Peter Panageas (00:07):

In the event you’re searching for well timed, related conversations about an important matters in well being protection, you’ve come to the correct 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 industrial enterprise right here at IBX. I’m additionally a caregiver and a affected person. We at all times say that healthcare is private, and it’s. So my company 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 received 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 couple of 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, energetic, eats proper, workouts, doesn’t smoke, and the story you’re about to listen to of how she overcame her cardiac arrest is a tremendous 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 USA 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 right now.

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):

Wonderful, glorious. 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 standard morning again in January of this 12 months. I received up. I took my daughter Gianna to high school. I drove her to highschool that morning, got here house. I used to be preparing for work. I left the home round 7:45 within the morning, mentioned 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 Medication 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 backwards and forwards 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 after I went over and simply collapsed, I assume. I actually don’t keep in mind a complete lot aside from what individuals have advised me since that episode. After which I met my savior, Krzysztof.

Peter Panageas (03:23):

Krzysztof, as we had been getting ready for this podcast, you gave us lots of perception not solely from a private perspective, but additionally in your journey as knowledgeable 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 high school 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 appeared like they could’ve been giving CPR, nevertheless it appeared like one thing simply occurred.

(04:01):

So instantly, 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 get entangled and simply ask instantly if anybody wants assist. However in these eventualities, it’s completely different whenever you’re in a hospital versus whenever you’re out in a car parking zone. I noticed anybody wants assist on this scenario. So instantly, I simply requested how lengthy Karen was on the bottom for. And it appeared a couple of minute or two, and I simply swapped out the officer and simply did compressions. Yeah, there’s lots happening within the scenario, 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 capable of seize the defibrillator, and we labored as a group to mainly assist resuscitate Karen. It was the primary time I’ve ever been in a scenario in a car parking zone, and I assume there’s lots of ideas going via my head. Karen was having agonal breaths, so it looks as if at occasions we had been capable of… It appeared like every little thing was going effectively, however the actuality was it wasn’t. However the one factor I might inform you from my perspective, I simply saved doing compressions. I simply saved going and going and hoping that paramedics would arrive quickly. Nevertheless it was undoubtedly 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 every little thing was going to end up for the perfect.

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 scenario like this is aware of that point is warped. I will need to have carried out myself 5, six rounds. Cease, examine, respiration, do what you may. 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 courses and there will need to have been… A while undoubtedly 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 present, I’m third 12 months medical scholar at Rowan Faculty of Osteopathic Medication, now often known as Virtua Well being School. However I assume I’m a fourth 12 months 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 direction of the tip, after which the subsequent step is residency. So it’s an extended journey, completely, however I’m completely satisfied to virtually be carried out with the varsity element.

Karen Silverio (06:59):

Yay.

Peter Panageas (06:59):

Let me shift over to Dr. Ho. Physician, initially, I’d like to get your perspective on what Krzysztof did to avoid wasting Karen’s life. And in addition, are you able to share with our viewers how does this occur to someone like Karen? I imply, look. I personally know Karen, proper? As we had been prepping, Karen is greatest pals with my spouse. Her husband and I are expensive, expensive pals, we’ve grown up collectively. I do know Karen on a private stage. She eats effectively. She workouts. She does yoga. She’s a tremendous, wonderful religious individual stuffed with constructive vitality and love, and this occurs. So like to get your perspective of how does this occur? How does this set off on someone like Karen?

Dr. Reginald Ho (07:41):

The difficulty of sudden cardiac dying is a serious drawback. As you already know, in the USA, 400,000 individuals annually die from sudden dying. And typically, now we have an concept of who’re in danger for it. The individuals who have coronary heart issues, poor we name LV perform. Different individuals, 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 making an attempt to danger stratify completely different people with completely 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 now we 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 prognosis out of your lens?

Dr. Reginald Ho (08:46):

Completely. So a few of the issues that might herald sudden cardiac dying is that if somebody has what we name a syncopal episode. In order that they cross out transiently after which regain spontaneous consciousness. So syncope might be a marker or a pink flag that one thing imminent is about to occur. However every other cardiovascular signs which might be regarding, which might be uncommon for sufferers, so if they’ve chest ache, shortness of breath, issues which might be out of the strange ought to at all times 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 someone who’s been within the discipline for a very long time. And whenever 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 might have simply moved on. They noticed that the police was there and every little thing was taken care of, however you took the initiative to go and assist out.

(10:02):

And as you talked about, medication is a group 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 skill to do CPR, however your initiative to go and assist somebody who’s in want.

Krzysztof Zembrzuski  (10:27):

Thanks, Dr. Ho. Which means lots.

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 unhealthy for everyone that needed to be there and to see me that approach. 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 mentioned 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. In order that they knew that one thing was happening in a proper route. You simply actually cherish day by day. And I feel it affected all people that was concerned with the entire scenario. However you do, and also you simply have a look at individuals now. Simply be sort. Nevertheless it undoubtedly affected all people.

(11:39):

And for all of my household and pals, it’s at all times a giant celebration 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 mentioned 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. In order that they mentioned to me, the organizer, “Karen, get a celebration collectively. Let’s carry someone in, and we’ll all discover ways to CPR. As a result of clearly, if Krzysztof can save your life, we will additionally reserve it for someone 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):

Properly, the influence 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 constructive perspective. And Krzysztof and Dr. Ho, I’d like to get each of your views. Discuss to our listeners about your respective CPR coaching that you simply’ve obtained, 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 realized to this. And like to get your perspective, Dr. Ho, your perspective on CPR coaching and what avenues which might be on the market for possibly simply most people to undergo. So possibly Krzysztof, I’ll begin with you.

Krzysztof Zembrzuski  (13:02):

Oh yeah, completely. So my coaching, I received the fundamental life BLS coaching. I did this with my college. From my standpoint, whenever you get this coaching, you by no means actually assume 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 possibly in the future one thing will occur. And like Dr. Ho talked about, 400,000 individuals skilled sudden cardiac dying. 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 assessments and I’m finding out. I’m within the hospital as effectively, however this was, I assume, a possibility to actually get entangled and actually assist somebody. This journey is so lengthy. It’s important to wait some time earlier than you could possibly actually make an influence on somebody. And for me and my journey, it reinstilled every little thing 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 may really feel hopeless, I feel that’s every little thing. That’s the present that retains on giving.

(14:05):

You wish to assist others, and it’s actually that important time whenever you don’t know what to do. You might simply fall again on the coaching that you’ve got. You don’t have time to assume, and you could possibly 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 every little thing 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 medication, and hope I might be concerned in different circumstances the place timing and important decision-making is every little thing.

Peter Panageas (14:46):

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

Dr. Reginald Ho (14:48):

Sure, I’d wish to not solely point out the significance of CPR, but additionally make a plug in for understanding learn how to use and the place to seek out an AED. These are extremely essential. So CPR is one a part of resuscitation. Speedy defibrillation can also be one other very 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 seek 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 individuals. However making an attempt to get an understanding of AED, learn how to discover it, learn how to apply it’s extremely essential.

Peter Panageas (15:32):

In speaking to Karen, Dr. Ho, I requested her, I mentioned, “What’s the prognosis? What was an official title of what occurred to you?” And he or she mentioned, ” 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 few of the remedies that you’re doing for Karen?

Dr. Reginald Ho (15:57):

Positive. So mitral annular disjunction is a comparatively new prognosis. It’s throughout the context of what we name malignant mitral valve prolapse syndrome, which is a spectrum that may vary from someone having extreme leakiness of the mitral valve to sudden dying. And so mitral annular dysfunction is likely one of the high-risk options of this syndrome that might be related, or has been related to, ventricular fibrillation. And sudden dying 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 might be, if one among our listeners went in and noticed the heart specialist, that might be one thing that might be picked up on a scan or on an ultrasound.

Dr. Reginald Ho (16:47):

Sure. So echo, or if there’s a motive for getting a CMR MRI, it might be picked up on MRI. The difficulty is danger stratification. If somebody noticed it however had no signs, danger stratifying that affected person is essential as a result of placing a defibrillator in everybody, it might not be the perfect factor . There are dangers concerned. And so we wish to determine who’s in danger, the place a defibrillator could be essential, and we want 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 discuss? And possibly Dr. Ho, you may share with our viewers slightly bit in regards to the journey that you simply and Karen have been on. However Karen, would you share with our viewers whenever you noticed Dr. Ho at Jefferson, what was the dialog and what finally was the therapy?

Karen Silverio (17:29):

In order that they went via completely different remedies or completely different looking for why I went down. And finally, they did an MRI of the guts they usually discovered this mitral annular disjunction. So the therapy 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 system. Yeah.

Karen Silverio (17:52):

And Joe and I did meet with Dr. Ho on March eighth as a comply with up, and every little thing went effectively. All the pieces actually did went effectively. He did extra testing to ensure. And I even have one thing at my home the place if any… It at all times sends readings to Jefferson to ensure that the defibrillator is working. And in addition, if I do have any form 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, if you happen to might share with our viewers what the defibrillator does for Karen, proper, possibly 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 guts. And so if it goes right into a fast malignant quick coronary heart rhythm, it’ll cost up its capacitors after which ship a shock to revive sinus rhythm, very similar to the automated exterior defibrillator did that the police had placed on Karen. However that’s an exterior utility. 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 danger 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 cross out, syncope, chest ache, shortness of breath. Different issues within the historical past which might be essential is a household historical past of younger people who find themselves dying. Is there a genetic predisposition to dying out of the blue? And naturally, structurally what’s happening with the guts? 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 danger and what the reason for the signs are.

Peter Panageas (19:53):

After this process, can one get again to considerably of a standard 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 now we have that distant monitor so I can see what’s happening. So if I see something irregular, something regarding, any pink flags, then I might 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 need her to go and luxuriate in life.

Peter Panageas (20:26):

Properly 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. Once I look again on this chronology of after I received 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 positively 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 positively 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. Nevertheless it was actually humorous as a result of after I went to see Dr. Ho on March eighth, I used to be like… He was going via every little thing and he’s like, “You may’t golf till Might 1st.” I’m considering to myself in my head, “How do you even know I’m a golfer?” By some means he knew, and I used to be like, “Might 1st? Okay. Properly, in accordance with April twenty fifth now, so it’s solely across the nook.” However I’ve been capable of do every little thing. And by the gracious of God, actually, the nice Lord has not ended me with any mind harm, what have you ever. So I do imagine in… I maintain 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 fairly cool journey each for Krzysztof and Dr. Ho. And if we might 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. Medication undoubtedly 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 occupation’s not about, let’s say, status or no matter, nevertheless it actually is in regards to the skill to serve others. So I feel rising up, that at all times had a influence of me. I noticed the achievement it might carry and the aim it might 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 at all times been in circumstances which might be like excessive adrenaline. So I assume to attach the 2, I noticed that in these sports activities, there’s lots of incidents that don’t go effectively. Individuals get accidents. Individuals typically have deadly accidents. And after having witnessed some, I at all times wished to understand how I might assist, how I might be of service. I feel that was at all times what saved me going. I wished to study extra.

(23:48):

In order I grew up, went to highschool, faculty, 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 direction of the sector of drugs. So I assume it’s not like one factor that makes you go into this discipline, however there’s a complete collection of occasions. It’s a journey that make you resolve to go down this route. And I assume if you happen to compile every little thing 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 could possibly assist somebody. Hopefully, I can. I assume that’s the true aim right here. And yeah, it’s simply, I assume, a journey. I realized lots 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 pleased with you for not solely who you’re, however definitely what you probably did to avoid wasting Karen. And also you having that surrounding has blessed us all. And never solely right now, however in definitely going into the longer term on the way you’re going to have the ability to serve individuals. It’s a tremendous, wonderful present 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 high school 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 taking good care of great individuals 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 if you happen to’re acquainted with Notre Dame’s 1988 undefeated season, Dr. Ho was the sudden kicker who helped lead the group to win the faculty soccer nationwide championship that individual 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 observe it. It’s a tremendous story, and it’s a testomony, Dr. Ho, to your dedication to excellence and positively your ardour round being part of a group sport. And I feel you mentioned it earlier, proper?

(26:07):

And Krzysztof, the story that you simply shared with you and the officer saying, “I received this. You go over there and maintain that, and let’s collectively assist someone,” I feel is a testomony to what it’s to be working in a group surroundings to avoid wasting one’s life. And positively, I feel a few of the success that you simply’ve had up to now, Krzysztof, in all of the issues that you simply’ve carried out main up so far, and positively Dr. Ho that you simply’ve had in your previous main up so far and been serving the group for the previous 20 years, is a superb 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 right now. It touches on so many parts from a private perspective to knowledgeable perspective, to a religious perspective, and what you’ve all carried out collectively to avoid wasting the lifetime of a ravishing, stunning individual. Sorry. As I do with all of our company, I ask if there’s anyone or two issues that you simply’d wish to share with our viewers, what would it not be? Krzysztof, I’m going to start out with you.

Krzysztof Zembrzuski  (27:16):

Yeah, positive. I assume the most important factor I might 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 assume is correct even whenever you don’t assume something’s in your favor. In order that’s my recommendation not only for incidents like this, however something in life. After which possibly you could possibly assist somebody’s life on the finish of it for all you already know.

Peter Panageas (27:43):

Properly mentioned, Krzysztof. Dr. Ho?

Dr. Reginald Ho (27:46):

I feel that probably the most essential 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 day by day. We all know the sacrifice you make. We all know the non-public dedication you make, and we all know how onerous and the way a lot of a sacrifice it’s to be a doctor right now whether or not it’s at Jefferson or every 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 positively for you getting into this house, 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 would it not be?

Karen Silverio (28:58):

Properly, I simply wish to say thanks to Dr. Ho, Krzysztof, Pete, my entire complete household and pals which were on this journey with me. And you already know 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 awesome… That’s all you need 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 pals. As a result of if I wasn’t right here right now, 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 right now. And to our listeners, as at all times, thanks and I hope you’ve loved our dialogue. Try the present notes for extra info 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 awesome day.