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A health system that works for everybody | Sabine Kobayter | TEDxTUM


there’s nothing really quite like a good

there’s nothing really quite like a good yoga session to get me to relieve my

yoga session to get me to relieve my

yoga session to get me to relieve my stress I walk in a bundle of nerves

stress I walk in a bundle of nerves

stress I walk in a bundle of nerves tension and stress and I walk out really

tension and stress and I walk out really

tension and stress and I walk out really feeling relaxed stable and definitely

feeling relaxed stable and definitely

feeling relaxed stable and definitely more flexible I guess it’s a bit of a

more flexible I guess it’s a bit of a

more flexible I guess it’s a bit of a coping mechanism for me it’s not my only

coping mechanism for me it’s not my only

coping mechanism for me it’s not my only coping mechanism but it definitely works

coping mechanism but it definitely works

coping mechanism but it definitely works really well I’m not the only person who

really well I’m not the only person who

really well I’m not the only person who thinks this though recent studies

thinks this though recent studies

thinks this though recent studies actually have shown that GABA which is a

actually have shown that GABA which is a

actually have shown that GABA which is a little bit like endorphins or exit Osen

little bit like endorphins or exit Osen

little bit like endorphins or exit Osen travels around in the brain and goes up

travels around in the brain and goes up

travels around in the brain and goes up during a yoga class so we’re looking at

during a yoga class so we’re looking at

during a yoga class so we’re looking at about 27% increase only an hour after

about 27% increase only an hour after

about 27% increase only an hour after yoga

yoga

yoga it’s no wonder really that it’s very

it’s no wonder really that it’s very

it’s no wonder really that it’s very good at chilling me out so gaba is

good at chilling me out so gaba is

good at chilling me out so gaba is almost like the grand inhibitor in the

almost like the grand inhibitor in the

almost like the grand inhibitor in the brain what it does is it looks at these

brain what it does is it looks at these

brain what it does is it looks at these neurons that are firing away like crazy

neurons that are firing away like crazy

neurons that are firing away like crazy and says it’s going to be okay so it’s

and says it’s going to be okay so it’s

and says it’s going to be okay so it’s really quite marvelous so that’s my

really quite marvelous so that’s my

really quite marvelous so that’s my coping mechanism but when I look around

coping mechanism but when I look around

coping mechanism but when I look around the room I’m sure other people have

the room I’m sure other people have

the room I’m sure other people have coping mechanisms that are equally as

coping mechanisms that are equally as

coping mechanisms that are equally as effective while you may actually turn to

effective while you may actually turn to

effective while you may actually turn to alcohol you could be a heavy smoker and

alcohol you could be a heavy smoker and

alcohol you could be a heavy smoker and you could go for a run after work but

you could go for a run after work but

you could go for a run after work but I’d like to introduce you to Luke Luke

I’d like to introduce you to Luke Luke

I’d like to introduce you to Luke Luke is 32 years old he’s homeless and he’s

is 32 years old he’s homeless and he’s

is 32 years old he’s homeless and he’s addicted to heroin I know right now

addicted to heroin I know right now

addicted to heroin I know right now you’re probably thinking wow she went

you’re probably thinking wow she went

you’re probably thinking wow she went really dark really soon one minute we’re

really dark really soon one minute we’re

really dark really soon one minute we’re talking about yoga

talking about yoga

talking about yoga the next minute heroin we’re preparing

the next minute heroin we’re preparing

the next minute heroin we’re preparing and syringe life’s over but it’s not

and syringe life’s over but it’s not

and syringe life’s over but it’s not that random the reason why I’m bringing

that random the reason why I’m bringing

that random the reason why I’m bringing up Luke is because in the past few

up Luke is because in the past few

up Luke is because in the past few months

months

months I’ve been working with heroin addicts

I’ve been working with heroin addicts

I’ve been working with heroin addicts as part of my work for frog design we’ve

as part of my work for frog design we’ve

as part of my work for frog design we’ve been trying to figure out whether Luke

been trying to figure out whether Luke

been trying to figure out whether Luke cares about his health is it true that

cares about his health is it true that

cares about his health is it true that he doesn’t care about his health because

he doesn’t care about his health because

he doesn’t care about his health because he’s a heroin injector or is it that he

he’s a heroin injector or is it that he

he’s a heroin injector or is it that he cares but he doesn’t know how to get

cares but he doesn’t know how to get

cares but he doesn’t know how to get healthy so this was one of the questions

healthy so this was one of the questions

healthy so this was one of the questions that we needed to answer and the only

that we needed to answer and the only

that we needed to answer and the only way to answer it was to actually develop

way to answer it was to actually develop

way to answer it was to actually develop some empathy for Luke when I first

some empathy for Luke when I first

some empathy for Luke when I first started working with people like Luke I

started working with people like Luke I

started working with people like Luke I thought how am I going to empathize with

thought how am I going to empathize with

thought how am I going to empathize with somebody that’s so different from me but

somebody that’s so different from me but

somebody that’s so different from me but it then became pretty obvious that

it then became pretty obvious that

it then became pretty obvious that heroin was a coping mechanism for me and

heroin was a coping mechanism for me and

heroin was a coping mechanism for me and the more that I talked to him the more

the more that I talked to him the more

the more that I talked to him the more that I talked to her social worker his

that I talked to her social worker his

that I talked to her social worker his doctor I realized that actually there’s

doctor I realized that actually there’s

doctor I realized that actually there’s a very good reason why Luke turned to

a very good reason why Luke turned to

a very good reason why Luke turned to heroin and not yoga at the age of 21 I’m

heroin and not yoga at the age of 21 I’m

heroin and not yoga at the age of 21 I’m going to quote here mark one of the

going to quote here mark one of the

going to quote here mark one of the social workers that we worked with on

social workers that we worked with on

social workers that we worked with on the field I think it really shows what

the field I think it really shows what

the field I think it really shows what really you can start thinking about when

really you can start thinking about when

really you can start thinking about when you think about injected drug users

you think about injected drug users

you think about injected drug users he said no one chooses to be homeless or

he said no one chooses to be homeless or

he said no one chooses to be homeless or start injecting drugs if given the

start injecting drugs if given the

start injecting drugs if given the option heroin addicts will always choose

option heroin addicts will always choose

option heroin addicts will always choose not to be addicted but have their lives

not to be addicted but have their lives

not to be addicted but have their lives followed the same rhythm as yours or

followed the same rhythm as yours or

followed the same rhythm as yours or mine we wouldn’t be here talking about

mine we wouldn’t be here talking about

mine we wouldn’t be here talking about this subject so what is this subject

this subject so what is this subject

this subject so what is this subject exactly so I explained to you a little

exactly so I explained to you a little

exactly so I explained to you a little bit that we wanted to find out if Luke

bit that we wanted to find out if Luke

bit that we wanted to find out if Luke cared about his health but to go a

cared about his health but to go a

cared about his health but to go a little bit deeper we needed to

little bit deeper we needed to

little bit deeper we needed to understand what risks he is putting

understand what risks he is putting

understand what risks he is putting himself through by injecting on the

himself through by injecting on the

himself through by injecting on the streets as you can imagine injecting on

streets as you can imagine injecting on

streets as you can imagine injecting on the streets is not the healthiest thing

the streets is not the healthiest thing

the streets is not the healthiest thing to do but we were specifically looking

to do but we were specifically looking

to do but we were specifically looking at something called hepatitis C

at something called hepatitis C

at something called hepatitis C hepatitis C can go undetected for years

hepatitis C can go undetected for years

hepatitis C can go undetected for years just like HIV it is transmitted through

just like HIV it is transmitted through

just like HIV it is transmitted through blood but it’s much more infectious

blood but it’s much more infectious

blood but it’s much more infectious current treatment rates appear to be the

current treatment rates appear to be the

current treatment rates appear to be the lowest and injected drug users but if

lowest and injected drug users but if

lowest and injected drug users but if you think about it injected drug users

you think about it injected drug users

you think about it injected drug users are always dealing with blood the most

are always dealing with blood the most

are always dealing with blood the most disturbing thing though is that

disturbing thing though is that

disturbing thing though is that hepatitis C unlike HIV is actually

hepatitis C unlike HIV is actually

hepatitis C unlike HIV is actually curable so we have a disease that is

curable so we have a disease that is

curable so we have a disease that is actually curable we know who we need to

actually curable we know who we need to

actually curable we know who we need to treat but we’re not treating them

treat but we’re not treating them

treat but we’re not treating them effectively now that’s a cause for

effectively now that’s a cause for

effectively now that’s a cause for concern

concern

concern it’s not humane just to illustrate the

it’s not humane just to illustrate the

it’s not humane just to illustrate the fact a little bit more we’ve got 15

fact a little bit more we’ve got 15

fact a little bit more we’ve got 15 million adults in the EU with hepatitis

million adults in the EU with hepatitis

million adults in the EU with hepatitis C 58 percent of them were infections

C 58 percent of them were infections

C 58 percent of them were infections through injecting drugs 58 is probably

through injecting drugs 58 is probably

through injecting drugs 58 is probably underreported because when you go up to

underreported because when you go up to

underreported because when you go up to somebody and say do you inject heroin or

somebody and say do you inject heroin or

somebody and say do you inject heroin or any other drug the instinct is probably

any other drug the instinct is probably

any other drug the instinct is probably to say no then you ask again their

to say no then you ask again their

to say no then you ask again their instinct is again no so you know you get

instinct is again no so you know you get

instinct is again no so you know you get the idea so what is it that we need to

the idea so what is it that we need to

the idea so what is it that we need to do to try and understand these

do to try and understand these

do to try and understand these undertreated people it’s not enough to

undertreated people it’s not enough to

undertreated people it’s not enough to just talk to Luke and Luke’s friends

just talk to Luke and Luke’s friends

just talk to Luke and Luke’s friends it’s about understanding the situation

it’s about understanding the situation

it’s about understanding the situation that Luke is in I spoke about his

that Luke is in I spoke about his

that Luke is in I spoke about his background before and it’s about really

background before and it’s about really

background before and it’s about really trying to understand his journey his

trying to understand his journey his

trying to understand his journey his everyday journey and his everyday life

everyday journey and his everyday life

everyday journey and his everyday life and this is one of the journeys that I’d

and this is one of the journeys that I’d

and this is one of the journeys that I’d like to show so if we look at the core

like to show so if we look at the core

like to show so if we look at the core which is the hospital we need to talk to

which is the hospital we need to talk to

which is the hospital we need to talk to the doctors that may have seen him then

the doctors that may have seen him then

the doctors that may have seen him then if he goes to a mobile treatment for

if he goes to a mobile treatment for

if he goes to a mobile treatment for another infection

another infection

another infection what can the nurses tell us about Luke

what can the nurses tell us about Luke

what can the nurses tell us about Luke they’re the needle exchange pharmacy is

they’re the needle exchange pharmacy is

they’re the needle exchange pharmacy is very important too we have a pharmacist

very important too we have a pharmacist

very important too we have a pharmacist who’s seeing Luke practically every

who’s seeing Luke practically every

who’s seeing Luke practically every other day as he brings these injections

other day as he brings these injections

other day as he brings these injections to her or him what does she have to say

to her or him what does she have to say

to her or him what does she have to say about Luke what does she know about him

about Luke what does she know about him

about Luke what does she know about him that can help us and finally something

that can help us and finally something

that can help us and finally something that isn’t connected to health can also

that isn’t connected to health can also

that isn’t connected to health can also be that clue to tell us how we should

be that clue to tell us how we should

be that clue to tell us how we should treat Luke

treat Luke

treat Luke somebody for example that works at the

somebody for example that works at the

somebody for example that works at the Mobil food kitchen that serves him food

Mobil food kitchen that serves him food

Mobil food kitchen that serves him food that has developed a relationship with

that has developed a relationship with

that has developed a relationship with him what does he know that we don’t and

him what does he know that we don’t and

him what does he know that we don’t and as I said before this is just a journey

as I said before this is just a journey

as I said before this is just a journey in a very big ecosystem if you look at

in a very big ecosystem if you look at

in a very big ecosystem if you look at it as an onion layer the real core of it

it as an onion layer the real core of it

it as an onion layer the real core of it is our health care by the hospital but

is our health care by the hospital but

is our health care by the hospital but then as you go further and further out

then as you go further and further out

then as you go further and further out you also see peripheral services if this

you also see peripheral services if this

you also see peripheral services if this person chooses to sleep in a church and

person chooses to sleep in a church and

person chooses to sleep in a church and talks to the priest every day the priest

talks to the priest every day the priest

talks to the priest every day the priest may know a lot about him if this person

may know a lot about him if this person

may know a lot about him if this person is an immigrant and goes to a mosque the

is an immigrant and goes to a mosque the

is an immigrant and goes to a mosque the same applies so you have to be open to

same applies so you have to be open to

same applies so you have to be open to every touchpoint

every touchpoint

every touchpoint because you don’t know where the clues

because you don’t know where the clues

because you don’t know where the clues are coming from so at this point we’ve

are coming from so at this point we’ve

are coming from so at this point we’ve talked about the subject and the problem

talked about the subject and the problem

talked about the subject and the problem we’ve talked about one person that we

we’ve talked about one person that we

we’ve talked about one person that we need to design for but he’s not the only

need to design for but he’s not the only

need to design for but he’s not the only one as you remember from my previous

one as you remember from my previous

one as you remember from my previous slide it’s drug users and extra users

slide it’s drug users and extra users

slide it’s drug users and extra users that are at risk and so let me introduce

that are at risk and so let me introduce

that are at risk and so let me introduce you to the other people that could also

you to the other people that could also

you to the other people that could also benefit from a different healthcare

benefit from a different healthcare

benefit from a different healthcare system on this matrix you’ll see that

system on this matrix you’ll see that

system on this matrix you’ll see that drug use is on the horizontal axis and

drug use is on the horizontal axis and

drug use is on the horizontal axis and it’s actually going down so the high

it’s actually going down so the high

it’s actually going down so the high drug use is on the left hand side and

drug use is on the left hand side and

drug use is on the left hand side and then you’ve got on the vertical axis

then you’ve got on the vertical axis

then you’ve got on the vertical axis illness severity so the more ill you are

illness severity so the more ill you are

illness severity so the more ill you are the more symptoms you’re showing you’ll

the more symptoms you’re showing you’ll

the more symptoms you’re showing you’ll be up on the top of that one so Luke is

be up on the top of that one so Luke is

be up on the top of that one so Luke is termed a chaotic person not because I’m

termed a chaotic person not because I’m

termed a chaotic person not because I’m being judgmental and calling him chaotic

being judgmental and calling him chaotic

being judgmental and calling him chaotic but he has a chaotic life when you

but he has a chaotic life when you

but he has a chaotic life when you inject drugs it’s about the highs lows

inject drugs it’s about the highs lows

inject drugs it’s about the highs lows trying to get food trying to stay

trying to get food trying to stay

trying to get food trying to stay healthy it’s chaos so if he does have

healthy it’s chaos so if he does have

healthy it’s chaos so if he does have hepatitis C his symptoms are going to be

hepatitis C his symptoms are going to be

hepatitis C his symptoms are going to be quiet low simply because it’s a chronic

quiet low simply because it’s a chronic

quiet low simply because it’s a chronic virus so it’ll take time before he

virus so it’ll take time before he

virus so it’ll take time before he actually gets sick

Catherine on the other side is very well

Catherine on the other side is very well integrated in society she used to take

integrated in society she used to take

integrated in society she used to take drugs maybe in her 30s or 20s but has

drugs maybe in her 30s or 20s but has

drugs maybe in her 30s or 20s but has now moved on from it

now moved on from it

now moved on from it if she contracted hepatitis C she’s

if she contracted hepatitis C she’s

if she contracted hepatitis C she’s probably pretty sick right now and she

probably pretty sick right now and she

probably pretty sick right now and she doesn’t use drugs anymore so for her her

doesn’t use drugs anymore so for her her

doesn’t use drugs anymore so for her her life isn’t chaotic and she’s probably

life isn’t chaotic and she’s probably

life isn’t chaotic and she’s probably not transmitting hepatitis C finally

not transmitting hepatitis C finally

not transmitting hepatitis C finally you’ve got somebody like Margaret

you’ve got somebody like Margaret

you’ve got somebody like Margaret Margaret we call her in transition she’s

Margaret we call her in transition she’s

Margaret we call her in transition she’s trying to get clean she’s making steps

trying to get clean she’s making steps

trying to get clean she’s making steps towards it but one thing could make her

towards it but one thing could make her

towards it but one thing could make her turn into Luke or maybe a very stable

turn into Luke or maybe a very stable

turn into Luke or maybe a very stable good detox program will turn her into

good detox program will turn her into

good detox program will turn her into Catherine the arrows are really about

Catherine the arrows are really about

Catherine the arrows are really about showing that it’s fluctuating so we

showing that it’s fluctuating so we

showing that it’s fluctuating so we really have a delicate balance to play

really have a delicate balance to play

really have a delicate balance to play with somebody like Margaret so these are

with somebody like Margaret so these are

with somebody like Margaret so these are our three people

our three people

our three people Luke Margaret and Catherine they’re very

Luke Margaret and Catherine they’re very

Luke Margaret and Catherine they’re very different people they’re a heterogeneous

different people they’re a heterogeneous

different people they’re a heterogeneous group we can’t make generalizations but

group we can’t make generalizations but

group we can’t make generalizations but we can’t put them into archetypes we can

we can’t put them into archetypes we can

we can’t put them into archetypes we can put them into inform generalizations

put them into inform generalizations

put them into inform generalizations that will tell us who we’re designing

that will tell us who we’re designing

that will tell us who we’re designing for so we know who they are but what are

for so we know who they are but what are

for so we know who they are but what are their needs trust there’s different

their needs trust there’s different

their needs trust there’s different flavors of trust really when we talk

flavors of trust really when we talk

flavors of trust really when we talk about these three people for Luke the

about these three people for Luke the

about these three people for Luke the trust really comes from can I trust this

trust really comes from can I trust this

trust really comes from can I trust this doctor is this doctor going to turn me

doctor is this doctor going to turn me

doctor is this doctor going to turn me in to the authorities does he care about

in to the authorities does he care about

in to the authorities does he care about me for Margaret it is this doctor going

me for Margaret it is this doctor going

me for Margaret it is this doctor going to push me to rehab too quickly and then

to push me to rehab too quickly and then

to push me to rehab too quickly and then I’ll snap is he going to judge me if I

I’ll snap is he going to judge me if I

I’ll snap is he going to judge me if I inject here and there during my program

inject here and there during my program

inject here and there during my program and for Catherine it’s I don’t want to

and for Catherine it’s I don’t want to

and for Catherine it’s I don’t want to talk about my previous life I gave that

talk about my previous life I gave that

talk about my previous life I gave that away can I trust this person with my

away can I trust this person with my

away can I trust this person with my deep dark secrets felucca it’s about

deep dark secrets felucca it’s about

deep dark secrets felucca it’s about flexibility there is no way that Luke

flexibility there is no way that Luke

flexibility there is no way that Luke will be able to make an appointment

will be able to make an appointment

will be able to make an appointment that’s a ten minute window at

that’s a ten minute window at

that’s a ten minute window at I am he needs to think about breakfast

I am he needs to think about breakfast

I am he needs to think about breakfast he needs to think about his dog he needs

he needs to think about his dog he needs

he needs to think about his dog he needs maybe to think about his kids and if

maybe to think about his kids and if

maybe to think about his kids and if he’s really really cold he might need to

he’s really really cold he might need to

he’s really really cold he might need to see if he can get a sweater from

see if he can get a sweater from

see if he can get a sweater from somewhere because it started snowing so

somewhere because it started snowing so

somewhere because it started snowing so for him to go to an appointment at the

for him to go to an appointment at the

for him to go to an appointment at the other edge of the city is completely

other edge of the city is completely

other edge of the city is completely unrealistic from our grid she is

unrealistic from our grid she is

unrealistic from our grid she is yearning for that stability so she’s

yearning for that stability so she’s

yearning for that stability so she’s saying look I will try and do something

saying look I will try and do something

saying look I will try and do something about this but don’t push me too hard

about this but don’t push me too hard

about this but don’t push me too hard so for her a schedule could actually

so for her a schedule could actually

so for her a schedule could actually start working

start working

start working finally for Katherine it’s about

finally for Katherine it’s about

finally for Katherine it’s about discretion it’s about I haven’t told my

discretion it’s about I haven’t told my

discretion it’s about I haven’t told my husband I used to inject heroin how am I

husband I used to inject heroin how am I

husband I used to inject heroin how am I going to tell a doctor a nurse that

going to tell a doctor a nurse that

going to tell a doctor a nurse that works with my husband or how am I going

works with my husband or how am I going

works with my husband or how am I going to tell my friends and family and

to tell my friends and family and

to tell my friends and family and finally awareness this one is not really

finally awareness this one is not really

finally awareness this one is not really different flavors but it’s more around

different flavors but it’s more around

different flavors but it’s more around showing the awareness in different ways

showing the awareness in different ways

showing the awareness in different ways so reaching out to them in different

so reaching out to them in different

so reaching out to them in different ways and if I actually look at these

ways and if I actually look at these

ways and if I actually look at these needs I don’t think any of them are

needs I don’t think any of them are

needs I don’t think any of them are unrealistic and I’m sure you’d agree I

unrealistic and I’m sure you’d agree I

unrealistic and I’m sure you’d agree I mean you look at trust than you think

mean you look at trust than you think

mean you look at trust than you think well I trust my doctor that’s why I go

well I trust my doctor that’s why I go

well I trust my doctor that’s why I go to the doctor he studied probably more

to the doctor he studied probably more

to the doctor he studied probably more than I have so he knows what he’s doing

than I have so he knows what he’s doing

than I have so he knows what he’s doing I also have the flexibility because I

I also have the flexibility because I

I also have the flexibility because I have a job and my job says to me take a

have a job and my job says to me take a

have a job and my job says to me take a sick day we’ll be okay in terms of

sick day we’ll be okay in terms of

sick day we’ll be okay in terms of stability I’ve also got that through my

stability I’ve also got that through my

stability I’ve also got that through my family through my job again because I

family through my job again because I

family through my job again because I know I’ll get paid even if I go to the

know I’ll get paid even if I go to the

know I’ll get paid even if I go to the doctor and when it comes to discretion I

doctor and when it comes to discretion I

doctor and when it comes to discretion I also have faith in the medical system

also have faith in the medical system

also have faith in the medical system that the nurse will not be sharing my

that the nurse will not be sharing my

that the nurse will not be sharing my results with everybody else but maybe I

results with everybody else but maybe I

results with everybody else but maybe I feel better about that because I don’t

feel better about that because I don’t

feel better about that because I don’t have that much to hide finally when it

have that much to hide finally when it

have that much to hide finally when it comes to awareness

comes to awareness

comes to awareness I’m sure you’ve all done it the doctor

I’m sure you’ve all done it the doctor

I’m sure you’ve all done it the doctor gives you half a diagnosis and there you

gives you half a diagnosis and there you

gives you half a diagnosis and there you are googling every symptom under the Sun

are googling every symptom under the Sun

are googling every symptom under the Sun a comorbidity

a comorbidity

a comorbidity group your minds already raising

group your minds already raising

group your minds already raising thinking like I’m gonna die tomorrow so

thinking like I’m gonna die tomorrow so

thinking like I’m gonna die tomorrow so there’s a hyper awareness actually in

there’s a hyper awareness actually in

there’s a hyper awareness actually in our society but not necessarily in these

our society but not necessarily in these

our society but not necessarily in these people so as I said these aren’t

people so as I said these aren’t

people so as I said these aren’t unreasonable needs so why aren’t they

unreasonable needs so why aren’t they

unreasonable needs so why aren’t they being met by our current system it’s

being met by our current system it’s

being met by our current system it’s simply because our system isn’t designed

simply because our system isn’t designed

simply because our system isn’t designed for people like them

for people like them

for people like them it’s a healthcare system that we need to

it’s a healthcare system that we need to

it’s a healthcare system that we need to humanize and I as much as I would like

humanize and I as much as I would like

humanize and I as much as I would like to say that his designers we designed

to say that his designers we designed

to say that his designers we designed underground tunnels and we then brought

underground tunnels and we then brought

underground tunnels and we then brought in Superman to take loop to this

in Superman to take loop to this

in Superman to take loop to this appointment and you know Margaret just

appointment and you know Margaret just

appointment and you know Margaret just had everything happening for her and

had everything happening for her and

had everything happening for her and everything was great that’s not really

everything was great that’s not really

everything was great that’s not really what was needed what was needed was just

what was needed what was needed was just

what was needed what was needed was just a simple effective solution to try and

a simple effective solution to try and

a simple effective solution to try and bridge my healthcare world with their

bridge my healthcare world with their

bridge my healthcare world with their healthcare world and so I will take you

healthcare world and so I will take you

healthcare world and so I will take you through some of the solutions that we

through some of the solutions that we

through some of the solutions that we actually designed and these are on all

actually designed and these are on all

actually designed and these are on all of the solutions that we designed

of the solutions that we designed

of the solutions that we designed they’re just the ones that illustrate

they’re just the ones that illustrate

they’re just the ones that illustrate this bridging that I’m talking about the

this bridging that I’m talking about the

this bridging that I’m talking about the first one is awareness for Kathryn the

first one is awareness for Kathryn the

first one is awareness for Kathryn the way that we want her to become aware is

way that we want her to become aware is

way that we want her to become aware is in a very discreet way so she gets a

in a very discreet way so she gets a

in a very discreet way so she gets a letter from her general practitioner

letter from her general practitioner

letter from her general practitioner that says hey Kathryn you know actually

that says hey Kathryn you know actually

that says hey Kathryn you know actually it seems to be that from your results

it seems to be that from your results

it seems to be that from your results we’ve seen a couple of things that don’t

we’ve seen a couple of things that don’t

we’ve seen a couple of things that don’t really match or you’re 75 now maybe it’s

really match or you’re 75 now maybe it’s

really match or you’re 75 now maybe it’s time to get a health check the real

time to get a health check the real

time to get a health check the real reason behind this letter is we think

reason behind this letter is we think

reason behind this letter is we think she has hepatitis C but you don’t say it

she has hepatitis C but you don’t say it

she has hepatitis C but you don’t say it like that because it will put her off

like that because it will put her off

like that because it will put her off she also gets a little bar code at the

she also gets a little bar code at the

she also gets a little bar code at the bottom of the letter that she can scan

bottom of the letter that she can scan

bottom of the letter that she can scan at her nearest pharmacy and get tested

at her nearest pharmacy and get tested

at her nearest pharmacy and get tested anonymously so suddenly Kathryn is just

anonymously so suddenly Kathryn is just

anonymously so suddenly Kathryn is just the barcode and because she’s just the

the barcode and because she’s just the

the barcode and because she’s just the barcode she feels much more comfortable

barcode she feels much more comfortable

barcode she feels much more comfortable she then gets the care card this Gail

she then gets the care card this Gail

she then gets the care card this Gail card has a little number on it and the

card has a little number on it and the

card has a little number on it and the number allows her to call when she has

number allows her to call when she has

number allows her to call when she has any special needs questions or ideas

any special needs questions or ideas

any special needs questions or ideas on the back of the card she can also

on the back of the card she can also

on the back of the card she can also join an online community that is

join an online community that is

join an online community that is anonymous and is probably filled with

anonymous and is probably filled with

anonymous and is probably filled with people like her that are terrified about

people like her that are terrified about

people like her that are terrified about opening up but know they have hepatitis

opening up but know they have hepatitis

opening up but know they have hepatitis C and are probably pretty sick for Luke

C and are probably pretty sick for Luke

C and are probably pretty sick for Luke awareness comes in a different way

awareness comes in a different way

awareness comes in a different way remember trying to send a letter to Luke

remember trying to send a letter to Luke

remember trying to send a letter to Luke is useless when he doesn’t have an

is useless when he doesn’t have an

is useless when he doesn’t have an address but what you can do is try and

address but what you can do is try and

address but what you can do is try and go towards Luke in some way so what is

go towards Luke in some way so what is

go towards Luke in some way so what is it that Luke does on a regular basis

it that Luke does on a regular basis

it that Luke does on a regular basis he buys syringes so what if the packet

he buys syringes so what if the packet

he buys syringes so what if the packet of syringes acted like that letter for

of syringes acted like that letter for

of syringes acted like that letter for Luke that packet of syringes every time

Luke that packet of syringes every time

Luke that packet of syringes every time he opens it says hey Luke stay safe

he opens it says hey Luke stay safe

he opens it says hey Luke stay safe every time as he takes out a syringe

every time as he takes out a syringe

every time as he takes out a syringe he’s thinking okay well maybe I should

he’s thinking okay well maybe I should

he’s thinking okay well maybe I should keep this one to myself this green space

keep this one to myself this green space

keep this one to myself this green space safe message becomes the way to try and

safe message becomes the way to try and

safe message becomes the way to try and remind Luke that he’s at risk what also

remind Luke that he’s at risk what also

remind Luke that he’s at risk what also happens is that this package because he

happens is that this package because he

happens is that this package because he buys it at the pharmacy can also contain

buys it at the pharmacy can also contain

buys it at the pharmacy can also contain this barcode and the barcode is scanned

this barcode and the barcode is scanned

this barcode and the barcode is scanned at the pharmacy where he can also get a

at the pharmacy where he can also get a

at the pharmacy where he can also get a health check his care card though

health check his care card though

health check his care card though accident in a different way because it

accident in a different way because it

accident in a different way because it gives him vouchers to be able to top

gives him vouchers to be able to top

gives him vouchers to be able to top them up for transport needs for grocery

them up for transport needs for grocery

them up for transport needs for grocery needs what we try to do with this care

needs what we try to do with this care

needs what we try to do with this care card is try to solve his most pressing

card is try to solve his most pressing

card is try to solve his most pressing need so that he can think about his

need so that he can think about his

need so that he can think about his health but also if your Luke and have

health but also if your Luke and have

health but also if your Luke and have nothing actually having a care card

nothing actually having a care card

nothing actually having a care card suddenly feels very empowering somebody

suddenly feels very empowering somebody

suddenly feels very empowering somebody cares and I have a card so really as I

cares and I have a card so really as I

cares and I have a card so really as I said before it’s about humanizing this

said before it’s about humanizing this

said before it’s about humanizing this health care system it’s about making it

health care system it’s about making it

health care system it’s about making it work for all humans and what I mean by

work for all humans and what I mean by

work for all humans and what I mean by that is that we redesign a healthcare

that is that we redesign a healthcare

that is that we redesign a healthcare system that not only works for me but

system that not only works for me but

system that not only works for me but that works for me and Luke thank you

that works for me and Luke thank you

that works for me and Luke thank you very much

”

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