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Friday, May 24, 2024

Teamwork Saves a Life With CPR


Peter Panageas (00:07):

For those who’re on the lookout for well timed, related conversations about crucial matters in well being protection, you’ve come to the appropriate pod. That is IBX: The Cowl Story from Independence Blue Cross hosted by me, Peter Panageas. So by day, I oversee all of our nationwide business enterprise right here at IBX. I’m additionally a caregiver and a affected person. We all the time say that healthcare is private, and it’s. So my visitors and I are exploring how the large image and the large points have an effect on our on a regular basis lives and the wellbeing of these all of us care about. Collectively, we’ve acquired this lined. So let’s get began.

(00:45):

Hello, all people. That is Peter Panageas, and welcome to episode 15 of IBX: The Cowl Story. For this month’s episode, you’re about to listen to an unbelievable and wonderful story a few courageous lady in Karen Silverio, who’s a private good friend of me and my spouse. Karen’s husband Joe is a lifelong good friend of mine. For our viewers, Karen is wholesome, lively, eats proper, workout routines, doesn’t smoke, and the story you’re about to listen to of how she overcame her cardiac arrest is an incredible one. You’re going to listen to about how an up-and-coming medical scholar by the title of Krzysztof Zembrzuski  labored with a police officer to assist administer CPR on Karen. And also you’re additionally going to listen to from Karen’s ongoing heart specialist, Dr. Reginald Ho of Thomas Jefferson College Hospital.

(01:32):

Each 40 seconds, somebody in the US has a coronary heart assault, and over 400,000 Individuals die from cardiac arrest annually. If carried out instantly, CPR can double or triple the possibility of survival. However sadly, solely about 40% of people that’ve gone into cardiac arrest have rapid assist. So Karen, Krzysztof and Dr. Ho, on behalf of Independence, thanks all a lot for being with us at this time.

Krzysztof Zembrzuski  (01:57):

Thanks for having us.

Karen Silverio (01:58):

Good to be right here.

Dr. Reginald Ho (01:59):

Thanks a lot. Glad to be right here.

Peter Panageas (02:00):

Glorious, wonderful. So Karen, this can be a actual private factor for me. Take us via the day that you simply went into cardiac arrest from your personal perspective.

Karen Silverio (02:10):

I’ll. So it was a traditional morning again in January of this yr. I acquired up. I took my daughter Gianna to highschool. I drove her to highschool that morning, got here dwelling. I used to be preparing for work. I left the home round 7:45 within the morning, stated goodbye to my husband Joe, typical cease at Wawa for a cup of espresso. And I used to be on my approach to work at Rowan Medical Osteopathic Drugs Heart, the place I’m a standardized affected person there. So I used to be pretending that day that I had OB-GYN encounters.

(02:52):

So I ended up pulling into the car parking zone early. I used to be texting forwards and backwards with my girlfriend, Michelle, as a result of she was having nostril surgical procedure that morning so I wished to want her effectively. After which I will need to have gotten out of the automobile, and that’s once I went over and simply collapsed, I assume. I actually don’t keep in mind a complete lot apart from what folks have instructed me since that episode. After which I met my savior, Krzysztof.

Peter Panageas (03:23):

Krzysztof, as we had been making ready for this podcast, you gave us a number of perception not solely from a private perspective, but in addition in your journey as an expert perspective. And at this level in your journey, give us your perspective. As the one who saved Karen’s life, take us via the day of the occasions that occurred.

Krzysztof Zembrzuski  (03:41):

Yeah, positive. So it was simply one other day. I used to be heading over to highschool and I used to be pulling into the car parking zone. And as I used to be going via the car parking zone and driving, I see out of the nook of my eye that there’s a person on the bottom. And there’s a police officer attending, and it seemed like they may’ve been giving CPR, but it surely seemed like one thing simply occurred.

(04:01):

So immediately, I simply pulled in my automobile. Being that I’m a medical scholar now, I’ve had some coaching with these conditions and I made a decision to become involved and simply ask immediately if anybody wants assist. However in these eventualities, it’s totally different if you’re in a hospital versus if you’re out in a car parking zone. I noticed anybody wants assist on this state of affairs. So immediately, I simply requested how lengthy Karen was on the bottom for. And it appeared a few minute or two, and I simply swapped out the officer and simply did compressions. Yeah, there’s so much happening within the state of affairs, however all I do know is that there’s a lady right here and she or he doesn’t have a pulse. So I’m simply going to do what I can and provides as many compressions as I can. And I assume every 30 seconds, you don’t know what’s going to occur.

(04:48):

Throughout this time, the police officer was in a position to seize the defibrillator, and we labored as a crew to mainly assist resuscitate Karen. It was the primary time I’ve ever been in a state of affairs in a car parking zone, and I assume there’s a number of ideas going via my head. Karen was having agonal breaths, so it looks as if at occasions we had been in a position to… It appeared like all the pieces was going effectively, however the actuality was it wasn’t. However the one factor I may inform you from my perspective, I simply stored doing compressions. I simply stored going and going and hoping that paramedics would arrive quickly. However it was positively a scary scene. I couldn’t inform you how a lot time glided by. It appeared like over 10 minutes from the time Karen initially collapsed. So yeah, it was a scary scene and it didn’t appear to be all the pieces was going to prove for the very best.

Peter Panageas (05:33):

Krzysztof, you administered for about over 10 minutes.

Krzysztof Zembrzuski  (05:36):

So I don’t… Not 10 for me. That is additionally together with by the point I feel paramedics simply arrived. From my finish level, it was a lot happening. And anybody that’s been in a state of affairs like this is aware of that point is warped. I will need to have carried out myself 5, six rounds. Cease, verify, respiratory, do what you’ll be able to. I simply tried to open up her airway and see… And the agonal breaths got here on at a coincidental time, however I couldn’t inform you precisely… However by the point paramedics got here, it was some time. All I do know is I used to be actually late to my lessons and there will need to have been… A while positively glided by.

Peter Panageas (06:17):

Krzysztof, let me ask you this. Inform our viewers the place are you in your journey in med college.

Krzysztof Zembrzuski  (06:23):

So at the moment, I’m third yr medical scholar at Rowan College of Osteopathic Drugs, now often known as Virtua Well being School. However I assume I’m a fourth yr now as of final Friday.

Peter Panageas (06:35):

Congrats.

Krzysztof Zembrzuski  (06:36):

Thanks. Yeah, so proper now I’ve completed up my core rotations and I can be beginning my board examinations these subsequent few months and my audition rotations, and I’ll be making use of for residency. So I’m in the direction of the tip, after which the following step is residency. So it’s an extended journey, completely, however I’m blissful to nearly be carried out with the college element.

Karen Silverio (06:59):

Yay.

Peter Panageas (06:59):

Let me shift over to Dr. Ho. Physician, to begin with, I’d like to get your perspective on what Krzysztof did to save lots of Karen’s life. And in addition, are you able to share with our viewers how does this occur to any person like Karen? I imply, look. I personally know Karen, proper? As we had been prepping, Karen is greatest buddies with my spouse. Her husband and I are expensive, expensive buddies, we’ve grown up collectively. I do know Karen on a private stage. She eats effectively. She workout routines. She does yoga. She’s an incredible, wonderful non secular individual filled with optimistic power and love, and this occurs. So like to get your perspective of how does this occur? How does this set off on any person like Karen?

Dr. Reginald Ho (07:41):

The problem of sudden cardiac loss of life is a serious downside. As you recognize, in the US, 400,000 folks annually die from sudden loss of life. And typically, we now have an thought of who’re in danger for it. The individuals who have coronary heart issues, poor we name LV perform. Different folks, their coronary heart perform could also be regular. After which there are sufferers who’re in between who’ve coronary heart issues the place we don’t know whether or not or not how a lot in danger they’re. And so attempting to threat stratify totally different people with totally different coronary heart issues will be very difficult. And that’s our aim in cardiology, is to attempt to determine who’re going to be in danger, who ought to get a defibrillator, who mustn’t get a defibrillator. These are the challenges that we now have that we face every day.

Peter Panageas (08:29):

So Dr. Ho, if I got here to see you, what could be a symptom that I’d have that you’d diagnose whether or not I ought to have a defibrillate or not? Are you able to give our viewers an perception as to what could be a symptom and/or what could be a analysis out of your lens?

Dr. Reginald Ho (08:46):

Completely. So a number of the issues that would herald sudden cardiac loss of life is that if somebody has what we name a syncopal episode. So that they go out transiently after which regain spontaneous consciousness. So syncope may very well be a marker or a crimson flag that one thing imminent is about to occur. However some other cardiovascular signs which can be regarding, which can be uncommon for sufferers, so if they’ve chest ache, shortness of breath, issues which can be out of the unusual ought to all the time be evaluated within the context they endure analysis to see what the reason for their signs are and what must be carried out about it.

Peter Panageas (09:26):

Like to additionally get your perspective on this younger man, who’s a miracle right here for Karen. I’d like to get your perspective, as an up-and-coming doctor, what Krzysztof did and the way he reacted. Simply like to get your perspective as any person who’s been within the discipline for a very long time. And if you hear this story and the way he simply jumped into motion, like to get your perspective on what Krzysztof did.

Dr. Reginald Ho (09:46):

Completely. I feel that Krzysztof, you probably did a completely marvelous, great job. You saved Karen’s life. There’s lots of people on the market who may have simply moved on. They noticed that the police was there and all the pieces was taken care of, however you took the initiative to go and assist out.

(10:02):

And as you talked about, drugs is a crew effort, and one policeman wouldn’t be capable of do it alone. And by you substituting and doing CPR for him allowed him to get secondary assist, name EMS, get the AED which is important for her. And I simply commend you for not solely your means to do CPR, however your initiative to go and assist somebody who’s in want.

Krzysztof Zembrzuski  (10:27):

Thanks, Dr. Ho. Meaning so much.

Peter Panageas (10:29):

So Karen, look. I keep in mind getting the decision from Joe the evening it occurred. And all of us came visiting to the hospital, and we had been collectively all praying for you. Give us your perspective. How has this incident modified your life and the lifetime of your family members? I imply, I do know it from a private perspective, however I’d like to have the viewers hear your story there.

Karen Silverio (10:50):

Oh, my story, as a result of I don’t keep in mind something, I really feel dangerous for everyone that needed to be there and to see me that manner. I imply, I used to be in a coma for a day and a half. And my brother got here up from Georgia. And when he arrived on the hospital, he stated they didn’t know if I used to be mind useless or what I used to be. And my brother, Dennis, ended up saying to me, “Oh, I like your white nail polish,” and I occurred to have a look at it. So that they knew that one thing was happening in a proper route. You simply actually cherish each day. And I feel it affected all people that was concerned with the entire state of affairs. However you do, and also you simply take a look at folks now. Simply be sort. However it positively affected all people.

(11:39):

And for all of my household and buddies, it’s all the time a giant social gathering after we get collectively. I do know on the ICU, I heard, and once more I don’t know this, however I heard that the nurses stated how loud my household was within the ICU [inaudible 00:11:54]. I feel it was Pete that did that.

(11:58):

However now, all people desires to do coaching for CPR. So that they stated to me, the organizer, “Karen, get a celebration collectively. Let’s deliver any person in, and we’ll all learn to CPR. As a result of clearly, if Krzysztof can save your life, we are able to additionally put it aside for any person else.” So it’s modified it. It has. However on some avenues for myself, on some ranges I haven’t actually been affected by it as a result of I don’t actually know.

Peter Panageas (12:26):

Nicely, the impression you’re making in ensuring that all of us are going to be CPR licensed is one thing that I feel did come out from a really optimistic perspective. And Krzysztof and Dr. Ho, I’d like to get each of your views. Speak to our listeners about your respective CPR coaching that you simply’ve acquired, what it’s meant to you. I imply clearly, Krzysztof, it’s a game-changer for you in your journey, proper, and the way you’ve utilized what you’ve discovered to this. And like to get your perspective, Dr. Ho, your perspective on CPR coaching and what avenues which can be on the market for perhaps simply most of the people to undergo. So perhaps Krzysztof, I’ll begin with you.

Krzysztof Zembrzuski  (13:02):

Oh yeah, completely. So my coaching, I acquired the essential life BLS coaching. I did this with my college. From my standpoint, if you get this coaching, you by no means actually suppose you’re going to make use of it, truthfully. It looks as if it’s one thing that’s simply… You do it for certification, and perhaps in the future one thing will occur. And like Dr. Ho talked about, 400,000 folks skilled sudden cardiac loss of life. So I assume the older you get, the extra issues occur in life, and these conditions really occur.

(13:32):

What it did for me, I feel as a scholar, I imply I’m primarily simply taking checks and I’m learning. I’m within the hospital as effectively, however this was, I assume, a possibility to essentially become involved and actually assist somebody. This journey is so lengthy. It’s important to wait some time earlier than you may actually make an impression on somebody. And for me and my journey, it reinstilled all the pieces I stand for and why I do that, why I signed up for this. It’s wanting to assist others. To have the ability to serve somebody in conditions the place you’ll be able to really feel hopeless, I feel that’s all the pieces. That’s the reward that retains on giving.

(14:05):

You wish to assist others, and it’s actually that important time if you don’t know what to do. You possibly can simply fall again on the coaching that you’ve got. You don’t have time to suppose, and you may simply merely administer CPR. It truly is simply give compressions. That’s actually all you are able to do. After which hopefully, you get extra assist after 10 minutes or so, no matter it’s, ambulance comes. However yeah, it actually was, I feel, a monumental time in my life, and it helped me keep in mind all the pieces that I’m doing and why I’m doing it. And I feel it’s going to assist me resolve what monitor I’m going into in drugs, and hope I may very well be concerned in different circumstances the place timing and important decision-making is all the pieces.

Peter Panageas (14:46):

Thanks, Krzysztof. How about you, Dr. Ho?

Dr. Reginald Ho (14:48):

Sure, I’d prefer to not solely point out the significance of CPR, but in addition make a plug in for understanding how one can use and the place to search out an AED. These are extremely necessary. So CPR is one a part of resuscitation. Speedy defibrillation can also be one other important a part of defibrillation and saving life. And each public venue ought to have an AED, soccer fields, excessive faculties, center faculties, and understanding the place to search out it… And the directions are usually pretty easy, however within the chaos, within the warmth of the second it may be troublesome for some folks. However attempting to get an understanding of AED, how one can discover it, how one can apply it’s extremely necessary.

Peter Panageas (15:32):

In speaking to Karen, Dr. Ho, I requested her, I stated, “What’s the analysis? What was an official title of what occurred to you?” And she or he stated, ” Mitral annular disjunction.” Did I say that accurately, Dr. Ho?

Dr. Reginald Ho (15:44):

Yeah, mitral annular disjunction. Sure.

Peter Panageas (15:47):

Are you able to inform our viewers slightly bit about what that’s? And equally, are you able to additionally share with us a number of the therapies that you’re doing for Karen?

Dr. Reginald Ho (15:57):

Certain. So mitral annular disjunction is a comparatively new analysis. It’s inside the context of what we name malignant mitral valve prolapse syndrome, which is a spectrum that may vary from any person having extreme leakiness of the mitral valve to sudden loss of life. And so mitral annular dysfunction is without doubt one of the high-risk options of this syndrome that may very well be related, or has been related to, ventricular fibrillation. And sudden loss of life is a altered spatial alignment between the mitral valve and the summit of the left ventricular posterior wall, which you see on Echo and cardiac MRI. And that’s what we discovered on her cardiac MRI.

Peter Panageas (16:38):

So it’s one thing that may very well be, if considered one of our listeners went in and noticed the heart specialist, that may very well be one thing that may very well be picked up on a scan or on an ultrasound.

Dr. Reginald Ho (16:47):

Sure. So echo, or if there’s a cause for getting a CMR MRI, it may very well be picked up on MRI. The problem is threat stratification. If somebody noticed it however had no signs, threat stratifying that affected person is necessary as a result of placing a defibrillator in everybody, it will not be the very best factor . There are dangers concerned. And so we wish to determine who’s in danger, the place a defibrillator could be necessary, and we’d like extra research for that.

Peter Panageas (17:12):

And Karen, I do know that Dr. Ho is your attending doctor proper now. Are you able to speak? And perhaps Dr. Ho, you’ll be able to share with our viewers slightly bit concerning the journey that you simply and Karen have been on. However Karen, would you share with our viewers if you noticed Dr. Ho at Jefferson, what was the dialog and what finally was the remedy?

Karen Silverio (17:29):

So that they went via totally different therapies or totally different looking for why I went down. And finally, they did an MRI of the center and so they discovered this mitral annular disjunction. So the remedy was is to place a defibrillator in me. Do I’ve a pacemaker too?

Dr. Reginald Ho (17:49):

Yeah, you do have a transvenous gadget. Yeah.

Karen Silverio (17:52):

And Joe and I did meet with Dr. Ho on March eighth as a observe up, and all the pieces went effectively. Every thing actually did went effectively. He did extra testing to verify. And I even have one thing at my home the place if any… It all the time sends readings to Jefferson to make it possible for the defibrillator is working. And in addition, if I do have any type of coronary heart arrhythmia or something like that, that it’s going to point out up on this screening that goes to the radiology division over at Jeff, which could be very, very cool, all this expertise that they’ve.

Peter Panageas (18:31):

Dr. Ho, in the event you may share with our viewers what the defibrillator does for Karen, proper, perhaps stroll via that. What does it do for her to forestall this from ever occurring once more?

Dr. Reginald Ho (18:42):

Completely. So the defibrillator senses {the electrical} alerts of the center. And so if it goes right into a speedy malignant quick coronary heart rhythm, it’ll cost up its capacitors after which ship a shock to revive sinus rhythm, very like the automated exterior defibrillator did that the police had placed on Karen. However that’s an exterior software. That is all inside, all automated, so it mechanically do it with out the necessity for anybody to assist her.

Peter Panageas (19:09):

We talked earlier about signs. So if I needed to ask you, what conversations ought to a affected person have with their physician to evaluate their threat for one thing like this?

Dr. Reginald Ho (19:20):

Yeah. So it will be signs whether or not, as we had talked about, whether or not they go out, syncope, chest ache, shortness of breath. Different issues within the historical past which can be necessary is a household historical past of younger people who find themselves dying. Is there a genetic predisposition to dying all of the sudden? And naturally, structurally what’s happening with the center? Have they got blockages within the blood vessels? Is their coronary heart muscle weak? So the affected person would supply some signs as to what’s happening. The doctor would do an analysis to see what sort of threat and what the reason for the signs are.

Peter Panageas (19:53):

After this process, can one get again to considerably of a traditional life?

Dr. Reginald Ho (19:57):

Sure. So my job is to make it that Karen can exit and luxuriate in life, spend time with household, go to Delray, go to Florida, do what she desires to do. My job is to fret about her defibrillator, and that’s the explanation why we now have that distant monitor so I can see what’s happening. So if I see something irregular, something regarding, any crimson flags, then I may name her and let her know what’s happening, whether or not she must see me or so. So I’ll be following Karen, however I would like her to go and luxuriate in life.

Peter Panageas (20:26):

Nicely look, Krzysztof and Dr. Ho, I’ll inform you each this. And once more, this can be a testomony to not solely the 2 of you, however definitely to Karen and her spirit. After I look again on this chronology of once I acquired the decision from her husband Joe and my expensive, expensive good friend, I used to be really on my approach to see a basketball recreation, the Philadelphia 76ers play. And Joe referred to as me and shared with me within the information, and clearly I instantly ran to the hospital and was there with my spouse and definitely Karen’s household and Joe’s household and all collectively praying. From that second to the purpose of inside 60 days of that, publish 60 days, due to the work that you simply two did and definitely due to Karen’s spirit, Karen I feel you had been snowboarding, is that proper? Proper?

Karen Silverio (21:10):

I went snowboarding twice.

Peter Panageas (21:12):

Yeah, twice. Go forward. Inform our viewers what you’ve carried out.

Karen Silverio (21:17):

I went snowboarding twice. We went to Delray, Florida. We had been jet snowboarding, parasailing. We rented a ship, paddle boarding. However it was actually humorous as a result of once I went to see Dr. Ho on March eighth, I used to be like… He was going via all the pieces and he’s like, “You’ll be able to’t golf till Might 1st.” I’m considering to myself in my head, “How do you even know I’m a golfer?” In some way he knew, and I used to be like, “Might 1st? Okay. Nicely, in accordance with April twenty fifth now, so it’s solely across the nook.” However I’ve been in a position to do all the pieces. And by the gracious of God, actually, the nice Lord has not ended me with any mind injury, what have you ever. So I do imagine in… I hold going. Thanks, Dr. Ho and Krzysztof, for that.

Peter Panageas (22:11):

Look, I wish to shift this to slightly bit extra of a private journey as a result of I feel it’s a reasonably cool journey each for Krzysztof and Dr. Ho. And if we may indulge our viewers right here, Krzysztof, you and I, after we had been speaking and preparing for this podcast, I requested you slightly bit about your loved ones. And also you come from a household that heals. And inform us slightly bit about your loved ones, Krzysztof.

Krzysztof Zembrzuski  (22:31):

Yeah, positive. Drugs positively runs in my household. My father’s a doctor. My older sister is a doctor resident. And I’ve two half-brothers, however they’re each physicians as effectively. I assume rising up, you actually see the sacrifice and dedication and the selflessness, particularly with what I noticed throughout COVID, of what physicians actually do. I assume it actually teaches you that this career’s not about, let’s say, status or no matter, but it surely actually is concerning the means to serve others. So I feel rising up, that all the time had a impression of me. I noticed the success it may deliver and the aim it may offer you in life.

(23:13):

I used to be rising up and I used to be concerned. I used to be a aggressive freestyle skier. I used to be in high-adrenaline sports activities. I’m additionally an authorized solo sky diver. So I’ve all the time been in circumstances which can be like excessive adrenaline. So I assume to attach the 2, I noticed that in these sports activities, there’s a number of incidents that don’t go effectively. Folks get accidents. Folks typically have deadly accidents. And after having witnessed some, I all the time wished to understand how I may assist, how I may very well be of service. I feel that was all the time what stored me going. I wished to study extra.

(23:48):

In order I grew up, went to highschool, school, I made a decision I wished to take this path as effectively. And I used to be additionally touched with, I assume, experiences in my life that drew me extra in the direction of the sphere of medication. So I assume it’s not like one factor that makes you go into this discipline, however there’s a complete sequence of occasions. It’s a journey that make you resolve to go down this route. And I assume in the event you compile all the pieces collectively, that’s how I ended up right here.

(24:13):

After which right here’s one other monumental incident I had in my life that retains inspiring me to pursue and to assist others and to be of use in occasions the place you would like you may assist somebody. Hopefully, I can. I assume that’s the actual aim right here. And yeah, it’s simply, I assume, a journey. I discovered so much from my household and my life experiences, and now we’re right here.

Peter Panageas (24:36):

That’s unbelievable, Krzysztof. And whereas I definitely don’t know your loved ones, one factor’s for sure. I do know they’re all very, very happy with you for not solely who you might be, however definitely what you probably did to save lots of Karen. And also you having that surrounding has blessed us all. And never solely at this time, however in definitely going into the longer term on the way you’re going to have the ability to serve folks. It’s an incredible, wonderful reward and unbelievable.

(25:01):

Dr. Ho, how about you? Inform us slightly bit about your story. I’d love to listen to your story.

Dr. Reginald Ho (25:05):

My story. Grew up in Hawaii, went to highschool on the College of Notre Dame, went to medical college at College of Pennsylvania. Did my residency there. Did some cardiology fellowship coaching on the College of California San Francisco and got here again to [inaudible 00:25:21] for extra coaching. After which for the final 23 years, I’ve been at Jefferson and loved my time there caring for great folks similar to Karen.

Karen Silverio (25:27):

[inaudible 00:25:28].

Peter Panageas (25:29):

Superb. Dr. Ho, your journey is definitely an unbelievable one as effectively. And for our listeners, and Dr. Ho is being considerably modest, however in the event you’re acquainted with Notre Dame’s 1988 undefeated season, Dr. Ho was the sudden kicker who helped lead the crew to win the school soccer nationwide championship that exact season. There’s additionally a 30 for 30 documentary that includes Dr. Ho’s story, which we’re going to publish on our present notes. So take a couple of minutes to look at it. It’s an incredible story, and it’s a testomony, Dr. Ho, to your dedication to excellence and definitely your ardour round being part of a crew sport. And I feel you stated it earlier, proper?

(26:07):

And Krzysztof, the story that you simply shared with you and the officer saying, “I acquired this. You go over there and handle that, and let’s collectively assist any person,” I feel is a testomony to what it’s to be working in a crew surroundings to save lots of one’s life. And positively, I feel a number of the success that you simply’ve had prior to now, Krzysztof, in all of the issues that you simply’ve carried out main up thus far, and definitely Dr. Ho that you simply’ve had in your previous main up thus far and been serving the neighborhood for the previous 20 years, is a good testomony to not solely your households, however definitely your private being as effectively. Superb.

Dr. Reginald Ho (26:41):

Thanks.

Peter Panageas (26:42):

So Krzysztof, Dr. Ho and Karen, I can’t thanks all sufficient for this unbelievable dialogue at this time. It touches on so many components from a private perspective to an expert perspective, to a non secular perspective, and what you’ve all carried out collectively to save lots of the lifetime of a gorgeous, lovely individual. Sorry. As I do with all of our visitors, I ask if there’s anyone or two issues that you simply’d prefer to share with our viewers, what wouldn’t it be? Krzysztof, I’m going to begin with you.

Krzysztof Zembrzuski  (27:16):

Yeah, positive. I assume the most important factor I may say is simply don’t be scared. Be courageous. Whether or not it’s incidents like this or something in life, any of your life targets, simply take initiative and do what you suppose is correct even if you don’t suppose something’s in your favor. In order that’s my recommendation not only for incidents like this, however something in life. After which perhaps you may assist somebody’s life on the finish of it for all you recognize.

Peter Panageas (27:43):

Nicely stated, Krzysztof. Dr. Ho?

Dr. Reginald Ho (27:46):

I feel that probably the most necessary issues in our occasions is to not lose contact with humanity, to lose contact with one another. In occasions of COVID, occasions of warfare, there are lot of issues going round us that we can not management, however to by no means lose sight of who we’re, that we care about one another, and that we do our greatest to assist one another on this world.

Peter Panageas (28:08):

And Karen, earlier than I come over to you, I’d be remiss if I didn’t say this to each Dr. Ho and to Krzysztof. Dr. Ho first. We all know what you and your colleagues do each day. We all know the sacrifice you make. We all know the private dedication you make, and we all know how onerous and the way a lot of a sacrifice it’s to be a doctor at this time whether or not it’s at Jefferson or some other facility or any supplier across the globe. What you all do is totally wonderful, and we’re all eternally grateful to you and your colleagues for all you do. And Krzysztof, for your loved ones, and definitely for you getting into this area, understanding the dedication and the sacrifice you’re making now and can proceed to make to serve all of us, we’re all eternally grateful to you as effectively and to your loved ones.

Krzysztof Zembrzuski  (28:51):

Thanks.

Peter Panageas (28:52):

You’re welcome. Karen, if there’s anyone or two stuff you wish to share with our viewers, what wouldn’t it be?

Karen Silverio (28:58):

Nicely, I simply wish to say thanks to Dr. Ho, Krzysztof, Pete, my entire whole household and buddies which were on this journey with me. And you recognize what? I do have one factor to say. And that’s on the again of my window of my automobile, I’ve a bumper sticker that claims, “Simply be sort.” And that’s an excellent… That’s all it’s a must to be in life, is simply be sort as a result of it does come again to you. Look, from the underside of my coronary heart, I thank all of you for what you probably did for me and for my household as effectively and buddies. As a result of if I wasn’t right here at this time, I don’t know the place they’d be. However thanks.

Peter Panageas (29:42):

Karen, Krzysztof and Dr. Ho, thanks all a lot for becoming a member of us at this time. And to our listeners, as all the time, thanks and I hope you’ve loved our dialogue. Try the present notes for extra data at insights.ibx.com. That’s insights.ibx.com.

(29:57):

Thanks once more for becoming a member of us. And keep in mind, you by no means know whose life it can save you by merely getting skilled in CPR. Thanks once more, all people. Have an excellent day.

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