 It's a great song. I'm totally down with the music this week. Hi everybody, I'm Morgan Hutchinson. This is the eighth episode of Designing on the Frontlines. Welcome back. This is the show that brings together healthcare providers, designers, and others to talk about how we can improve our world. And I'm Morgan Hutchinson. Hey everybody and I'm Matt Fields and we are two emergency medicine doctors who also work in the Health Design Lab at Thomas Jefferson University in Philadelphia. And we are joined by our team and co-sponsors from the Health Design Lab, Bon Koo, Rob Buglese, Christy Shine, Mary Ellen Daley, and all of our students who are joining us. Hey guys, good to have you here. And from Cooper Hewitt, we have Ellen Lupton and Pam Horn. Hi everybody, today is June 26th and while many of us are over the COVID pandemic, the COVID pandemic is not over. This was evidence this week largely by the fact that many states including Texas and Florida shut down their reopening efforts because of rising number of cases. In fact, last week I reported that half of the states had increasing cases. This week 30 states have increasing number of cases. Yeah, but one piece of good news is there has not been a spike in COVID cases related to protests likely in part due to making use of outdoor spaces but also due to wearing masks. So it's super important to have our masks on. This is really cool to see and that we can make interventions that allow for public gatherings and also really kind of changes the conversation from becoming not how do we prevent COVID from getting here because it's here but how do we redesign our lives to maintain social needs but also prevent COVID spread. Thank you all for joining us again or for the first time. It's great to see you guys with us today. We've got a great group of speakers. Remember everybody keep your video on throughout the hour. Use the chat box to introduce yourself. Talk to one another and ask any questions for the speakers. We will have time at the end to address those questions. And if you missed any of our prior episodes, you can check them out at healthdesignlab.com slash d-o-t-s-l. That's right. And this week I am so excited that we have three tremendous speakers. We have Sheila Rooter, Emma Greer and Dennis Boyle. We will also have one themed six minute breakout room where everybody will be broken up into random groups of about five people where you'll get to introduce yourself and meet other people. We'll give a prompt to kind of stimulate some interesting conversation and hopefully everybody will make a new friend. First we have a couple exciting updates for you. I would like to introduce our producer Rob Hulisi. Thanks guys. I just wanted to let you know today's music. I played a little Anderson pack that was a pretty sweet song from his Malibu album called The Season. That recommendation came from a good friend of mine who I just saw this week for the first time since the pandemic. Glen Abinger who is an ER pharmacist here at Jefferson. For those who don't know, pharmacists are everywhere, including in emergency departments making sure that your drug therapy is safe. So be kind to your pharmacist throughout there making sure that you're all good. So thank you. Back to you. That was an excellent update and 100% agree with that. You guys are lifesavers. Next I would like to give you guys the first ever Design Find of the Week with Colleen Clark. Colleen are you here? So I think I just got a message from Colleen that she didn't have the link. So we might have to come back to Colleen. We'll have to come back to the Design Find of the Week. I know you guys are all at your seat with that one. We'll save that cool find for later. And so if it's okay I'm gonna go ahead and jump into our first speaker then. Let's do it. Let's do it. Yeah let's jump into it. So our first speaker today is Sheila Rooter. She is an architect and principal at HKS architecture. Sheila is committed designing healthcare environments that focus on patient safety and operational efficiency and is member of the FGI health guidelines revision committee. Very cool. During the COVID pandemic Sheila and her colleagues at HKS created a document on ER contagion which pulled from lessons from across the nation, interviewed ED knowledge experts and clinicians to derive key takeaways for how we can prepare for the next wave and make longer term changes to the way EDs are designed. As somebody who works in the emergency department I have been super excited to hear this and so Sheila thank you very much for joining us. Thank you. I appreciate it. I'm sorry that I can't share my video. My zoom doesn't like it and it shuts me down so otherwise you'd see me. But I'm gonna go ahead and share with you some of our findings. This document as he was saying was created through interviews with health systems across the United States and we basically broke down all of the feedback and ideas that we received into eight primary categories. And although this is focused on the emergency room and that was our vision as we did those interviews, it can be used across the entire hospital and with slight adaptations you can even use all of these eight categories in any building type. So kind of keep that in mind as we walk through it. This is our task force that we put together and this is an assortment of subject matter experts with planners, researchers, and engineers. And these were the eight primary categories that we came across. I'm gonna walk through them quickly and just hit some highlights because I don't have a lot of time and I definitely want to hear the other speakers. But one of the primary categories was a portal at the entryway. Wherever you're receiving patients that may or may not be infected, creating some sort of portal could be demandable partitions or a tent would provide a protected position for staff to be able to greet people and be doing an initial quick look triage and provide PPE and screening. So that would be a temporary condition and then if you look to long-term construction in a new facility that could be built in and be supplemented with increased security protocols. You could add built-in storage for PPE and other supplies as well as hand washing stations. The second category is the PPE itself and the main thing is to keep the separation of donning and doffing areas. And the way we can do that and make sure that the clean PPE doesn't get contaminated is by color coding and signage and making it very obvious donning areas versus doffing areas. And also providing collection points and disinfection for reusable PPE. In the long-term scenario, the disposal stations for PPE can be built in and we can provide a sink in that location as well. Another thing that came up a lot was hands-free doors so if we can provide foot pulls or even an OR petal for the doors on these locations then we can help to avoid the reinfection. A cross facility planning for pathogen resistance. So this is high risk and high touch surfaces at providing an adhesive film that's highly cleanable or color coding these areas so that EVS and housekeeping will know that this needs to be cleaned more often and into a bit to a higher degree. Long-term identifying seamless solutions for finishes, minimizing reveals and cracks and even the idea of the ability to control equipment from outside of the patient room. So this is showing a window. You can reach in and control the equipment and minimize the exposure to staff. Of course, we're all increasing air changes and hippofiltration and there's also the opportunity to create temporary anti rooms for negative pressure to support a greater number of anti rooms throughout the facility and negative pressure rooms. Long-term, there are several things that we can consider and I think one of the biggest ones is the air purification strategies that are available within the ventilation system. So when that air comes through the HVAC system, purifying that air before it gets recirculated. Compartmentalization strategies. This is utilizing existing compartments where you've got fire doors or smoke doors to be able to separate and cohort infected patients versus non-infected patients and you can also add temporary walls and doors to supplement existing. In the long term, we can think about this a little bit more thoroughly and plan ahead to provide pressure gradients relative to risk for each area and this means the highest positive pressure zone would be where the immunocompromised patients are and then the highest negative pressure zone would be where the infectious patients are and then a gradient along the way. Safe zones and hot zones. I think we're all utilizing this but the key item I want to hit here is the communication of where those zones are. So if you've got a hot zone, you can color code that to and put signage so that it's very, very clear so that there is no cross infection and then also identifying cool zones or safe zones where staff can take a moment, feel free to rest a minute, remove their PPE and recharge before they go back in. One of the best ways to accomplish these things in the long term and new construction is to do the onstage offstage which completely separates the patient traffic from the staff core work zone. Virtual care has definitely been expanding quickly ever since this all took off and a lot of the regulations have been removed to make this happen. So we're trying to make sure that we provide privacy. You can use just a small phone booth so that the provider can have some privacy and provide the care that's necessary to keep the patient from having to come into the facility and then as we look at this into the long-term future adding more gusto to those spaces to have dedicated rooms that are fully equipped that are optimized for coloration of the patient, speech clarity and visibility to make sure that you're getting all of the appropriate information and making a correct diagnosis. And then to the surge capacity we've seen a lot of this with the alternative care sites, could be tents, could be the inflatable units or temporary prefab and what we really want to talk about is making sure that those areas have access to any hospital resources, med gases, water and things like that. And then as we move into the future in a new construction scenario, providing things like a dock for temporary structures or encloseable canopies over the walk-in entrance or the ambulance entrance that will allow you to quickly just expand your space outside of the existing hospital footprint. All of these things are available in our full document which we can get to you to distribute. Thank you. That is great. I love that step-by-step numerical description and one of the things I really love about the way you've kind of designed this is it or the way you've laid this out is it I think it gives good insight to you know kind of ideal scenarios but also how to leverage your existing space. And I guess my one of my questions is one you know I love that you jumped right into the solutions or the kind of step-by-step. I'd be kind of interested to know a little bit about the methodology for how you kind of arrive to some of the conclusions and then my other question would be how do you recommend for emergency departments to take these recommendations and implement and should we you know should we be working side-by-side with architects to implement this on a local level to kind of fit our existing local environments. Oh my gosh I love all of your questions okay. Thank you. First of all the contributors you can see a long list of contributors here and the variety of specialties on the task force so we did pull subject matter experts and best practice as well as the interviews of what people are actually doing and how they'd like to do it better later in the future. And then as far as how to implement this it's it's across the board. This is essentially built to be a kit of parts where in an emergency situation you can take something from each of these categories and implement it immediately and then there's something else in the categories that you can implement one or two weeks down the road with a little bit of planning and then other pieces that you can bring in an architect and a full team and build for permanent for the long-term future. So it really was designed to be completely flexible to accommodate on any timeline. Yeah that's that's perfect and I love that and I love giving I love that it gives us that direction to kind of numerical order in terms of looking at what you have and how to prioritize interventions because you know it's it's hard to just implement this all at once and so I love that guidance so thank you very much. I think what we're going to do is I mean it's funny I'm looking at contributors I didn't know some of these people so yeah they're all good sources so that's that gives credibility. So I think what we're going to do is we're going to take more questions at the end after all the speakers have had a chance and so now I'm going to throw it back to Morgan. Guys we have been joined by Colleen Clark I know you have all been waiting for. Thank you so much Sheila for joining us and for giving that presentation I was so excited when you guys shared with us those those recommendations it's so great to know that people are doing that kind of work and making our emergency departments better and it's great to have you on the show and Colleen I will hand it over to you. All right hi everybody apologies security on this show is excellent happy Friday so I'm going to share my screen real quick to share something with you that inspired me architects are always inspiring me so this week I'm sure some of you saw this but there was this great New York Times magazine article titled how architecture can help us adapt to the pandemic and we just heard some really incredible examples so I'm not an architect I'm just a huge fan at no matter of the work and especially how people like Sheila how their brains work and how they process the world and move through it. So this article touches on how work engaging individuals with autism and the design of physical spaces can inspire the process of adapting space in different ways in response to COVID. So it mentions this index called autism aspects index and it was created by Magda Mustafa who's a Cairo based architect and she came up with these seven criteria listed here over a decade of research and it's used as both an assessment and a design development tool so one thing that came out of some of this work was this example of a break breakout pod off of high traffic areas for those with autism who become overstimulated and then there was this realization that they also happened to create spaces with different air circulation and with fewer individuals both of which are appropriate and clearly could help mitigate the spread of COVID. So this is just one example of how a certain group of people that face difficulties in the built environment can help figure out creative solutions to the spatial challenges that we're facing due to COVID and that often these groups are that are discriminated traditionally by the built environment can offer and suggest improvements to pervasive design flaws that maybe the rest of us haven't thought of yet. So I wanted to just kind of leave you with this quote which I thought was great by Joel Sanders who's an architect interviewed in this piece and I'll link the article to the chat in a bit. He says we sleepwalk our way through the world unless the building interior is strikingly different or lavish or unusual we are unaware of it. COVID is forcing all of us to be aware of how the design and the built environment dictates how we experience the world and each other and I just thought that was a great summary of where we're at so turn it back over to you Morgan. Thank you so much Colleen that was totally worth the weight that was awesome and it was also a great segue with a breakout pod to the breakout pod that we have for you today also known as our breakout room. This is going to be the one and only breakout room so get excited we have a six-minute breakout room we will randomly assign you all into groups of four to six could be with anyone introduce yourself to everybody else in the room tell everyone who you are where you're from what you do what brought you to the show and we have two prompts for you today you can take your pick what is the pandemic habit that you will keep and what made you laugh this week. All right here we go that was a lovely breakout room thank you guys so much for joining and sharing with us we I met our first person from Australia which is you know awesome how many people from all around the world are calling in and joining us today thank you and I would like to hand it over to one of the co-sponsors of our show Ellen Lefton who is the co-author of Health Design Thinking and who is a curator and author from Cooper Hewitt Smithsonian Museum to introduce our next speaker. Yeah so hi I'm really excited to introduce Emma Greer who's an architect working with Carlo Rati Associati or CRA a design firm with offices in Italy the US and the UK and she's calling in from Milano today. Their firm works on applied research creative design methodologies and big picture concepts with a lot of emphasis on high tech digital technologies to create an architecture that senses and responds and I think Emma's going to talk about Cura which is a really interesting temporary hospital design so welcome Emma. Thanks Ellen and thanks everyone for joining us I'll just share my screen. So as Ellen mentioned I'm calling in from Milan so bonus to everyone and I wanted to share a project that we've been working on at our design and innovation practice called Cura so in our quote-unquote normal day-to-day jobs we were a group of architects and engineers working on design projects at different scales all over the world but three four months ago we shifted gears to try to respond to the COVID pandemic and see how we could help but as many of you probably know Italy was very hard hit and we lost a lot of work and we had many family members and friends that had fallen ill and we were in a bit of a chaotic moment so we felt compelled to try and do our part and so I'm going to talk about the project itself but I really want to put the emphasis on how this has changed the way that we work as a practice and that we work with our colleagues and also our competitors and of course there's the obvious change that many of us aren't working in the office anymore we're working remotely and connecting via Zoom or go to meeting or Skype but it's also changed the way we we work together creatively and so we've seen a lot more sharing I mean I loved the guidelines that Sheila has just shared with us and I wish we had had those three months ago when we started this project because they're super useful and I think this kind of sharing belongs to a larger trend we're seeing which is really like an open source movement so we've seen all of these different projects that have popped up great ideas from designers, scientists, health care workers that are being shared in an open source way both academic partners but also private companies Medtronics is one of the biggest producers of ventilators in the US and they they put up their design specifications for anyone to use online so about in this same vein at the beginning of March we came together with an international task task force to try to respond to the need to increase intensive care capacity worldwide here's a quick list of some of the people and this list is growing on a daily basis who came together totally in a non-profit pro bono open source way to help us tackle this issue and we met via Skype and go to meeting on a day-to-day basis working evenings and nights and weekends to try to get a solution designed and built as soon as we could and what we developed was a modular ICU in a shipping container and why we chose a shipping container is we really started by looking at what were the other options that we were seeing popping up in Italy but also China before Italy and around the world one being the 10th hospital solution or the converted convention center and we said well that's great and it's fast and those spaces are available but they're also not ideal from a contagion point of view because you can't contain the infection to one area it's everywhere and doctors and medical professionals were getting ill more quickly and the other option of course was to build a new hospital in China we saw amazing stories of new hospitals being built in just a matter of days but of course that's very expensive time consuming and also not too easy to move in Italy we saw very quickly how patient zero in north Italy started a flare up there but then the contagion moved to other parts of Italy and we couldn't easily move that spare capacity in the way that we could with a 10th hospital or in this case a shipping container so we tried to take the best of both worlds we wanted to develop something that was rapid to deploy easy to scale up and could respond in an agile way and move around in a shipping container here's the the basic layout of that shipping container so we imagine it we built it so that it could host up to two COVID-19 patients who require invasive invasive invasive ventilation and what you see here in the top right is we've compacted a mechanical unit in the container so it comes already equipped with all of the mechanical electric equipment required to create negative pressure so this idea of containing the the virus through negative pressure that Sheila mentioned earlier is already built into the unit and these units can work on their own as isolated as isolated icus or they can work together with others to create an entire ward so here you see some interior shots we've added some some windows so that medical professionals can also check on neighboring patients so necessarily moving into that container these units come with all of the exterior and interior finishes mechanical equipment and medical equipment required to treat two COVID-19 patients here you see a one example of how we could configure multiple units together as a annex to hospital ward so this is a Sheila also mentioned the importance of of having spare capacity or the ability to spill out or add capacity to existing hospitals we could imagine a scenario where this becomes the COVID ward but the hospital can share medical staff and as well as maintenance staff and some equipment like medical gas supply and and vacuum so it could it could be as an annex to a hospital or it could be an independent field hospital on its own so this is a particularly interesting solution for remote areas for instance there's been a lot of interest in Canada for for northern communities that don't have access to hospitals that have the right equipment to treat COVID-19 so we can imagine these clusters with their own backup generators medical gas supply and accessory functions in addition to the ICUs here's another larger unit so we can really scale up from anywhere one unit two units to 40 50 units and beyond so in about four weeks we were here that was with the help of all of the different partners around the world architects engineers mechanical and electric designers and also field hospital operators medical professionals and then four weeks later we had we had one unit up and running so we really wanted to quickly move from design to prototyping and to validate some of the assumptions that we made at at the beginning of the process so here you see the very first core pod which we built here in Turin out of a shipping container here we've added also an inflatable sort of anti chamber and it has been installed in a makeshift hospital in Turin Italy that and will be the only unit in that makeshift hospital capable of treating COVID patients who require invasive ventilation so the rest of it is more of just an oxygen therapy ward and this is sort of the most severe patients get moved into our our core pod here you see it in the context of the actually this is a very beautiful space that's normally used for raves but it's being put to to to better use in these last few months and but what's been really interesting throughout this process is is we've been able to do a post occupancy survey and get feedback from maintenance staff from patients from medical professionals and also from our our own manufacturer who built the first unit so we're already reiterating the design to respond to some of that feedback the other really interesting result from all of this was what happens when you take an open open source approach so from the very beginning even the in progress drawings before we had built the first unit we put we posted them online so at www.corapods.org there's an open source file section where you can download the as built drawings some business cases that look at how this compares to other uh other field hospital models and there's 3d models and and drawings and we shared it with our community also with the help of the world economic forum who was hugely helpful in getting the word out there and what we saw very quickly is that core pods started to pop up all over the world here you see examples of core pods built in Dubai elsewhere in Italy there's also a group in in Canada not far from Toronto who used to build medical marijuana facilities in shipping containers and they transformed their assembly line to make core pods and we you know we we weren't in touch with these people helping them to do this they did this all on their own and they've since shared feedback on the manufacturing process on uh how this how our design uh reflects or doesn't reflect the regulations in their in their region and how it would need to be adapted so we've really seen it take off and and take on a whole other other scale all over the world so here's the more examples of core pods been built all around the world so just to close I think one of the most interesting takeaways has been just that this this principle of open source design that it's better in this context to share first as Sheila had done with her guidelines and as we had done with our website core pods org to to share your ideas and not patent them or protect them as you might do in another more commercial setting and that competition is good and not bad so we've seen quote unquote competitors pop up all over the world building core pods with our design but they've approved improved upon it and allowed us to scale up globally something that we couldn't have done on our own and I also wanted to add a call to action for those on the call we've we are seeing that this solution is greatly needed especially in the global south so we invite you to share it with your contacts and and to help us communicate with ministries of health and civil protection forces all over the world to to share this option with them and make it part of their emergency response portfolio and we also want to to get these built and ready for the second wave now I put together these slides a couple days ago or last week and and and perhaps I was too optimistic because unfortunately we are seeing a second wave in parts of the U.S. so it came sooner than we had expected but we're ready to go and we've actually been talking with a couple companies in the U.S. who found a way to fund core pods through the CARES Act in the U.S. so there's also funding available to to build these units in the U.S. and and to operate them there so I'd love to I'd love to hear your your feedback on the design and any questions you might have in the in the Q&A session at the end but thanks so much for giving me the opportunity to share this project with you thank you so much Emma for joining us we have been a big fan of your work we've been trying to get you guys on the show since the beginning you guys were one of the first people we talked about and it's a pleasure to have you with us not only are you super busy but I think it's just about midnight where you are so thank you so much for coming today I am going to turn over to our director Dr. Boncu to introduce our last speaker today all right hi I'm thrilled to introduce my friend Dennis Boyle he is a partner and founding member of the global design firm IDEO tomorrow will be his 40th year at IDEO and if you don't know Dennis Boyle there's a law named after him then Boyle's law that's how I first found out about Dennis it's it's a never go to a meeting without a prototype and this principle of prototyping rapidly has been so influential to me Dennis has worked on everything from the first prototype of the mouse for the apple Macintosh you work at Steve Jobs on that and he and his partners help coin the term design thinking even so he is a legend and we are thrilled to have him here so thanks Dennis Dennis for joining us from California I'll hand it over to you did we lose Dennis is he right is he here I don't see him okay there we go there you go cool good I got kicked out and then I'm back the wonders well thanks very much uh fun and all it's great to be on the panel with some architects my father was an architect so I grew up in that whole environment and also this host by the Cooper Hewitt is great because my one of my great long-term colleagues was Bill Migridge who was the director of the Cooper Hewitt about 10 years ago so it's great to be here let's just start the screen here okay host disabled attend the screen sharing so you gotta let me share you will work on that let's make that as a co-host yes okay there we go get this going here let's do that does that look everybody see that we good all right so I've been for the last three months collecting stories of how designers are spending responding COVID-19 so it's it's an honor to be here I'm just gonna this is a kind of like a highlights reel so let's let's just kind of all right let's go here so we were all friends at Stanford we met now we're 800 people nine places around the U.S. your design thinking yeah as bond said is is our business in one form or another always starting with what people need what's desirable and then having business or what's viable and or what or technical solutions in which feasible add on so there's a giant outpouring of effort by designers it's very inspiring and it's amazing every every day I see new stories so iterating and old products and services creating new products and services creating new infrastructures creating conditions that promote collaboration innovation I look at this as a Apollo 13 moment where you're trying to get things that don't normally work together to work together and this is a great time to be a designer in health and medicine in my opinion one thing I'd love to point out is this great group started by Amanda Salmon and Nick Dawson in San Francisco I met as a trauma surgeon at UCSF and this emergency design collective it's recently become a nonprofit it now has 550 members I invite all of you to join a big volunteer workforce they've got two dozen projects going along every most are COVID related but now they're starting to be outside of COVID related let's try to make my here we go so 24 different projects at least it's time to make your own face mask at the beginning of this because there are enough masks to go around lots and lots of things published in this early area so masks could be saved for healthcare workers lots of online kinds of resources and patterns and then this whole blood donation by Abby Don and her team the whole blood donation process is kind of broken there's a great deal of fear the great deal of uncertainty a great deal of unknowns and so they've worked very hard for the last two months to create a whole new blood donor journey and they're rolling out in 10 different cities around the US for pilot testing to help make this this process which has been successful but now with all these new conditions is having a lot of trouble they're carefully collecting and showing ways for people to use PPE and keep COVID out of the home shining a light on best practices by healthcare workers they're they're pointing out organizations that are looking for PPE or having PPE and distributing among that you have and have nots there's a number of different great organizations that have come up in this category and even lots of grassroots as I saw this on a on a storefront just the other day in San Francisco people with service and with materials to collect it for people that need it this is a one of of one of the designers that I ideal had a physician spouse and she had one face mask and they are sharing it among among physicians so they went into design team went into action created a face mask design went and build a couple hundred of them they're so popular they went and did a GoFundMe raised a hundred thousand dollars and built 25,000 of these and created a great thing for especially California physicians you can see some of the work here IDO office in Cambridge went online and did a very nice design for at home at home mass production with details and patterns and then there's this whole I just love that is Eric on MacGyver care everyone's trying to do little hacks little workarounds here's a here's a physician that's showing how that it's easier to wear your PPE all day long with a a jail bandage here's here's a nurse that put the button on a bandana so you could save your ears here's a student who created a mask that you could see the lips for people who are hard of hearing so they could lip read here's a great friend of both bond and my Andrew Downing she's ahead of a big breast breast cancer survivor group but she and their team made a PPE out of bras here here's a physician who pioneered a habit of putting his face and and his name so people could at least see what who he looked like and what that he was smiling here's a clever idea and how to get your coffee with a foot apported here's a company that's innovating around making the intubation process safer with a shield here's a physician in Florida that took the material that's normally used in surgical wrap and made mass out of that so that they could be sterilized in mass here's a group that a group that formed this RVs for MDs so that people that had RVs loaned them to healthcare workers that wanted to quarantine themselves from their families here's a something being developed at MIT where healthcare workers may ask is is taken after a shift and analyzed and and there can be a COVID test and so this looks like a promising another avenue for COVID testing the whole area of telehealth we're working in this multiple areas here's a woman from the WHO that's made a big directory of telehealth sources the funding has doubled and doubled and doubled again in this area here's here's even a planned parenthoods pivoting to have telehealth available here's a healthcare providers can now use FaceTime Facebook Messenger video check Google Hangouts Skype it's all become possible and regulations are loosening up just because they have to so there's zoom and teledoc and orthodoxy here's people trying to assemble resources and track the trackers who then are Fox and other friends of mine and start up health start launch the whole COVID-19 navigator help organizations find healthcare solutions here's I've been tracking these I've got 10 of these sites I look at practically every day they're at the local level they're at the county level they're at the state level they're at the national level and they're at the international level with the one the granddaddy of them all being the Johns Hopkins site looking at COVID cases and and recovery and then onto the right is how many different diagnostics are being worked on how many treatments are being worked on how many vaccines are being worked on from another source I've been lucky enough to give be a part of four different online hackathons last month with 900 nurses I helped with a talk like this get together over 24-hour period and innovate with problems in the COVID space and the month before that was 4,600 orthopedic specialists and surgeons and professionals and how the orthopedic community was going to respond to COVID and this is put on by UCSF open ideal 3,000 people working how might we rapidly inform and empower communities around the world to stay safe and healthy and then here's our very own bon coup working with one of these anbu bags these manual devices and this is a this is where Emma made I've got the same example as Emma's there's a great deal about pouring of design of making these bags automatically be compressed and again here's the MIT one that Emma showed and there's lots of innovation around using snorkels and helmets of sorts to do the step before intubation so you can have oxygen rich environments and then companies really started stepping up the here's Abbott with a test a short duration COVID test here's scripts using wearable data to track COVID here's a company that makes a smart ring aura that is now seeing patterns that you can see three or four days in advance of coronavirus infections and now the NBA has 3,000 of these rings to try to see if they can get in front of this adidas making masks Richard Branson making ventilators Medtronic there's another one that Emma showed up open sourcing one of their designs here's them nice and making ventilators here's general motors making ventilators there's the the racing formula one team for Mercedes making CPAP machines and and Ford really went all out setting up assembly lines for PPE gowns for face shields for mask and ventilators and really put a lot of muscle and time and energy behind this so I'll end with a little bit of inspiration the are these physicians Dr. Berks and Dr. Fauci and Dr. Gupta and Dr. Wayne have all become household words and famous and they're working hard to try to help people understand here's a couple of physicians in New York City who made their big wedding into just a few people and then their honeymoon into going back into the clinics to work so here's every over this three month period that the appreciation for healthcare workers has grown and it's been inspiring and just really awesome to see and some little points of inspiration here's a bunch of families got together so all their children could go to the prom virtually and my son just graduated from medical school a month ago all virtually so here here it worked out as well as it could he's a navy physician out in San Diego and doing his residency at that big naval hospital there and then this has been pointed out but we have some sort of a zoom some sort of a zoom cocktail or a zoom social practically every night with all sorts of different friends and family and and online art contests and and then I'll end with this the Rotterdam Symphony Orchestra and that's around orchestra and a number of others have done all online orchestras for for beautiful experiences just awesome to see if you haven't seen it look them up so in conclusion we all have this privilege and responsibility of designing for health in this day and age we have to redesign healthcare but not only with COVID in mind that's but also with diversity inclusion and racial equality in mind so best way to predict the future is to invent it and seize the day so thanks very much health design lab and van for hosting me today and thank you so much for joining us that was an incredible list of all the innovative products that are going on during this time and you actually mentioned a few projects that we have had represented on the show a few of our prior speakers so if you guys want to check those out we got episode three episode five absolutely it's a great week we are out of time for questions I apologize to everybody with their questions but I think it was totally worth it to hear you guys have a little extra time to talk about your projects and we were so excited to hear about them um so we have a next week we are going to take the week off we've got a holiday week for the show designing on the front lines but when we come back on July 10th we have an excellent panel lined up we have Michael Murphy Dr. Rhea Boyd and Sonny Williams and that's our show for today thank you guys all for coming yeah everybody have a great weekend sorry we ran out of time such a great discussion as always flew by yeah totally worth it we'll see you guys in two weeks