YouSaid · the spoken record

Bon Ku

lines on the record: 39
first: 2020-11-05
most recent: 2020-11-05
sittings or episodes: 1
sources: podcast

Every line below is reproduced as it was said and linked to the record it came from. Nothing here is summarised or generated. Directory · Search · Corrections

“Well, one of the inspirations was first being interviewed by you in the spring on this podcast and during this time when we have not been able to travel and see people in person, I've been doing a lot of phone calls, a lot of Zoom like other people and just learning so much. I felt it was important to disseminate good knowledge and I learned so much by talking to people. And it was just this, I don't know, maybe it's a creative pandemic hobby. It gives me a way to connect with people from designers and doctors and architects that I love their work to connect with them for an hour and learn from them. It provides a nice framework to be able to do that.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“My daughter may play lacrosse for college and she will get kicked off the team if she doesn't participate in that sport. The girls have been really close to each other. And it really bothers me a lot.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, I think if you have trust in the local leadership there that they're following the state level guidelines, which are usually pretty conservative, probably positivity rate less than 5% would be one benchmark of the people getting tested as opposed to like South Dakota and some of the Indian reservations like 40%. It's terrible there. And I think if you trust your school system for implementing good measures so we live in a really great school system. The public schools are really great here. People are, I think, really on top of it. It's a very local decision, a mixture of what that leadership in the school system looks like. And also as a parent, your risk tolerance for your kids. As a parent, then you have to make that individual decision. I personally made the decision my kids play club sports, field hockey, and lacrosse.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“It's frustrating because a vaccine is not the solution. I mean, we have the tools right now to contain this virus, right now, if we started implementing it, if we took them seriously, if the government took them seriously and the citizens took it seriously, we could contain this virus because that's been done in many other countries without a vaccine.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“It really depends upon the positive test rates for COVID in the community. There's some communities, absolutely not. If you have more than a 5% positivity rate, that's kind of a benchmark where you should try to lock things down. I think a question for businesses to ask is why do we have to meet in person? Can this be done virtually? The mindset should be let's do it virtually unless we absolutely need a physical meeting. We need to be more vigilant than we currently are. There's kind of a laissez-faire attitude that I see among a lot of businesses just not taking it seriously. But things aren't going to go back to normal anytime soon.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Yeah, it helps me working in a team and inspires me that this is a group of nurses and doctors and techs and administrators that I work with. We're in this together. The emergency medicine all threats team in New York City. It's a grassroots movement of leaders coming together through video conferencing and preparing for the next wave that inspires me. We're not getting paid to do that. But we have come together and we want to work together as a team and to tap into all of our networks and think about how we can better prepare our systems, how we could protect our patients during this time. There are a lot of heroic efforts being done during this pandemic. There's so much creativity in coming up with real-time solutions. We have a great healthcare system. We have so many great physicians. We can contain this virus, stop its spread.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“We try to check in on each other. I try to be open and candid about what I'm experiencing. And I'm open that I have a therapist. I get help. I think as a leader, then maybe people younger than me will go, well, he's getting help. Maybe I should consider getting help. And it's not a bad thing, right? We are all experiencing so much trauma and grief right now. We need to talk about it. We need to recognize when our colleagues might not be doing well and give them that opening to be able to talk to it, to recognize it.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“being open with what they are experiencing because there is a huge mental toil from this virus. I get concern about trainees, about students, nurses and doctors as we head into this wintertime and we're seeing more cases of what that long-term emotional trauma is going to be.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“I get exhausted. I think there's a lot of emotional trauma that many of us are dealing with in healthcare. It was hard during the springtime when I found out my chief resident during training, Dr. Lorna Breen, who was a medical director at an emergency room in New York City, had died by suicide. She had gotten infected with COVID. She died and that just devastated our community. I think there are many of us working in healthcare who have been experiencing this trauma from this virus. And I'm concerned about our mental health. We need to destigmatize mental health issues. Doctors, we don't like to talk about it. We like to pretend that we got everything together. And I hope that healthcare workers”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Oh, oh my gosh Reminds me of the summer I get these alerts there's curfew, there's a lockdown in Center City. I'm concerned about how am I going to even get into my shift? Am I going to be able to get, I need to leave earlier? Again, there's this racial pandemic and the viral pandemic occurring at the same exact time. It's a lot. People are afraid. And we have just so much going on. It's a tough time.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“France and Germany just had their bars and restaurants closed and they're imposing more lockdown measures over there. I think there's a sense of complacency among the government, among our leaders, among our citizens. We all need to work together. We're in this together. We need to partner together for public health. This novel RNA virus does not give a crap about our business model of healthcare. It needs our cells in order to replicate. We know what those measures are to contain this virus. We are not doing it. We are the host and it does not get tired. It does not fatigue. We need to take on this mindset of not being reactionary and not sleepwalking and being vigilant.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“It's not hard to do. I mean, it's mass wearing testing contact tracing. These simple measures we have not been able to do. Dr. Fauci wants a mask mandate for our country. We should have that. We don't actually need to lock down the country if we did those things. If we did contact tracing, mask wearing, widespread testing, quarantine, countries were able with these simple measures to contain the virus without severe lockdowns.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“I'm unbelievably frustrated. These deaths that I see these patients who are infected is a direct result of us not implementing the policies needed to hunt down this virus to contain it, to protect our healthcare workers, to protect our citizens.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“We need to design our system to prepare for pandemics like this. Because if we don't, we're going to get devastated. And that's what we're currently experiencing right now.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“We could get there. That is possible. But we've become just so used to just being on the defensive and reactionary. What we need to do is plan on preparedness. We need to plan for next year. We need to plan for 2022 of how we can redesign our system for preparedness. Because right now, that's not paid for. But what our group is working on, the New York City group, is analogy that we make is when architects and builders build a building, they design that building for code, for fire code. And that's expensive to do. But they do that because they know in the long term it saves money because if you do not have a building design to meet fire codes, a simple fire can destroy the entire building. And it's worth the investment. We need to have that mindset in healthcare. We need to pay for preparedness.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“I think there is a sense of complacency and not in a way that is we're apathetic, but we've just become so used to wearing PPE of taking care of patients with COVID that it just becomes this new normal of existing. It's almost that we can't imagine anything different. That's why I like to think about what is that experience that other countries are having. We have a quarter of COVID deaths on the planet. So it's so normalized for us because every day we are treating a patient with COVID. We're seeing repercussions from COVID, but it doesn't have to be this way. Again, I bring where my parents live in South Korea, where I'm from, that they have less than 500 deaths from COVID.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“One doctor doing that virtual care can actually cover multiple hospitals. So there's a lot of efficiencies there. That's turned out really well for the pandemic because one, you eliminate another touch point of a healthcare worker potentially gaining infected. And it actually speeds up your experience in the emergency department. And I think makes it better”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Even before the pandemic, we found it more efficient to do the initial triage process. So when you come into the emergency room, that that be a virtual experience. Instead of seeing a real life person, you actually go into a room and you talk with a doctor or a nurse through a monitor. That doctor, nurse, is not even in the same emergency room, but what that doctor nurse can do is figure out why that patient is there and order some initial blood work or test while that patient is waiting to see a real doctor those things could get done.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Some systems have seen a thousandfold increase in telehealth visits. What this pandemic has done is made telehealth normal. It normalized virtual care. I think after this pandemic, hopefully the tele will drop from telehealth. We would just think of it as healthcare. There are many things that we can do to help patients without having them come to a brick and mortar facility, a clinic or a hospital.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Get really creative, everything from financing to meeting supply chain disruptions to thinking about virtual care so patients won't die during this wintertime.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Well, we had repurposed our 3D printers to 3D 35,000 swabs for COVID testing. So that was a big effort because we anticipate that there may be supply chain shortages. With our lab, we run a program for our medical school where we have 30 new medical students in our program, and they're thinking about how to apply design to healthcare. And our challenge for them this year is how do we think about redesigning healthcare delivery during a pandemic. We're excited to see what creative ideas are going to come out of these first year medical students because there is no way we can go back to our old way of doing business in healthcare. If that happens, people will die. Patients will die. We have to.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“It's a very grassroots effort that was spearheaded by some New York City emergency room leaders. They saw that we do not want to experience the amount of deaths that we saw during the springtime. And we need to do something about it. It was very organic in that way. Anyone who works in the Moonstrom saw the mistakes. For example, there was that field hospital, the Billie Jean King National Tennis Center in Queens that was funded, I think, by, it was like $50 million. They saw 79 patients during the pandemic. Why is that? Because there was not a system set up to transfer patients from hospitals to that field hospital.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“That may not even be in your network. Hospitals will lose money by taking care of sick COVID patients. Unlike what President Trump has said, thinking that doctors are making money from COVID, we are not. Hospitals across the country are losing almost a billion dollars a day during this pandemic.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Absolutely. There's a group that I'm working with, it's called EMAT Emergency Medicine All Threats group. It's because grassroots collaboration with New York City emergency rooms. We're working with IDO. It's a large design consultancy. And the McCrystal Group, which is a consulting group led by Stanley McCrystal, we're thinking about how can we load balance this winter because right now We think healthcare is coordinated, but it's not really. The business model of healthcare is that hospitals compete against each other for patients. Hospitals compete with each other to do elective procedures, which is how many hospitals make most of their money. So how do we get out of that mindset of competing against each other and thinking about coordinating our response for load balancing? So if one hospital gets overwhelmed that you could transfer these sick COVID patients to another hospital.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“There are options now with steroids and Remdessevir of what we can do to treat patients. But we've always been good at taking care of very sick patients with respiratory illnesses, especially at tertiary academic medical centers. When I think about some of the mistakes that were made at the beginning of the pandemic, why did people with COVID die in hospitals? It's because some hospitals were overwhelmed. especially the hospitals in Queens, New York were just overwhelmed with cases while other hospitals didn't have that many cases. It was sometimes a simple matter of staffing and space. What we need to do thinking about this winter is how do we load balance? If a hospital is overwhelmed with COVID cases, how do we divert those COVID cases to a hospital that has capacity? The simple act of load balance.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Getting them to write people. What we know during this pandemic is those people who already had the worst health outcomes, the most vulnerable groups COVID has just exploited that people in vulnerable communities, primarily black and brown communities in our country have been dying at disproportionate rates. How do we make sure people in those communities have testing? How do we bring testing to them? There's been some remarkable efforts of people throughout the country doing that, bringing testing into those communities.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“There's a lot of confusion about testing in the beginning. There's confusion from what the CDC said versus local hospitals. We're a lot more liberal with testing now, which I think it should be. What we've also done, my group, we are working with the city of Philadelphia and setting up pop-up COVID testing sites directly in communities and primarily black and brown communities in Philadelphia because there's actually these testing deserts where people do not have access to free testing. It's important if we're going to hunt down this virus that we need to know who has the virus and we need to give everyone regardless of their ability to pay access to free testing. We are literally setting up outdoor testing sites and church parking lots and school parking lots.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“I definitely feel more confident in telling patients that based upon their blood work, based upon their chest x-ray, based upon their oxygen saturation, that they're most likely going to recover. I feel a lot more confident in telling patients that in the beginning I didn't, because we didn't know the pathophysiology of this disease and what's going to happen to patients. What's also hard now is that we're still seeing very young patients get admitted to the hospital. There was a 23-year-old male who got admitted with COVID because he had low oxygen saturation. The youngest patient I diagnosed with COVID was two months old, a two-month-old baby. It's hard to see this virus widespread in our community. And after almost a year of trying to contain this virus that we're not able to do that.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Together, and it's very hard to separate out who has COVID and who doesn't have COVID. Any patient gets admitted to the hospital gets a COVID test because we would just want to know, make sure that patient doesn't infect any other patients. And even if you're not there for COVID-related symptoms, it's surprising how many times someone tests positive for COVID who doesn't even have any symptoms for COVID. We're seeing this community spread. Also, I'm hearing these stories of such emotional trauma. told a patient just this week that she had COVID and what happened when I told her was that she just started sobbing uncontrollably because she was afraid she told me that her sister died of COVID in June and in her household there were two grandchildren and her daughter who's pregnant and she feared for them that”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“We've been a lot more vigilant. We've been very concerned about protecting our staff. So we have many protocols in place for how you should wear PP, when you should wear it. We've had to socially distance our patients in waiting areas. Any urban emergency room is super busy and we're used to patients overflowing into corridors and hallways. Because I work in a large academic center, we take patients from all over the Philadelphia area. Some of the sickest patients come to us. Because of that, we have very high volume. So now we're experiencing is actually harder than what we're experiencing this spring because our volumes were down 50%. Now our volumes are picked back up and through some COVID cases in there and it makes for a really difficult situation.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“I am not as concerned about the virus being on my clothes as much as I was in the beginning. I'm still changing out of my scrubs and going home and taking a hot shower still. That's the first thing I do after a shift. So I'm still taking those precautionary measures. My parents live in South Korea. You know, America and South Korea had a first COVID case on the same exact day. Korea has had less than 500 deaths from COVID. We have had over 225,000 deaths. Korea is a big country. It's almost 55 million people, but because The South Korean government took this virus seriously. They hunted it down. They had this memory of MERS and that outbreak that they took preparedness seriously.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Yes, it's a little ironic because I work in the place that's probably the most dangerous in emergency room in a city where we take care of many COVID patients, just like my ICU colleagues. But in the outpatient setting, I'm hearing all these stories just like that, Bob, of it's a nurse or it's a physician or an administrator who gets infected. It's this mindset of not wearing masks all the time, not wearing protective gear all the time. I think we've become a little bit complacent. We've become used to this virus being widespread in our communities. We don't have this mindset of we're going to hunt down this virus and contain it. We've kind of given up kind of feel we're sleepwalking into the winter. I'm pessimistic of what's going to happen. It's scary to me.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Think we're sleepwalking into the winter. Have more knowledge of how to treat sick patients with COVID, we're recognizing this earlier there's more testing being done. But at the same time, what I'm experiencing in Philadelphia is that we're averaging over 2,000 cases per day now. That's a highest it's ever been even higher during the spring Many doctors across the country and nurses still don't have enough PPE to me that is mind-boggling. Still, I know doctors who are using their There's been some great leadership, and we've been prepared so we have enough PPE. I have not gotten sick with COVID and I have not been affected, but there are many frontline healthcare workers across the country who have gotten sick because of lack of PPE.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Well, I spoke with a resident in Arizona and he was saying all we're seeing now in the emergency room is COVID. This was during the summer. Our ICUs almost near capacity. Thinking, this is exactly what New York City was experiencing only months later.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Information has gotten a lot better. We are so much more prepared now. For example, we're seeing a lot of COVID cases again. We're right now experiencing uptick in transmission, but there's been not as many deaths. Doctors, we have become a lot better managing sick patients with COVID-19. There has been this transmission of knowledge from the places that have experienced COVID in the early phases, like the East Coast in New York City. That has gotten across to other physicians, other healthcare systems. Overall, what hasn't gotten across is being prepared. Why has COVID ravaged so many other healthcare systems in the country? We knew this was bad, but why was a nightmare scenario that we experienced on the East Coast being replayed over and over again across our entire country?”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“It was like watching a nightmare being replayed over and over again in Florida and Houston and Arizona. I was thinking this is exactly what we were experiencing months ago. Why weren't these places prepared”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Was a lot of fear and anxiety in the springtime. It was a really dark time for me. I was living in a hotel for a few days because I had worked a string of shifts. At that time, we weren't. Clear on the exact transmission of how healthcare workers were getting sick. Now we know it's mainly aerosolized, and I'm back in my home, which is great. And with my family. We saw a reprieve during the summer, especially in Philadelphia, where I work, and businesses started to open up. There were signs of life happening again. But what was very concerning is what we experienced in Philadelphia and what my colleagues experienced in New York City were being replayed across the country.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“There is no way we can go back to our old way of doing business in healthcare. If that happens, people will die. Patients will die. We have to get really creative, everything from financing to meeting supply chain disruptions to thinking about virtual care so patients won't die during this wintertime. We all need to work together. We're in this together.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT
“Feel we're sleepwalking into the winter. I'm pessimistic of what's going to happen. It's scary to me. Right now, experiencing uptick and transmission, but there's been not as many deaths. Doctors, we have become a lot better managing sick patients with COVID-19. Overall, what hasn't gotten across is being prepared. I'm unbelievably frustrated. These deaths that I see these patients who are infected is a direct result of us not implementing the policies needed to hunt down this virus to contain it, to protect our healthcare workers, to protect our citizens.”
2020-11-05 · Masters of Scale · Rapid Response: Pandemic Planning, Phase Two, w/Dr. Bon Ku (Jefferson University Hospital) · IDENTIFIED FROM THE TRANSCRIPT