were not functional Simply because of a poor connector and you know just be able to custom 3d print An adapter to fix these was awesome. Well, I have one more share For those of the people who were on last week. I talked about this epic a dessert that's coming out the Boudina mixed with uh coffee and uh, I I'm sad to say I still haven't been able to try it yet It's uh, you have to special order and I haven't been able to paint it But I will hopefully get it this week and I will tell everybody about how awesome it is Thank you matt. I appreciate that. I actually get daily updates from matt on the boudina. So uh, thanks for today's update Uh, our next thing we're going to try out some cool things today on designing on the front lines We're going to do the pull function. So everybody get ready to vote We have for all of you who are here on our prior episode for episode two We had a zoom bomber and today we're going to share with you the reaction to the zoom bomber and you're going to vote for your number one reaction Here they are So for those of you who haven't ever zoom bombed before we were and uh, it was it was pretty entertaining. I gotta say so Can we throw the poll up? Turns out the zoom bombing actually ranked pretty high, but what ranked higher was ellen lefton's headphones I know those are those are amazingly. They are incredible. I've been looking for them all week. Um, I might need some Some tips on that one All right, let's get some votes coming in one one. It is a good one. That's a good. I know one is pretty one is pretty awesome Amazing, so for those of you guys For those of you who haven't been there for our first two episodes We did put them online the recording on healthdesignlab.com slash d o t f l So you can watch those. We did edit out the zoom bomb. I'm sorry, but you know, if you really want to see it, let me know Um, but uh, yeah, it was that's why you should join us live Got to be live to see that stuff. All right. Should we end the poll? Should we go into There we go awesome reaction All right, let's jump into our speakers. What do you think? Let's jump into our speakers. Should we give a quick, uh, talk about what's coming up next week? Yes, next week. All right, we'll just go ahead and plug next week while everybody's here We already have two speakers lined up and there's going to be another one but the two speakers we have are two good friends of ours on the left is mitenatter. He is, uh A medicine resident and he's going into endocrinology But he's also a cartoonist and he is on instagram and he has like I think 100 000 followers He's at mitenatter and he draws really awesome cartoons and gives commentary on medicine and healthcare and design And really just a really cool person to follow. So i'm really excited to hear from him And trishman wood is a rock star in design and medicine. She has an emergency doctor along with us She has a history in being a leader in designing a response towards the Bullet pandemic in african. She's been a leader also in the response to the covid pandemic She's going to talk about how hospitals respond to covid and how we change our practice Cool All right. Well, let's go ahead and jump into our first guest morgan Uh, let's see. Sabrina is having trouble getting on. Maybe we could start with nick Okay, nick. Can you go? I'm happy to yeah I am impressed with all your uh visuals in your multimedia here I'm also impressed with anybody who can draw a cartoon of themselves like what we just saw that's incredible Yeah, uh, and i'm seeing Oh, sorry, I just wanted I just wanted to say real quick nick. I wanted to introduce you starting to interrupt you I was a nick is the co-organized of the emergency design collective And he's got a background in starting and leading innovation programs inside health systems And we have something in common. We we actually met recently on a uh, a one of these kind of informal virtual chats Um, where it was just a few of us and we discovered we had something in common We both recently left the same institution. Can I say that sure? Yeah. Yeah, kaiser permanent day We both left there and so and now we've moved on in our lives. That was kind of an interesting thing in common So nick, sorry go ahead take it away Just to pick up that theme, uh, I mean I I keep saying this a number one of these conversations that None of us would have wished these circumstances on the world But I'm just so grateful that it brings us all together and I'm seeing Some familiar faces in this meeting and and familiar names and I'm glad to get to meet some new folks and man I'm glad we met along the way I'm also seeing people with incredibly well kept hair and I would like to understand your secret of how People are all keeping trim, uh in in this time. I'm afraid I'm never going to get to a barber again. Um Uh, so I I don't have a multimedia production, but what I thought I would do is just share a little bit about What the group I'm working with is working on and in the way we're kind of seeing and approaching the world right now and Uh, we'd love to hear also if this if it if it sounds similar to work that everybody else is doing or thinking about but Um, I think from our point of view, uh, and this will probably be pretty familiar to anyone who's been working in health and health design for a long time but the pandemic has um Kind of shown the entire world how fractured and siloed our health system is and I'm saying system in kind of the big All-encompassing sense, but it's also showing us that we don't even really have a system in a lot of ways Uh, we were really good at treating somebody's broken arm, for instance But but we see somebody's social isolation as if it belonged to somebody else and at some other institutions problem to solve If at all somebody's job loss as not part of their health Right or somebody's access to food or transportation Anyone who's worked in public health or worked, uh in social determinants of health. I'm sure this all rings true to you But what I'm finding is that now as a society, we're all starting to have that same Understanding and same realization that that almost every aspect of our life is fundamentally Connected to our health and our well-being And when we got together to start the emergency design collective and I'll I'll tell you a little more about that But admittedly we weren't even quite sure what it was going to be when we started One thing we really were focused on though was how do we create Urgent rapid responses to some of those things both in traditional health care settings But also some of those parts of life that are so connected to our health and well-being that don't always get the attention That uh internal innovation teams are able to give or apply to things that happen inside of a hospital or health system Uh, and so we started this organization First by just calling many of you. I see some familiar faces who are working with us And people that had Started or led centers like the one you all have at Jefferson are the ones that i've been a part of starting and leading And it was a small handful of us. It was about 20 or 30 folks Who showed up and we said well, it's at least orient around what some of these big challenges are What what should we all be working on? And that kind of grew to a group that as of this morning is over 500 people Kind of different levels of engagement and activity there, but but a number of those 500 people are working across More than 20 Really high fidelity really amazing projects and i'll touch on a few of them in a minute But a lot of them are these things that are that are those Kind of social needs of health or or non clinical or upstream of sick care needs of health and it's it's just been Really incredible to see that come together. It's it's also made me think that it's a little bit of Hope i can use this and and say it humbly but there's a little bit of like a field of dreams thing there We're i've talked to so many of our members who've all said Some version of i have wanted to work in this space for so long I've wanted to do something like this for so long or i've been making products my whole life for big companies I want to do design work that has social impact that improves people's lives. This feels like a space to do it So if nothing else having been part of holding that space Inviting people in and creating a big tent Has been just absolutely incredible um, so it's led us to this place of asking the question of We we have this concept in the world of a b-corp a benefit corporation What does it look like for the new normal to have a h-corp and and maybe we're kind of prototyping the first h-corp But i love the idea that that might be a new societal norm Where any business or organization says in addition to our core driver We also feel responsible for the health and well-being of our employees and our customers or the communities we serve What does it mean to be a a restaurant that values uh the health of its workers every bit as much as the quality of the food It serves or the customers that come through the door What does it mean to be a corporation that that says the same thing that our responsibility is to the health and well-being of our employees and the communities that we Uh inhabit or share So the the types of stuff that the edc has been working on Kind of runs the gamut. It's kind of three big buckets of things One is designing four frontline health care and health care workers Some of that work like probably a lot of you all have been has been focused around PPE and creating a playbook of clinically vetted PPE face shields and gowns that makers can produce and We've had some pretty dramatic results with that of being able to get more than 2,500 face shields into Into frontline clinical use and getting gowns into frontline clinical use But some of it has also been around mental health and and the the inevitable PTSD and the The the just the struggles of working in an extremely stressed system and environment So there's some some work unfolding there led by tracy deluca. It's absolutely incredible There's another domain which is designed for vulnerable populations And and that kind of runs the gamut of of anything that would be defined as a vulnerable population Devaka Patel and Mary co Kelly are doing work around the unhome population And it's kind of taken two different slants But one is about how do we connect kind of build a marketplace of being able to donate Abundance of resources and then how do we have a marketplace of being able to get them to people that have needs And then there's the work that's focused on how do we treat homeless people with covet and how do we do it humanely and You may have seen some of the images that are coming out of these parking lots that are opening up What it's great to give people a space, but that's not exactly a human experience So how do we think about a more human experience there? There's groups working at different ends of the age spectrum So Kate Piper is leading an incredible project around social isolation in seniors And also really quickly learns that people who are working in eldercare spaces don't feel celebrated the way We're celebrating frontline healthcare. In fact, they feel stigmatized Because the high case rates in nursing homes And there's another group working on teens and these amazing life milestones that they're having to experience in different ways And the struggles the teens have with isolation while trying to be socially distant And the other last domain is what we're calling design for the new normal Uh, so like many of you all we're we're all kind of thinking about if this is the great pause The great time when society has all pushed pause in a in a heartbreaking way How do we come out of it designing a new normal that we want not one that's just functional and responding to the urgent needs But how do we build something that is Um, that's the the systems that we that are that are oriented around health and well-being that are oriented toward Seeing people as holistic humans not just a need to be fixed or a nurse to round on patients Some of that is heartbreaking one one team led by natasha blom is working on death and dying in grieving and and in the life care wishes In the age of the pandemic when some hospitals aren't even allowing visitors in Another group is working on kind of another end of that spectrum, which is how do you stay fit? How do you stay healthy? What about kids? Who might be going to college on an athletic scholarship? What happens if there's no more sports to play for a year or two? What if that's your primary identity? So how do we start to design for a new normal? How do we design a new way of virtual distance learning that's not just taking the Anticoated classroom model and sticking it on zoom So there's a lot of projects happening in that space And with that why don't I take a deep breath and pause and matt you can react to some of this or focus me Or maybe there's other folks that have similar experiences or working on similar things You got yeah, nick. Oh, wow that that that is great. I love design for new normal. That's totally right on I love hearing about the price. I have so many questions about what you guys are doing I got to say when all this was going on I remember having a conversation one point I was like, wow, I really love a place that I could go to Where I could just see somebody bringing together a lot of these projects and I thought should I do that? I'm just so relieved that somebody else did that and that you did Because I had somebody better than me. Um, and so thank you for that. Um, and I have so many questions. I guess, um Uh, I I guess my first question I'd love to know is a little bit of how the sausage is made with some of these efforts, right? So how did how did what what tell us how it came about? Yeah, it's interesting. I'll tell you by way of a parallel anecdote. Um, my my other half my fiance, uh comes from Um, the obama administration her and several of her former colleagues got together and stood up the organization They're calling the us digital response. So imagine kind of the government techie Mirror to this health designy thing. We're doing and we were both getting started at the same time and amanda and I Uh, kind of said well damn the torpedoes. We're gonna run at this 100 miles an hour. We don't know what it's gonna be We'll make it up as we go And the us dr. I spent a week really getting clear about their processes and their Kind of methods and in their kind of organizational structure and in hindsight I'm uh lamenting that we may maybe could have done the same thing and had a little bit more intentionality But but we really are doing it organically and in the fly on the fly So we had somebody step forward this incredible med student named jess hawkins who said I can help run operations We said, huh, we didn't think about operations. We do need that and jess then said i'm gonna pull a team together And so now there's four or five or six people that are made this this ad hoc operations team and we're starting to have conversations around What does onboarding look like and so some of our ideo alum said well We had this amazing onboarding process at ideo. Let's let's borrow from that and some other best practices And now we've got a a leadership training and a process for people who maybe not Had as much proficiency in design to be able to kind of ladder up through working on projects going through some training Going through some onboarding So matt it's a long-winded answer to saying um, you know, we despite calling ourselves designers We didn't actually design the organization in our in our processes, but we're doing it as we go And it's connected to what what I think is probably the core tenant the core value has been Work in the open do everything open. Uh, so we're calling it an open source design Collaborative, but it's also the idea of like if we're building it, we're gonna build it together You're gonna see how the sausage is made if you're into this kind of thing You better be able to embrace ambiguity or making order from chaos because we don't have the answers We've never done it before so a lot of that How we're doing it is kind of being built on the fly Yeah, and I mean super impactful. I just saw the article that came out in new england journal medicine catalyst where you were looking at Approaching the question of you know, why are people afraid to go back to the emergency front? How might we you know make people feel better about going back to health care to take care of their needs? That's a huge issue. We're seeing you know patients are not coming to the emergency departments yet We know they're still having heart attacks We know they're still having strokes that you know those numbers don't change just because of pandemics here So that really cool. I mean, I love if you want to I leave a comment on that project Or if there's another project out there that just like kind of jumps to the top of your mind is like one of these Uh kind of a poster child products of the of the edc effort You know when I uh when people say oh, I can't tell you which one of my kids is my favorite I love them all equally. Yeah, I have that same appreciation for these projects It it's also a really tremendous celebration of the people who are doing the work It's it's something that's very uh different for me in this moment in time when I've been inside health systems I've I've kind of split the role between the um the executive part of the job and and also keeping up my craft and practice And in this moment in time, I'm really stepping back and saying what space do I need to create? What support do I need to give so that these project leaders can take over and run these things? So I touched on a few of my touch on a few of those names. Um, laura is the is the uh Doctor who led the emergency room design project, which is absolutely incredible Um, there's a couple that are because they started earlier They're just a little more mature in their their process because they've they've had longer a little bit longer runway Uh one is is around blood donation. Uh, that's being led by abby don and Uh, katie mccurdy who I think many of us know is on that project I think some of the other folks are on that project as well and They they started looking at like how do we make blood donations safer and then very quickly realized well They've already solved for that that turns out it was already pretty safe to do but but the real problem is in the messaging How do we get the demand out there? How do we grow demand and you all may know that blood supplies are in? Uh, really really critical shortage right now Uh, so their work has really been around creating demand and partnering with uh with other organizations who run blood donations to help them with Messaging to help them with protocol Some of those things to make it um Increase the the messaging around how safe it is how accessible it is Uh, and they've just built this amazing prototype that's like this really simple web tool of like am I eligible? And if so get that part like make the call to action like really simple one click Now all of a sudden you're registered now you have an appointment now you're donating blood Uh, so that's one that comes to mind. I said I wasn't going to pick one So don't tell anyone I singled one out. They're all incredible projects Awesome. Yeah, and um, I don't know how many time I there's one quick question here from I want to get uh, some audience questions in as well So I'll give this one question and then we'll go on. I love the idea. This is from Hamed, uh, gonadine I hope I'm saying that right. I love the idea of an h-corp also Wondering if b-corp already covers the health and well-being of its community also one aspect of human well-being for example as the environment And uh, what do you what do you think about about that question? Yeah, it's great. I think for us h-corp has been just almost this notional concept I don't know that we're we're not going to come up with like the the better lab or the b-lab and try to really create a new Corporate structure, uh, but I think it it probably is implied in b-corp So if the ones that I know that come to mind for me Patagonia, for instance They do take the environment and the health and well-being of their employees every bit as Much of a priority as uh, as profits and revenue. So I like the idea that maybe that's already baked in It maybe that is the thing that comes out of this is that more organizations formally adopt A b-corp status, but but if nothing else I would just love it if our entire societal orientation toward health and well-being shifted to understanding that everything that every part of our life is fundamentally part of our health There's that graphic that I bet many of you know that's kind of the iceberg that says like look 20 percent of Of your health and well-being is is medical care and is is medicine and genetics 80 percent is where we live what we eat what access the resources we have access to What support systems do we have what it would? What's our social life like how connected are we? Just coming out of this with a societal understanding of that and starting to think about how do we treat people as the Whole iceberg not just the little tip above the water. Uh, what systems do we have to have to do that? That's to me what the the principle of an h-corp is Awesome, so true. Well, thank you. Nick. I think we're gonna go ahead and transition to our next speaker morgan. Do you want to? Yeah, thank you mix so much. It's really great to hear from you. We've all um Been a fan remotely here. So also calling in from san francisco. We have our group from fix the mass subrina Paceman has unfortunately learned today that I Have some severe technical difficulties as I we had a trouble getting her on the call But thank you subrina for hanging in there. She is here now She is a Cornell trained mechanical engineer and a co-founder of the company fix the mask Where previously was a product designer at google and when the pandemic it came up with a very cool Very low budget solution that can be used anywhere in the world to Basically fix the mass creating a 95 level masks out of surgical masks One thing that we always talk about with our students is how can you solve a problem? Using no money at all and how can you solve a problem using? All the money in the world and this is a really cool very Affordable solution for people across the world. So subrina. I will hand it over to you. Yeah, exactly. Thank you so much Um really inspired by the group here. Um, so let me share my screen. Can you guys all see? Yes, ma'am. Perfect. All right, great. So um as morgan kindly introduced me and subrina product design engineer actually trained at apple And really excited to to share this solution with you guys. So What is fix the mask? We're organization that is working to supply safe masks to those in need quickly And what that means is that, you know, this virus does not Discriminate between income level does not discriminate between occupation In order to actually stop the pandemic on a global scale. We need to be able to protect Everyone as much as we can and in order to do that the solution needs to be cheap and it needs to be effective So, um, how do we actually solve this? So as we all know the standard for protection here is the n95 mask As you're well aware, there's a huge supply and demand problem And the these are statistics that were done in the study in 2015 of like a hypothetical pandemic So these numbers are sort of approximations, but It remains that there clearly is a huge supply and demand problem So when attacking this I try to understand what makes an n95 mask good and what else out there exists That potentially could get us to a similar level. And so when I took a look What's interesting is that n95 masks and surgical masks actually have really similar stackups n95 masks have an additional layer for shaping But inherently they have the same filtration layers. And so when actually looking into something that would be Similarly effective to an n95 I knew I wanted to go with something that actually had milk blend fabric that was charged inside of it We can go into more details into that later, but Another thing that's really interesting is that this is also as an outdated statistic is from march, but every day in china They were making 600,000 masks N95 masks per day, but 200 million Surgical masks per day and after looking at the manufacturing processes for these masks It's actually really striking how fast surgical masks are to produce. They literally Same input layers as you sort of saw from the beginning They just cut them into squares and heat press them Whereas n95 masks probably have a lot more processing that is involved Now from a cost standpoint, it's also really interesting n95 masks based cost I think cost on the order of like two dollars in cereals costs But as you're well aware, they're now on the order of seven dollars u.s Where surgical masks have to remain cheap and the really interesting thing here is that Not all countries can afford to drop billions of dollars to buy n95s to protect their communities We need to be able to use what they have And if they have good quality surgical masks They need to be used more effectively now. What is the problem with surgical masks? Well, an n95 mask is good because of two things it filters well Meaning you can actually block through the bulk of the material and also it fits well meaning that it can't leak through the sides And so our goal here at fix the mask was to basically we know that filtration materials These are the next best thing right and from a fit standpoint We figured that we could solve that with a relatively cheap device so Where are we in testing? So we wanted to make sure that the solution wasn't just You know, like a gimmick of like oh like fit in general should be better And so we actually wanted to test it right so From a we actually focused on fit testing where we're doing filtration later We're tabling that for now But we really wanted to just prove out the concept like if this concept works Then we would actually move forward to validating the full solution. And so from a fit standpoint, there are two methods to test fit There is the qualitative saccharine test just shown on the left in the fit image Which is basically putting a bag over your head spraying stuff inside. Um We actually went with the one on the right, which is a quantitative method and that quantitative method outputs a fit factor Um that I'll go more in depth into now. So, um, that's what we ended up Collecting our initial data set with and so I'll take you now through what data we have. So we had these two options Um, let's to go into our data for version one So as you can see version one literally was rubber bands and what's interesting about this is that we came up with version two First in our engineering brainstorm But I had no rubber sheet in my house during shelter in place And so, um, I was looking for something to prototype this with and I actually just found rubber bands But what was so interesting is that it was so effective that Even though it looks so janky I we knew that I had to be something that we just shared because It's so easy to put together. So how does this actually work? This is data from the university of Iowa carver school of medicine Um, they actually just got published today in medx archives. So you can take a look through that Later on this is a lot of content, but let me take you through it So, um, what they did was they took rubber bands of the same size on 12 different bases And uh, they attached these rubber bands through two different methods They attached it with a paper clip behind their head and then they attached it with paper Rather to uh sides of a face shield as you see in the bottom image Um, the data is really cool So, uh here we have the paper clip overall fit factor. So we're going into the second column now um What we have is that 11 subjects passed with the paper clip method and the subject that did not pass Actually, it's interesting because her face is so small that she's actually never been able to pass with an n95 mask before So she's used to not passing this test But when actually attaching the center seal up and back towards the sides of the face Even she was able to pass with a passing fit factor. And so this was extremely promising Going into this the third column here breakdown by subjects So the way that this fit factor test works is it's actually an average of seven different tests One of those tests includes talking. So as you can see all of the talking data for this is still not great Um, but that's actually common even n95 masks have an issue passing the talking test Um, so what determines whether or not something is passing is whether or not you have like an average fit factor That is passing and that is what we achieve With just rubber bands. So this was really encouraging And it's something that we immediately shared because the data was so good from the beginning um But the problem here is that this solution is not the most comfortable. So My team wore this solution for six hours. Um after around hour four I noticed it started getting uncomfortable on my nose cartilage area. Um, and after hour six when I removed the mask I definitely had a big indent and so it's not something that like can necessarily be worn comfortably day in and day out So we knew that we had to iterate on this design. So Oh, I did have this Sorry, my internet's a little slow, I guess So we came up with version two now version two as I mentioned is something that we had from the beginning Um, the band was wide. Uh, so we were hoping that the width of the band would help improve the comfort Um, now let's look at our data for version two. Oh, by the way, there's a lot of iteration work done I can go into detail here, but we can talk about it later too. Um So, thank lord Well moving forward we have data for version two. Um Is it's my screen advancing for you guys? Oh, here you go. Uh, okay version two So version two we have a much smaller sample size of data. Um, it was done internally and you can see that version two Well there version two worked well for um Only one of the four participants. So, um, but version two with cushions added actually got all participants Above the 95 factor level Um, we tried the same test with also a k in 95 and found the same thing. So We now have Fabrications of version 3.1. And now this is actually incorporated Um, not only the cushions but also a bunch of other factors for improved comfort Um, we have prototypes of these and what we're looking for right now is actually to get a larger sample size of our version 3.1 design So taking you guys through it, um, I hope my computer doesn't crap on me again But um, basically we added nose cushions secondary head straps So it doesn't slip off the top of the head and added neckties and actually what's interesting is that um having a dual joint as opposed to a single joint like our original design is actually a lot um more comfortable so Uh with these prototypes our next steps are basically all we need is more data We just need people to help us collect lots of different data and lots of different faces. Um, so What my call to action to this group is is if you guys have access to any of these three things Uh, please reach out to me. So if you have access to filtration at tsi 8310 a system or equivalent Would love to get more data on filtration. Um from a fit standpoint We have the if you have access to a port account pro like I will send you braces And if you would like you go to your hospital like a pilot a study at your hospital, um, Please reach out to me. Um, if you don't have access to a port account pro And just want to give us comfort feedback We are actually crafting a 15 to 30 day study where we ask participants to wear this device Um multiple days in a row and basically let us know if it was uncomfortable What was uncomfortable if you didn't wear it today? Why didn't you wear it today, etc? And we're actively looking for that feedback to Um, so that is where we are in our status. Uh, any questions following up? Thank you so much sarin for coming on the show I've been trying to get you guys on the show since before we even started and i'm so excited that we got you here today Um, this is like an incredible solution so elegant So, um, you know easy to implement and so cost effective Especially since there's such a lack of n95s And let me tell you you guys wore that for six hours And you have marks on your face and you felt like it was uncomfortable Like we were at n95s for all of our shifts every single day and they are incredibly incredibly uncomfortable Yeah, is there anything that I just wonder like from a design perspective Is there anything in your history as an engineer that you thought like That sort of inspired this I know that you said you were sort of trying to find some way to prototype And I just kind of ended up being so successful, but yeah, can you compare it to anything else we've ever done? um, I think what makes design in general powerful is understanding the core of the problem and then iterating on the fragments of the breakdown so let me so Basically taking n95 mask at the time at the end of march a lot of people were making things that looked like n95 masks So it would make the 3d printed body and they would basically just swap out the filter material But actually the thing that was interesting here was that it wasn't the shape of it that made it effective It's actually the filtration material and understanding Basically breaking down the innovation into core blocks and basically saying okay, but the filter material Is good and it exists like how can we actually improve the thing that actually matters just it So I think that what makes a good design and what I sort of pulled upon in my design history To basically make better designs going forward is to really understand the problem fully Before trying to iterate on a design. Um, yeah Amazing, thank you so much. I really appreciate that So it's I know that you guys are trying to reach certain people and there's a lot of people on this call Who are trying to you know, reach out and contact each other So what we want to do next is actually bring everybody into breakout rooms So people can talk in smaller groups and sort of introduce themselves in a more friendly sort of small way We're going to do a five minute breakout room and Yeah, I want to actually I actually want to like before we I mean it's just so cool how many People we have and from all over I see grace from Sarasota, florida. What's up grace? I see christen apple. Hey, you were on last week from boulder. Hey christen Uh, we also saw such a ronto. Oh, Colleen from university in michigan. Hey Colleen. Oh, and I can't forget the mission ellen lupton From the cure. She's a curator. Cooper. Hewitt in spazone design museum in york and she was one of our guests last week so Thanks for coming back and I think I also saw some guests from Outside the country such a ronto And last week we had mexico. We've had some participants from africa and ireland. It's been great. Heyman Yeah, hey, what's up? And then we also I thought I also saw um, oh maverick Two from toronto awesome. Thank you guys for coming and I also said double and michelle flood Thank you guys for for joining from all over. This is really really awesome to be able to get together despite The issues with everybody being able to get together in the pandemic. So this is really cool. All right So, yeah, should we go into breakout rooms and get to know each other? Absolutely. Let's do it. All right, everybody should introduce themselves share what drink they're having on on a friday afternoon and Tell us what you're doing Wow, that went by way too quick. I just got we just got cut off in the middle of a question So Yeah Sorry, so we do not want to delay any further. We have a super amazing last speaker today Erin peasy She is an architect who has focused on health and wellness throughout her career She's won multiple different awards for her awesomeness She works with hks and she's been named best under 40 by the academy of architecture for health and And has just been so great to come on the show today. So Erin. Thank you so much for joining us. I'd like to turn it over to you Awesome. Thank you guys for having me I'm super excited to be here. Uh, and I come from a family of physicians and Care professionals of different sorts. So I'm I feel humbled to be here with you guys Uh, yeah, I'm an architect and design researcher Uh, have a background in psychology as well. Um, and I think really um, I've been I spent a lot of time in health care Which is how I know von originally But I've spent the last few years really focused on social isolation And loneliness and the role of the built environment and I originally it was not going to do slides But I think I am now because I was just we have a little slide deck from Presentation we did a few days ago I just want to talk real quick about sort of loneliness and social isolation and how They're actually a little bit different. I think all of us are now fairly familiar with some social isolation Um, and that's you know objectively being alone But loneliness is the subjective feeling of being alone, um, which we can feel whether we're in a crowded room or all by ourselves um And Let's see if I can get the slide. There we go. Um, and we understand that these have some serious health impacts increasing our risk for early death For social isolation and for loneliness And even just for living alone. So I've been thinking a lot about that As a as a way of how do we reach out to people right now and how do we design our environments differently? To support people that are either living alone or um or co-living Um And no we know that being socially connected reduces the risk of death by 50 percent. I mean, that's amazing Um, and there's no doubt that it's a national health epidemic I mean, you know, I think we've been talking a lot about The economic recession and all of the concerns around that but there's also a social recession and um, I think that the health impacts long term of You know something that's very necessary of protecting ourselves right now Uh are going to ripple for a very long time. And I think really what um, I love the idea. I've been taking a bunch of notes um But um, when nick talked about design for the new normal I actually am starting a podcast series that is about envisioning what that could be what our environments could be And what we're learning from this period that we want to be able to see for the future Um, so when this had all started, I just it's basically like the this got um South by southwest was cancelled And we were going to be presenting around this framework to talk about what is important when we design for social health social connection We talked about how important it is to have these spaces be accessible to have them activated and Um full of different types of things that meet different types of people's needs So uh also to have have choice in do you want to be sort of by yourself and alone and sort of watch the people or do you want to You know collect in a big group space. We're all sort of along that continuum at different times um And and I think all of these uh, how kind of become blurry to us because uh, everything is changing so quickly And a lot of the things that we just saw we can't do right now um, and so I think that Still as we think about both what our physical environment should look like and how we want our virtual Environments to look as well. There's a lot to take away. There's a lot that we can still do Um understanding this framework. Um, and I think that's that's really kind of part of what I wanted to share Is to talk about um, you know, I nick I was so excited to hear you talk about social determinants of health Um, I think you know the once we start to look into the literature We understand that the way that our built environment is created um impacts all sorts of things from our social connection to How physically fit we are And you know how whether or not we get asthma. I mean there's uh, and I think you know As we have become more and more autocentric um We've sort of taken away from the human realm So we've become more dispersed and we spend longer times grounding Um, and we spend more time sort of pulling into our garage and going inside versus like hanging out outside and meeting our neighbors So morgan had mentioned um, like I've talked a lot I'm on a crusade to promote front porches Because they're just they're just the best sort of uh, we can talk about threshold spaces that in between space Or you can connect with your neighbors. You can connect with other people But still be sort of safe And I think that's how we used to design. We used to design for human needs. Um, and we always should um, and I think that you know As we plan for what is it that we want I think that we need to hold Our architects and our legislators and our you know, code officials to A norm that doesn't just look at you know, what is short term economically profitable or You know benefits a small section but sort of understand the ecosystem Around the spaces that we're creating. Um so julian holt-lunsteader who is a holt-lunstead who is a um Researcher that has spent her whole career sort of focused on this area. We've been talking about Some specific areas like mcow or like, um, there's a I can't remember the name right now, but it's a place in italy that They're sort of isolated, but they all are very socially connected, but they're able to sort of themselves safe Because they have you know that that sort of border and they're completely interdependent And form sort of an ecosystem that is self-contained and so um, I've kind of been using that as an analogy of well, what if what if we were able to create Spaces that look like that neighborhoods that look like that Where we had our groceries and we had our schools and Um and the people that supported us that live next to us. I think um, there's no doubt that we were You know, we evolved and we're born as people that were meant to connect with one another. Um and In no way is that only about the built environment, but I think a lot of times we Like the built environment is just in the background. We're like, no, no that's stuff That doesn't really it doesn't really impact our behaviors And it it does in these little ways of what we call affordances. It's sort of like, you know, how how easy not I love the Uh design challenge that you set up, you know, like how much better would it be if it didn't look like that when you went to work? and so I think um, yeah, so I know that we're closed on time. So I wanted to keep it short, but Thank you guys so much, Erin. It's like incredible to have you here. I could listen to you talk for an hour about all of this I feel like I feel like all of us good, right? Here's some things um, so we like I think that you know what you're kind of To me one of the things I've been thinking about is so many people are like, why are we calling us social distancing? Right? Like, why don't we call it physical distancing and think about how we can stay socially close in a time where we have to be physically distant? Yeah, you know what I mean? I think that's so cool to talk about, you know, how you imagine space in that kind of in that way And I don't know about you guys, but I mean, I think one of the things that Is clear is that like we're we're meant to you know, know our neighbors And we're meant to connect with more people on a repeated sort of casual basis. Um, and so the the report that I put out Looks at the ways in which design impacts Social capital, uh, and so both strong and weak ties. So sometimes it's like I feel like we're moving to the digital realm where people drop off our groceries and we don't need to like see as many people but the thing is is like that interaction with the barista or with the With the grocery person there's actually research that's showing that That can be really important for people's mental health And even people coming out of addiction and trying to stay out of addiction Um, is that that those casual interactions repeatedly, you know, it's sort of like that sustaining especially the more we live alone. So Yeah, thanks Absolutely cool. Matt. I know that we were uh flipping coins I forgot to ask you one question and Matt actually won that I mean, I had so many questions for you that actually, I mean, I love in I love you were talking about Don't worry. It'll only be, you know Yeah, and I know and I was um, you know just listening to a podcast about like Crook pride, luxuries and all this stuff like but um, uh, you know, and of course I've been actually taking a uh, like deep dive into A lot of looking at how we leverage our existing built environments to combat a lot of these patient center outcomes and actually provider centered outcomes and uh, especially in the emergency department And I'm actually and I was having this great conversation too with another another architect who is talking about, um How things are different in the united states as to other other areas in terms of things we do In our healthcare systems in our hospital specifically with just small things like, you know windows big thing Or like like why don't we don't open our windows in the united states? But in other countries they do and they ventilate and is that is that impact? You know health does that impact by retribution? Is that impact covid? and like, you know and does it impact your ability to For instance combat covid when a hurricane comes through and when you have no power And you know like I mean I live through sandy and in my Uh nyu and a number of others are shutting down and not having power and it's like well Gosh darn it. It would have been great if you could have opened your window um, and you know, I and Uh, I've been able to you know, both experience that for a lot of reasons. So yeah, I love that Yeah, um, and so I guess I don't know. I want to keep this conversation going but we are At at time and so I you know, it's Friday Friday afternoon. So Please everybody work on like, you know time, uh keeping it exactly that six o'clock time Yeah, so please everyone, um, you know keep in touch with us and we will definitely We want to hear what you guys want to hear about and conversation you want to have and if we need to Continue one of these conversations and I think we need to continue all of them but you know, we can do that. Um, we have a couple of great speakers lined up for next week and um, and and we're planning to add a third one as well. Um, and Yeah, so I think we're gonna um, go ahead and call it. It's at six o'clock. I'm gonna try and Cue up a little outro music and everybody Thank you guys so much for For joining us this week. We've gotten so much support from all of you and please reach out to us I'm gonna send out the link to the poll and email it out to you guys later But we have really enjoyed connecting with so many people in the last couple weeks and we look forward to seeing you next week All right. Thank you everybody All right