{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://globalhealthchronicles.aviaryplatform.com/iiif/3n20c4v63z/manifest","type":"Manifest","label":{"en":["Wu, Henry"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/289/original/CDCM_Mark_2.1.png?1728486742","metadata":[{"label":{"en":["Source Metadata URI"]},"value":{"en":["12742"]}},{"label":{"en":["Publisher"]},"value":{"en":["David J. Sencer CDC Museum"]}},{"label":{"en":["Rights Statement"]},"value":{"en":["All rights to the interviews, including but not restricted to legal title, copyrights and literary property rights, have been transferred to the David J. Sencer CDC Museum.","Interviews may only be reproduced with permission from David J. Sencer CDC Museum."]}},{"label":{"en":["Agent"]},"value":{"en":["Dr. Henry Wu (Interviewee)","Samuel Robson (Interviewer)"]}},{"label":{"en":["Date"]},"value":{"en":["2016-09-13 (Created)"]}},{"label":{"en":["Description"]},"value":{"en":["Dr. Henry M. Wu, director of the TravelWell Center at Emory University's Midtown Atlanta hospital, discusses adapting procedures for seeing patients in his travel clinic during the 2014-16 Ebola epidemic. During the epidemic, his clinic saw a steady flow of patients who had recently returned from West Africa. (Summary)"]}},{"label":{"en":["Format"]},"value":{"en":["audio"]}},{"label":{"en":["Identifier"]},"value":{"en":["2016.600.148 (accession number)","OHCDCM600 (collection call number)"]}},{"label":{"en":["Relation"]},"value":{"en":["CDC Ebola Response Oral History Project (is part of)"]}},{"label":{"en":["Type"]},"value":{"en":["oral history"]}}],"summary":{"en":["Dr. Henry M. Wu, director of the TravelWell Center at Emory University's Midtown Atlanta hospital, discusses adapting procedures for seeing patients in his travel clinic during the 2014-16 Ebola epidemic. During the epidemic, his clinic saw a steady flow of patients who had recently returned from West Africa."]},"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["All rights to the interviews, including but not restricted to legal title, copyrights and literary property rights, have been transferred to the David J. Sencer CDC Museum.","Interviews may only be reproduced with permission from David J. Sencer CDC Museum."]}},"provider":[{"id":"https://globalhealthchronicles.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["David J. Sencer CDC Museum"]},"homepage":[{"id":"https://globalhealthchronicles.aviaryplatform.com/","type":"Text","label":{"en":["David J. Sencer CDC Museum"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/289/original/CDCM_Mark_2.1.png?1728486742","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/248/988/small/Wu_Henry.jpg?1727967632","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988","type":"Canvas","label":{"en":["Media File 1 of 1 - 12742_dr_henry_wu.mpga"]},"duration":5960.016,"width":640,"height":40,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/248/988/small/Wu_Henry.jpg?1727967632","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/content/1","type":"AnnotationPage","items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-globalhealthchronicles.s3.wasabisys.com/collection_resource_files/resource_files/000/248/988/original/12742_dr_henry_wu.mpga?1724265173","type":"Audio","format":"audio/mpeg","duration":5960.016,"width":640,"height":40},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988","metadata":[]}]}],"annotations":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471","type":"AnnotationPage","label":{"en":["content172426516320240821-522984-wddsz3.xml [Transcript]"]},"items":[{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Dr. Henry M. Wu","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=0.0,1.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: This is Sam Robson with the David J. Sencer CDC [United States Centers for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1.0,7.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Disease Control and Prevention] Museum. It is September 13th, 2016, and I'm","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=7.0,11.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sitting here with Dr. Henry Wu at the CDC headquarters in Atlanta, Georgia. I'm","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=11.0,16.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"speaking with Dr. Wu today as part of our CDC Ebola Response Oral History","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=16.0,21.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Project. Dr. Wu, thank you so much for being here with me today. If we could","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=21.0,27.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"just start out, would you mind telling me your full name and your current","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=27.0,32.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"position, like your current job?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=32.0,34.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Sure. And thank you for inviting me to come here.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=34.0,38.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Of course.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=38.0,39.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Full name, Henry Ming-Yow Wu. My current position, I'm an assistant","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=39.0,43.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"professor of medicine at the Emory University School of Medicine, and I direct","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=43.0,48.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the TravelWell Center, the travel clinic, based in the Emory Midtown hospital,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=48.0,52.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the Division of Infectious Diseases.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=52.0,54.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you for that. Can you very briefly describe ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=54.0,58.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nyour part in the Ebola response?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=58.0,61.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Well, as a travel clinic, one of the roles we play--in addition to preparing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=61.0,69.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"folks for travel--is dealing with potential infectious diseases that folks get","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=69.0,75.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"while traveling, whether it's on vacation or for work. During the Ebola","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=75.0,81.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"epidemic, it became clear that there was always a potential for somebody to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=81.0,88.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"return from Ebola-affected areas, or to visit there and return with,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=88.0,94.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"potentially, Ebola. Obviously, that would be our biggest concern, but also other","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=94.0,100.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infections which are common in West Africa. Basically, our clinic was heavily","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=100.0,106.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"involved with our university and healthcare centers, planning to deal with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=106.0,112.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"returning travelers who might have Ebola but, probably much more likely, have ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=112.0,118.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nother things that needed to be sorted out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=118.0,121.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you for that synopsis. We're going to back up drastically now. Could","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=121.0,126.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you tell me when and where born?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=126.0,129.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I was born in 1971 in Taiwan, in Taipei.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=129.0,133.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Did you grow up in Taiwan?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=133.0,136.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: No. I moved when I was a baby. My father took the family to Seattle,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=136.0,142.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Washington. He was doing his medical training there. And I basically have been","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=142.0,147.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the United States since. Moved when I was in Kindergarten to Hawaii, where I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=147.0,153.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"spent most of my childhood through high school.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=153.0,156.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What was it like growing up in Hawaii?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=156.0,159.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: It was very nice, looking back, although when you're there as a kid and it's","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=159.0,165.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"most of your world, you don't quite realize how good it is until you leave.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=165.0,171.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: That makes sense. What kind of medicine did your dad practice?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=171.0,175.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: He's retired now. He's a physical medicine and rehabilitation physician.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=175.0,179.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=179.0,179.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nWas your mom also in the household?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=179.0,182.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Yeah. She mostly raised us. I have two sisters. She had various jobs over","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=182.0,189.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the years and ultimately helped my father run his clinic in Hawaii.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=189.0,195.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What kinds of things caught your interest, when you were growing up, through","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=195.0,202.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"high school?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=202.0,203.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I definitely was always interested in potentially becoming a physician, like","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=203.0,209.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"my father. I think I was definitely a science student, interested in all kinds","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=209.0,216.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of science, and certainly about traveling and leaving Hawaii to explore not only","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=216.0,222.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the US but the world. It is quite a common phenomenon in Hawaii, where the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=222.0,229.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"bright students grow up there and they leave the state to study outside. And","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=229.0,236.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"many don't return.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=236.0,237.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=237.0,237.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI didn't realize there was kind of a brain drain going on.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=237.0,241.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Oh, yeah. That's always an issue. It's a challenge to keep folks staying in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=241.0,246.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the state.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=246.0,247.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: In the most beautiful state. [laughs]","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=247.0,250.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: The problem is it's so expensive. Some folks want to come home but they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=250.0,255.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can't, due to the job situation.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=255.0,257.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/59","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Oh, I see. Lots of factors. So what happens after high school?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=257.0,262.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/60","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Went to college. I went to the University of Pennsylvania, in Philadelphia,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=262.0,267.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/61","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"which was a nice experience. I was really looking for a big city, something very","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=267.0,272.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/62","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"different from where I grew up, in terms of a--well, Honolulu's a big city. But","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=272.0,277.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/63","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it is not a big urban center like Philadelphia or like the major East Coast","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=277.0,282.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/64","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"cities. I was looking for that sort of change in pace. Studied biochemistry","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=282.0,287.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/65","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there, as well as minored in Chinese. Did some study abroad in China, so I got","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=287.0,293.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/66","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"my start in traveling in college.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=293.0,295.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/67","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=295.0,295.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/68","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nAnd what after college?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=295.0,297.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/69","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Went to med school at Harvard Medical School, and again, I had a good","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=297.0,303.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/70","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"training there, but also managed to get in rotations with the Indian Health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=303.0,309.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/71","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Service. I also spent a month studying Spanish in Mexico, took some elective","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=309.0,315.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/72","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"coursework in parasitology and in social medicine. I really, during med school,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=315.0,320.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/73","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"got more interested in infectious diseases and public health, international","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=320.0,324.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/74","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"public health.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=324.0,325.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/75","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What would you say shaped that, kind of--that pivot?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=325.0,329.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/76","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Prior to med school, I had no idea there was a specialty of infectious","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=329.0,335.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/77","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"diseases. Maybe I had a vague understanding of what it was. During med school,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=335.0,341.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/78","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when I started working with infectious disease physicians on the wards, I really","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=341.0,347.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/79","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"realized this was a great field for my interests. It is multidisciplinary. It is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=347.0,353.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/80","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the intersection of medicine, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=353.0,355.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/81","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nof basic science, microbiology, parasitology,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=355.0,357.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/82","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"ecology. And it goes on and on. Things like even the weather affects infectious","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=357.0,363.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/83","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"diseases. I think it's always an interesting field. I always liked reading the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=363.0,368.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/84","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"newspaper and The New York Times, just seeing what's going on in the world. And","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=368.0,374.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/85","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the fact that what I read there directly affects what I do in medicine makes it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=374.0,380.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/86","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a very interesting field.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=380.0,382.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/87","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What happens after med school?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=382.0,384.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/88","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I did my residency training in internal medicine at the University of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=384.0,389.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/89","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Pennsylvania, came back to Philadelphia, and went through internal medicine with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=389.0,393.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/90","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the aim of doing infectious diseases afterwards. After that, though, I actually","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=393.0,398.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/91","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"took a small hiatus. I was a little burnt out from residency, and also maybe had","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=398.0,404.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/92","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"some second thoughts. Did I rush into all this and never consider all my other","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=404.0,410.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"interests? So I took a couple years off to do various things, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=410.0,415.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/94","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthe most offbeat","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=415.0,416.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/95","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of which was going to Harvard [Graduate School of] Design for the summer to do a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=416.0,423.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/96","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"career discovery program. I had this side of me that wanted to consider","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=423.0,428.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/97","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"architecture. Did that summer, and actually had a great time, but decided, going","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=428.0,433.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/98","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through that career was probably not for me, although I also got some great","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=433.0,439.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/99","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"training there in design and planning. Then I did some work--some locum tenens","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=439.0,444.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/100","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"work, and then, during this period, did my diploma in tropical medicine and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=444.0,449.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"hygiene in London, refocusing back on my main interests. Then did a couple jobs,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=449.0,455.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"including working for Indiana University as a volunteer faculty physician in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=455.0,460.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"their program in Kenya, in Eldoret. They have an academic program out there. I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=460.0,466.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was out there for three months. Then went to Botswana, to work for University of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=466.0,472.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Pennsylvania's program in Botswana, in Gabarone. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=472.0,474.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nThat was an HIV [human","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=474.0,476.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"immunodeficiency virus] treatment program. I was going to spend six months","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=476.0,481.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there, and did end up coming back a bit early because my boss sort of left the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=481.0,488.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/109","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"position. As somebody who was straight out of residency, I didn't have much to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=488.0,494.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/110","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"offer that program, there alone. So I came back and basically then started my","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=494.0,500.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/111","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infectious disease fellowship at the University of Pennsylvania.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=500.0,503.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/112","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What year was that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=503.0,505.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/113","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Two thousand two is when I started my fellowship.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=505.0,509.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/114","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: In 2002. Going back to Kenya, was Kenya--was that your first time in Africa?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=509.0,515.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/115","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: It was actually my second. During residency, I did do a rotation that I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=515.0,521.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/116","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"arranged in Uganda--a little clinical rotation, for six weeks, in Kampala. But","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=521.0,526.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the Kenya experience was really my first real, extensive sort of work overseas,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=526.0,531.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/118","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a job. Helping ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=531.0,532.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/119","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nto manage the program out there, teaching both Kenyan med","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=532.0,536.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"students and trainees as well as American trainees who were rotating out. It","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=536.0,542.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"still exists, to this day. It's an excellent program, and it had already been","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=542.0,548.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"established for on the order of ten years, when I was there. It was an excellent","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=548.0,555.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/123","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"model of an academic clinical and research program, that is very much a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=555.0,561.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/124","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"bilateral exchange between institutions.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=561.0,563.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Then you mentioned, in Botswana, you were focusing HIV? Is that right?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=563.0,569.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Yeah. Back around that time, HIV was already being recognized as a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=569.0,575.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"staggering problem in Africa. Virtually nobody, in any large number, was getting","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=575.0,580.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"treated. There was some controversy of whether or not even HIV treatment was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=580.0,586.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/129","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even feasible in Africa, where--because the medicines were so expensive, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=586.0,591.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/130","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there were multiple pills and required, at least ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=591.0,594.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nby Western standards, extensive","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=594.0,596.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"monitoring that was not necessarily easy to do in Africa. Botswana actually was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=596.0,603.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/133","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"on the forefront, in that the government very much wanted to start a treatment","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=603.0,611.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/134","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"program. What they did was they partnered with various organizations,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=611.0,617.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"including--through Merck, which funded a lot of the initial program. Through","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=617.0,623.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that, University of Pennsylvania was recruited to help administer--basically be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=623.0,629.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"clinical consultants for that national program and open their first clinic. I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=629.0,636.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"went out there basically to be more--to work in that clinic, basically. But","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=636.0,643.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/139","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pretty soon after I got there, my immediate University of Pennsylvania","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=643.0,649.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/140","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"supervisor, for personal reasons, had to leave the job. It basically ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=649.0,655.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/141","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nwas clear","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=655.0,656.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/142","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that new leadership was needed, and there wasn't much for me to do, at that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=656.0,663.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"point. So that ended fairly quickly, but actually was a good--it was a good","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=663.0,669.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"experience, in that working--seeing up front how to work with administrative","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=669.0,674.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/145","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"health, as well as with a big pharmaceutical donor, and with management","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=674.0,679.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/146","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"consultants, and really in a major project like that, fairly high-profile","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=679.0,684.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"one--was a good experience. Sometimes I think I made the right decision. The","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=684.0,690.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"best decision is to back out when it's not necessarily going well.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=690.0,695.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/149","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Yeah! No, absolutely. Good advice. Where did you do your infectious disease","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=695.0,701.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/150","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fellowship, again? I forâ€\"","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=701.0,703.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: University of Pennsylvania.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=703.0,705.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: That was also University of Pennsylvania. Okay. Gotcha. What happens after that?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=705.0,711.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/153","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I basically got a job. I ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=711.0,714.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/154","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nconsidered a couple things, but I ended up taking a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=714.0,718.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/155","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"clinical academic job at Drexel University, and at Hahnemann University","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=718.0,722.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/156","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Hospital. And basically decided it was--I finished my training, but I really","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=722.0,727.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"wanted clinical experience. I spent two and a half years there, doing general","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=727.0,732.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infectious diseases, inpatient, outpatient, as well as HIV work. Learned a great","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=732.0,737.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"deal. It was also a bit of a burnout job, as any junior clinical attending job","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=737.0,743.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/160","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can be.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=743.0,744.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/161","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I was also beginning to think that I wanted to do more--get back into the public","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=744.0,750.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/162","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"health type of work. I initially thought I would do a part-time MPH [master of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=750.0,756.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/163","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"public health degree] at the Drexel University School of Public Health, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=756.0,761.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/164","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"attempted that. That pretty much didn't get far because I was doing a full","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=761.0,767.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/165","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"clinical load, and decided writing papers in the middle of the night--I couldn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=767.0,772.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/166","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"physically do that. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=772.0,773.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/167","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nAt that point, I decided to make a jump to public health and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=773.0,779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/168","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"apply for the EIS [Epidemic Intelligence Service] program. I had some mentors in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=779.0,785.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/169","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the past, a research mentor and then--in my fellowship, Kelly [J.] Henning, who","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=785.0,791.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/170","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"moved on to the New York City Department of Health, and other folks at Drexel","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=791.0,798.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/171","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Hahnemann who were EIS alumni from the early days, Elias Abrutyn and Matt","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=798.0,804.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/172","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[Matthew E.] Levinson. I'd seen how EIS was critical to their careers and how","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=804.0,810.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/173","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fondly they had spoken of their experiences. I knew this would be a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=810.0,816.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/174","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"great--potentially a great way for me to get into the field and make the change.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=816.0,823.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/175","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So I applied and got in and came down to Atlanta.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=823.0,828.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/176","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: How did they talk about their experiences? What was your impression of what","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=828.0,834.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/177","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"EIS ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=834.0,834.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/178","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n meant?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=834.0,834.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/179","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: On one hand, they spoke about it fondly, and it gave me these visions of it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=834.0,841.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/180","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I'll admit I still didn't really have a good feel for what they were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=841.0,848.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/181","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"actually doing. All I knew was that they traveled and were--Dr. Abrutyn talked","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=848.0,854.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/182","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"about, if I recall, working on cholera in Bangladesh and literally holding up","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=854.0,860.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/183","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"his own IV [intravenous fluid] bag while he was on a boat, [laughs] getting","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=860.0,866.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/184","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"transported out of somewhere. It was a little bit of a romantic vision. But at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=866.0,873.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/185","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the same time, it rang true to what interested me in infectious diseases and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=873.0,879.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/186","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"public health. As much as I enjoyed clinical infectious diseases in the US, most","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=879.0,885.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/187","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of what we deal with in a hospital is--a lot of it is hospital-related","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=885.0,891.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/188","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infections and very challenging things. But I think ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=891.0,894.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/189","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nwhat always drove me was the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=894.0,897.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/190","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infections that are more out in the world and have determinants that are","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=897.0,904.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/191","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"multifaceted. I thought it was an excellent career move, at that point.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=904.0,910.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/192","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: How does EIS proceed?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=910.0,913.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/193","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: It was a great experience. I matched with the Meningitis and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=913.0,919.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/194","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Vaccine-Preventable Diseases Branch in NCRID [National Center for Immunization","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=919.0,924.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/195","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and Respiratory Diseases] and had a great experience, primarily doing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=924.0,929.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/196","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meningococcal meningitis work but also some work in pertussis and some of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=929.0,936.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/197","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"other infections that we dealt with in that branch. It was a great branch in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=936.0,944.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/198","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that I was involved in international and domestic work, surveillance, outbreak","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=944.0,950.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/199","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"investigations, as well as some more straight research work on analyzing ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=950.0,956.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/200","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=956.0,956.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/201","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"performance of diagnostic tests. I had my own exciting travel experiences, and I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=956.0,961.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/202","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"tell folks, ironically, I'd been deployed to meningitis outbreaks in Africa, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=961.0,966.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/203","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I went to South America and got mugged in Brazil, but by far my most dangerous","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=966.0,973.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/204","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"assignment was being sent into Fargo, North Dakota, during a blizzard, when it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=973.0,978.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/205","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was twenty below, to deal with a resistant meningitis outbreak. That is not an","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=978.0,984.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/206","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"exaggeration. I think it really was the most physically dangerous assignment,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=984.0,988.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/207","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"given that I'd grown up in Hawaii. And how to even drive a car and then be safe","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=988.0,995.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/208","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when it's that cold outside is not something you learn from growing up in Hawaii.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=995.0,1001.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/209","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: No, no doubt. I grew up in Iowa, and I probably wouldn't do well in that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1001.0,1008.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/210","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"environment. [laughs] Wow! Where else did you--you said you were in Brazil, you","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1008.0,1013.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/211","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"went to--","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1013.0,1014.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/212","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Yeah. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1014.0,1015.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/213","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nBrazil was a research collaboration with FIOCRUZ [Oswaldo Cruz","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1015.0,1019.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/214","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Foundation] in Salvador. We were looking into diagnostic test evaluation. I was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1019.0,1025.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/215","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"involved with the branch's work in epidemic meningococcal disease in the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1025.0,1030.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/216","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meningitis belt in Africa, went to Burkina Faso a couple times to assess their","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1030.0,1037.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/217","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"surveillance system. This was in anticipation of the rollout of a serogroup A","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1037.0,1043.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/218","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"conjugate vaccination, which would potentially address the massive epidemics","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1043.0,1047.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/219","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that historically affected the meningitis belt. That's a large, international","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1047.0,1052.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/220","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"collaboration, WHO [World Health Organization], [Bill \u0026 Melinda] Gates","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1052.0,1056.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/221","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[Foundation], MSF [Medecins Sans Frontieres]--you can go on and on--Serum","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1056.0,1061.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/222","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Institute of India. I'm quite proud to have played a tiny role in that rollout,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1061.0,1068.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/223","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"which has since been quite spectacular. But early on, I was out ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1068.0,1074.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/224","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthere to help","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1074.0,1075.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/225","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"assess the surveillance system in Burkina Faso. This is one of the things about","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1075.0,1080.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/226","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"public health I had no idea about before I came to EIS. To even control","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1080.0,1085.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/227","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"diseases, you have to be able to count them accurately. To even know if your","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1085.0,1090.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/228","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"interventions are working, obviously, you have to be able to count it. First","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1090.0,1094.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/229","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"step is often just figuring out how well can we count--how well can the system","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1094.0,1099.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/230","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that's in place count the diseases and the cases. That's what I did early on.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1099.0,1104.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/231","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Who did you meet in EIS, who--I don't know--who you look back on as standing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1104.0,1110.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/232","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"out in your memory?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1110.0,1111.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/233","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Our branch chief, Nancy [E.] Messonnier, she was a large reason why I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1111.0,1116.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/234","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"decided to try to match on that team. I had actually known her name from the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1116.0,1122.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/235","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"past because she had actually trained in internal medicine at my program at the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1122.0,1127.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/236","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"University of Pennsylvania. This was some years before I was there. But I had","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1127.0,1132.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/237","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"heard her name, over the years, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1132.0,1134.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/238","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nas another person that had done EIS. I had some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1134.0,1139.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/239","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"mentors at Penn who had said, \"Oh yeah, Nancy\"--I think her maiden name was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1139.0,1145.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/240","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Rosenstein--\"Nancy Rosenstein, she passed through our program. She went to CDC,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1145.0,1150.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/241","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and now she's the world expert on meningococcal disease.\" I even heard about her","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1150.0,1156.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/242","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when I was a resident. I knew she had really done excellent work. I'd realize","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1156.0,1163.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/243","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that that sort of career sounded exciting to me. I certainly did enjoy working","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1163.0,1169.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/244","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"under her. It was a great experience. She certainly was a great mentor and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1169.0,1175.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/245","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"leader. She certainly gave me the opportunities to really learn and to grow as a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1175.0,1182.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/246","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"medical epidemiologist.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1182.0,1183.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/247","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: What happens after EIS?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1183.0,1185.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/248","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I stuck around for a couple years in the same team as a medical","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1185.0,1192.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/249","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"epidemiologist, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1192.0,1192.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/250","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nbasically continuing the work I did as an EIS officer, and at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1192.0,1197.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/251","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"some point decided it was time for a change. This was not too much of a big","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1197.0,1204.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/252","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"shift, in that I would--I'd always thought, as much as I enjoyed the meningitis","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1204.0,1210.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/253","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"work, I don't think I was going to spend my whole career just studying primarily","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1210.0,1216.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/254","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"one pathogen. I think too much of my interests were in a whole lot of different","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1216.0,1222.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/255","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"things. I thought it would be a good time to change. Also, as is quite common at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1222.0,1229.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/256","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"CDC, switching positions is almost per routine, if not even encouraged when I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1229.0,1234.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/257","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was a US Public Health Service officer. It was even encouraged for promotion to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1234.0,1240.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/258","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"show that you can do different things. I thought it was a good time to start","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1240.0,1246.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/259","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"looking around. I interviewed in various other positions at CDC, including with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1246.0,1251.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/260","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"DHAP, Division of HIV/AIDS Prevention.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1251.0,1253.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/261","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Around ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1253.0,1253.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/262","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthis time, I got a random phone call from David [S.] Stephens at Emory","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1253.0,1258.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/263","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"University, whom I knew because he is a meningococcal disease researcher. He and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1258.0,1262.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/264","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"his lab [laboratory] have long collaborated with our branch. I'd already worked","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1262.0,1266.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/265","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with him on some things. He had just called me, out of the blue, to ask me if I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1266.0,1272.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/266","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was interested in a position at Emory University, primarily working in the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1272.0,1276.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/267","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"travel clinic that was based in Emory Midtown, run by Phyllis [E.] Kozarsky.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1276.0,1280.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/268","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Right away, I was very interested. Because on one hand, when I had left Drexel","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1280.0,1285.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/269","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"University, I had already decided, I don't think I can go back to the same sort","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1285.0,1290.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/270","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of job, where it was primarily general, inpatient infectious diseases. As much","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1290.0,1294.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/271","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as I liked it, it wasn't where my passion was, and it was very much a tough job.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1294.0,1300.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/272","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I certainly didn't want to go back to that. But what was presented here was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1300.0,1305.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/273","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really a focus on travel medicine and tropical diseases, a job that would","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1305.0,1309.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/274","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"encompass a lot of my interests. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1309.0,1311.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/275","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI also recognized it was a very unique","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1311.0,1314.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/276","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"opportunity. Phyllis Kozarsky was one of the early pioneers of travel medicine","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1314.0,1319.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/277","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and founded this clinic back in the late eighties. I'd already known about it,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1319.0,1325.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/278","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even though I did not know her personally, at that point. My understanding was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1325.0,1331.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/279","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that this is one of the very few full-time academic travel clinics in the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1331.0,1337.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/280","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"country. Most travel clinics out there are private clinics. They don't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1337.0,1341.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/281","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"necessarily even see sick visits. They just give shots. This was really more of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1341.0,1347.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/282","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a comprehensive travel, tropical disease clinic, in an academic setting, which","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1347.0,1351.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/283","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is very unusual in the US. It's more common overseas, in Europe, say, or in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1351.0,1357.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/284","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Asia, where they have full hospitals for tropical diseases. We don't have that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1357.0,1362.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/285","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the US because our healthcare if much more homogenous, where each hospital","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1362.0,1367.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/286","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can potentially take care of anything, as opposed to specialized hospitals. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1367.0,1371.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/287","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n It","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1371.0,1371.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/288","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was a good opportunity, and I very much jumped on it and came over in 2011 to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1371.0,1378.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/289","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"work with Emory.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1378.0,1379.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/290","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Sorry--clearly, I don't know very much about this. But if it's doing much","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1379.0,1385.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/291","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"more than just giving shots, which is like so many other travel clinics in the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1385.0,1392.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/292","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"US, what is it that they're doing?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1392.0,1395.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/293","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: On the pre-travel side, giving shots is a lot of it, but it's basically","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1395.0,1402.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/294","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"preparing travelers to go to places that are usually tropical--or not","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1402.0,1407.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/295","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"necessarily technically tropical, but developing countries or places where extra","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1407.0,1411.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/296","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"preparation is needed. That would basically encompass anywhere outside of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1411.0,1415.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/297","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Western Europe, Canada, Japan, Australia, New Zealand. Just about everywhere","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1415.0,1419.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/298","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"else, you do have to take a little more precautions than we would normally do","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1419.0,1426.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/299","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"visiting more developed areas. Shots is a large part, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1426.0,1430.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/300","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ncertainly a lot of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1430.0,1431.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/301","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"travel-related vaccines that are needed, as well as making sure everyone's","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1431.0,1435.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/302","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"up-to-date with their routine vaccinations. Malaria prophylaxis is a huge part.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1435.0,1439.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/303","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If you're going to an area with malaria, then certainly taking--there is no","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1439.0,1444.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/304","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"vaccine--taking prophylactic medications is going to be important. Finally, many","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1444.0,1448.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/305","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"other, nonprescription interventions, things like advice on bug avoidance, so","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1448.0,1452.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/306","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"mosquito repellants and things like that, to help prevent malaria and dengue and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1452.0,1457.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/307","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"chikungunya--you can go on and on with all the infections that are passed by","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1457.0,1462.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/308","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"biting insects. Also, things like altitude illness, safety issues. I think a lot","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1462.0,1467.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/309","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of Americans who have not traveled much don't quite realize that in most of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1467.0,1472.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/310","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"world, you have to be extra careful because we don't have all the safety","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1472.0,1477.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/311","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"regulations and things that protect us every day, whether you know it or not, in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1477.0,1482.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/312","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the US.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1482.0,1483.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/313","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I do find those consults both interesting and challenging. We see a lot of folks","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1483.0,1488.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/314","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in our clinic who are ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1488.0,1490.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/315","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ngoing on complicated itineraries, have complicated medical","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1490.0,1492.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/316","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"histories, folks with transplanted organs going to very potentially risky areas.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1492.0,1496.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/317","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's also challenging because every patient is different and because much of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1496.0,1500.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/318","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pre-travel interventions, including the consult and the shots and the malaria","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1500.0,1504.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/319","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pills, they're typically not covered by health insurance. So unless your","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1504.0,1508.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/320","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"employer is covering it for a work trip, often it comes out-of-pocket. That","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1508.0,1513.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/321","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"makes it challenging because not everyone has those resources. I spend a lot of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1513.0,1518.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/322","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"my consults, often, just helping travelers decide where their money is best","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1518.0,1522.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/323","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"spent. It may be the case that they can't get everything that I would like to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1522.0,1528.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/324","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"give them. That's the unfortunate reality of our healthcare system. We have to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1528.0,1533.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/325","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pick and choose, what I help--I help them decide which is going to be the most","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1533.0,1539.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/326","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"important for their trip. That's a challenging part of the work.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1539.0,1543.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/327","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I found it [working in a travel clinic], after working at CDC, to be--what I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1543.0,1548.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/328","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"tell folks, it's public health on the ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1548.0,1550.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/329","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nindividual level. When you're at CDC, when","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1550.0,1553.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/330","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we were doing vaccines recommendations for meningitis vaccination, we're looking","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1553.0,1557.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/331","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"at the country as a whole. We're making assessments on, is it effective, is it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1557.0,1562.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/332","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"safe, is it cost-effective. And if it is, then we take it to the ACIP [Advisory","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1562.0,1568.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/333","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Committee on Immunization Practices] and there's a vote to make this a shot","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1568.0,1573.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/334","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"routine for adolescents. On an individual level, most of these vaccines, they're","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1573.0,1577.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/335","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"approved and--but there are very--the recommendations from ACIP and CDC are a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1577.0,1581.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/336","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"little more open-ended. \"Consider this vaccination.\" \"Consider,\" you know,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1581.0,1584.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/337","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"Japanese encephalitis vaccination.\" What it means is, it may not make sense for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1584.0,1589.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/338","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"everybody. Not everyone's going to have a high risk of disease. On top of that,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1589.0,1594.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/339","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"not everyone can afford it either. It leaves a big, open end. I feel like, to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1594.0,1600.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/340","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"this day, when I see a pre-travel patient, I am trying my best to maximize their","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1600.0,1606.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/341","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"health, given their resources available immediately in front of them, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1606.0,1610.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/342","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nand help","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1610.0,1611.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/343","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"them make decisions during travel. It's actually quite challenging, even though","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1611.0,1615.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/344","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a lot of it, you could argue, is sort of dictated by CDC, which gives a lot of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1615.0,1622.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/345","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"good recommendation on what vaccines are recommended for most of the world and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1622.0,1627.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/346","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"where you need to take malaria pills. But in practice, bringing that to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1627.0,1632.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/347","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"individual travelers has a lot more complexities and is a challenging part of my job.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1632.0,1637.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/348","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The other side of our work is the sick visits. Hopefully, folks go and stay","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1637.0,1642.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/349","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"healthy. That is our goal. But when they do come back, whether or not we saw","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1642.0,1648.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/350","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"them before travel, we are here to help assess potentially what they may have. A","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1648.0,1653.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/351","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lot of it is mundane or what you would expect--traveler's diarrhea, the flu","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1653.0,1658.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/352","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[influenza], coughs and colds, nothing serious, nothing different than what you","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1658.0,1662.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/353","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"might even get from a domestic trip. But even when it is simple, we have to be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1662.0,1668.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/354","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"mindful of the other things that they ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1668.0,1671.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/355","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ncould have gotten. That's the challenge.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1671.0,1673.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/356","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"In other clinics, where it would be much easier to say, \"What it sounds like is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1673.0,1678.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/357","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you have the flu. You need to go home, take some rest, take some Tylenol. Call","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1678.0,1683.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/358","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"me back if it doesn't get better.\" In our clinic, if somebody may have the flu","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1683.0,1688.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/359","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but they'd also come back from India, I need to consider other things that can","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1688.0,1693.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/360","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"cause a high fever, like malaria or typhoid or maybe even something even worse,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1693.0,1698.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/361","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"like avian influenza or SARS [severe acute respiratory syndrome]. These things","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1698.0,1702.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/362","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have poked their heads up in various parts of the world, over the years. This is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1702.0,1707.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/363","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the challenging part of that job. Even so, even when it is something mundane, it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1707.0,1712.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/364","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"does make it a little more complicated. On top of that, we do see the more","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1712.0,1717.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/365","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"exotic things, the cases of malaria, dengue, leptospirosis. These are fairly","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1717.0,1721.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/366","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"regular, if not everyday. Certainly, it makes my job very interesting.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1721.0,1725.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/367","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Previous to Ebola, were there any epidemics or anything where you saw a large ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1725.0,1730.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/368","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nvolume of patients coming in, and screening them for that, and focusing on one","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1730.0,1736.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/369","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"specific thing?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1736.0,1737.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/370","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: In my time at the TravelWell Center, no. Ebola was the first one. I can","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1737.0,1744.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/371","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"imagine previous large international outbreaks, like SARS, in the early","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1744.0,1748.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/372","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"2000s--that was during my fellowship--had a similar effect, where something new","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1748.0,1753.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/373","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"comes on the field and you had to be very careful about it. But no, prior--when","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1753.0,1760.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/374","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola became a major international issue, prior to that, our practice was pretty","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1760.0,1766.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/375","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"much as I described: seeing a lot of the common stuff, looking out for the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1766.0,1773.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/376","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"dangerous stuff that pops up once in a while. But nothing that is off-the-charts","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1773.0,1779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/377","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"dangerous. I will say, though, before Ebola, I was always a little nervous","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1779.0,1785.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/378","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because of the recommendations about potential cases of avian influenza or ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1785.0,1790.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/379","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nsomething called MERS, Middle Eastern respiratory syndrome. These all popped up","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1790.0,1794.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/380","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"prior to Ebola. They did not necessarily quite have large outbreaks in the US.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1794.0,1799.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/381","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But I was aware that they were out there and that potentially travelers could","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1799.0,1804.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/382","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have them. And I always recognized that, if I had somebody in-clinic with this,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1804.0,1809.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/383","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we could have a big problem, knowing that the recommendation from CDC was to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1809.0,1814.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/384","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"take some extensive protective-equipment precautions, like N95 respirators,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1814.0,1817.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/385","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"goggles, things that were not routine. I was already a little nervous, and the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1817.0,1822.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/386","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fact that I may see somebody coming back from one of these countries who might","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1822.0,1828.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/387","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have one of these things, how would I handle that? Because we don't have","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1828.0,1833.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/388","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"negative-pressure rooms in our clinic. So technically, if I really suspected","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1833.0,1837.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/389","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that, I shouldn't even be seeing them in our clinic. And if I brought them back","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1837.0,1843.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/390","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to clinic, I potentially have exposed our waiting room, our nurses and folks. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1843.0,1848.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/391","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1848.0,1848.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/392","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was already struggling with that. Maybe once or twice before Ebola, I had a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1848.0,1853.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/393","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"case, I got really nervous about it. There was no easy solution. Just getting a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1853.0,1859.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/394","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"call about a businessman who just came back from the Middle East and had what","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1859.0,1865.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/395","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sounded like mild cold or flu symptoms, to potentially send him to the ER","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1865.0,1870.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/396","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[emergency room] just because I was worried about an infection that had not been","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1870.0,1875.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/397","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"described yet as coming to the US, was no small deal. What do you do, in that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1875.0,1881.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/398","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"situation? There was no good answer. In fact, we would see him in-clinic, throw","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1881.0,1886.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/399","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a mask on him quickly, and try our best to convince ourselves that we didn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1886.0,1892.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/400","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have to worry about MERS or avian flu. But that was kind of the--so by the time","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1892.0,1898.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/401","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the Ebola issue came up, I'd already been thinking about gosh, what do you do","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1898.0,1904.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/402","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with these folks, who may have something that ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1904.0,1907.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/403","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ntakes much more levels of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1907.0,1909.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/404","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"protection and caution than everything else that we'd ever dealt with?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1909.0,1914.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/405","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: How do things proceed as the Ebola epidemic gets out of hand?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1914.0,1920.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/406","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Emory, of course, became prominent when we received the first cases","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1920.0,1926.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/407","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"transported back to the US, the Americans with Ebola infection. That's the team","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1926.0,1932.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/408","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"led by Bruce [S.] Ribner, my colleagues in the Division of Infectious Diseases.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1932.0,1938.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/409","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I was not on that team. I certainly wasn't involved in the care of those","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1938.0,1945.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/410","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patients. But certainly, that--I believe that was back in August of 2014--that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1945.0,1951.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/411","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"certainly brought all the attention to Ebola. Emory was kind of front and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1951.0,1957.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/412","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"center. On top of that, with CDC in town, this was sort of the major ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1957.0,1964.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/413","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nfocus for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1964.0,1965.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/414","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola work in the United States. Early on, as our colleagues were taking care of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1965.0,1972.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/415","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"those patients, discussions started both in our clinic and in the health system","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1972.0,1978.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/416","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as a whole, began on, what would we do if somebody came in with potential Ebola.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1978.0,1985.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/417","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Would we be prepared? Early on, we started writing up procedures, SOPs [standard","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1985.0,1991.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/418","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"operating procedures], to see these patients. We followed the guidelines that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1991.0,1996.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/419","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were offered by CDC on the recommended protective equipment. This was early in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=1996.0,2002.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/420","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the game. We're talking August, September, when things were still being figured","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2002.0,2007.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/421","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"out. But by--somewhere around that period, August, September, we had already","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2007.0,2012.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/422","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"seen our first rule-outs on folks who might have Ebola. They fit in some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2012.0,2018.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/423","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"potential criteria, such as fever and recent travel to West Africa. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2018.0,2023.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/424","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nWe put a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2023.0,2025.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/425","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"procedure in place to basically get them--bypass the waiting rooms by","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2025.0,2031.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/426","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"intercepting them or having them meet us at an old ambulance entrance. We would","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2031.0,2038.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/427","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"develop a way to bring them back to our clinic through a freight elevator. In","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2038.0,2046.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/428","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"short, it was kind of awkward, and we were, honestly, making it up on the fly,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2046.0,2054.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/429","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but trying our best to apply the recommendations from CDC.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2054.0,2059.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/430","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But it was very obvious that this was important. It was becoming clear that the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2059.0,2067.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/431","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infection was potentially extremely contagious in the healthcare setting, based","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2067.0,2072.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/432","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"on what was being described in Africa. And the fact that, early on, the symptoms","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2072.0,2080.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/433","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were very nonspecific--fever, headache. The severe complications and the severe","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2080.0,2085.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/434","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"illness ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2085.0,2086.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/435","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nwas, generally speaking, a later complication. In the beginning, folks","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2086.0,2090.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/436","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"can look like somebody that just has the flu or malaria or things that are more","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2090.0,2096.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/437","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"common--but, obviously, indistinguishable up front. CDC had basically started","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2096.0,2100.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/438","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"putting up criteria for what they call the PUI, or the person under","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2100.0,2105.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/439","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"investigation for Ebola. That would be what they'd done for other serious","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2105.0,2110.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/440","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infections in the past, like MERS--giving criteria for travel within the certain","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2110.0,2115.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/441","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"period to these countries that have Ebola, as well as a list of symptoms. If","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2115.0,2121.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/442","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they had both, then they need to be considered a person under investigation,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2121.0,2126.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/443","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"basically somebody who might have the disease. Now, one thing in public health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2126.0,2131.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/444","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is you want to make a definition like that very broad and nonspecific. The idea","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2131.0,2137.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/445","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is you don't want to miss that one case. The way you pay for that is you have a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2137.0,2145.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/446","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lot of false ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2145.0,2146.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/447","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\npositives, meaning that a lot of folks get flagged as might having","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2146.0,2151.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/448","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola and they really don't have it. But that's the price you pay to be very careful.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2151.0,2159.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/449","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So we started this, and everything shifted and took a major change in October,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2159.0,2165.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/450","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when the case in Dallas, of the patient who was not initially detected and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2165.0,2171.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/451","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"returned to the ER with full-blown Ebola illness--and then subsequently two","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2171.0,2176.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/452","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"nurses getting sick while taking care of him. That changed everything in many","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2176.0,2182.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/453","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"ways. I think, first of all, it hammered in that this was a real risk, that an","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2182.0,2190.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/454","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"undetected case coming into the health system can be a real danger to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2190.0,2196.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/455","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"everybody--the patient, the doctors, the nurses, other patients. Secondly, it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2196.0,2200.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/456","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"did underscore the fact that the current personal protective equipment","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2200.0,2204.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/457","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"recommendations from the CDC ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2204.0,2206.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/458","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nwere not quite adequate, both in the--kind of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2206.0,2210.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/459","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"amount, as well as the--you know, there was not much emphasis on the donning and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2210.0,2217.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/460","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"doffing procedures of PPE [personal protective equipment].","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2217.0,2220.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/461","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Dr. Ribner's team, in our Ebola treatment unit, they had developed their own PPE","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2220.0,2226.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/462","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"guidelines and procedure for donning and doffing that was very conservative,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2226.0,2231.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/463","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"early on, to their credit, on their own. So basically, by the time October came","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2231.0,2238.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/464","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"around, we had made that more of a system-wide policy for PPE, in these","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2238.0,2244.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/465","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"potential Ebola cases. Very strict donning and doffing procedures. Even though","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2244.0,2249.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/466","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we were not using the PAPRs [powered, air-purifying respirators] or the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2249.0,2254.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/467","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"breathing apparatus to see these rule-outs, we were using a level of PPE that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2254.0,2260.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/468","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was certainly not routine, certainly above what had initially ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2260.0,2264.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/469","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nbeen recommended","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2264.0,2265.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/470","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for CDC. That included hair bonnets, face shields, mask, shoe coverings, double","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2265.0,2271.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/471","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"gloves--and again, a very strict attention to donning and doffing procedures,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2271.0,2277.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/472","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even for these low-risk PUIs, which is what we were seeing.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2277.0,2283.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/473","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"One more thing. While this had been going into full speed, and in October, we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2283.0,2291.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/474","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"started to see fairly regular cases, whether it's just-returned travelers--and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2291.0,2296.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/475","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"as folks probably know, there's a lot of West African communities and immigrant","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2296.0,2303.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/476","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"populations in the Atlanta area. On top of Ebola, response workers--by now, this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2303.0,2310.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/477","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is full swing. There's plenty of aid organizations and public health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2310.0,2316.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/478","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"organizations like CDC, WHO, MSF, that are all responding. A lot of these folks,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2316.0,2323.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/479","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"potentially, they're passed ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2323.0,2325.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/480","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthrough Atlanta or live in Atlanta or are coming","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2325.0,2329.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/481","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through. Again, after going to those places, if they were going to get any kind","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2329.0,2335.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/482","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of illness that might have symptoms that were consistent with Ebola, they may","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2335.0,2340.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/483","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meet criteria. So ruling out folks started to become more regular.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2340.0,2344.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/484","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"At this time, though, I was beginning to really dread later in the winter","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2344.0,2350.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/485","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"because the flu season, which would typically hit at some point, somewhere in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2350.0,2355.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/486","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"November through January--I realized, if there was a bad flu season, we could","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2355.0,2360.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/487","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"potentially see a lot of cases of return travelers who really have the flu, but","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2360.0,2366.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/488","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"obviously, we had to take precautions with. That's precisely what happened,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2366.0,2370.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/489","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"around December, when we had a bad convergence of many things. First of all, a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2370.0,2376.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/490","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"bad match between the flu vaccine that season and the circulating strain, which","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2376.0,2381.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/491","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meant a lot of folks who had the ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2381.0,2384.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/492","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nflu shot still got the flu. It was not a good","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2384.0,2388.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/493","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"year for the flu shot. Secondly, the peak of the flu season seemed to hit","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2388.0,2394.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/494","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sometimes in December, and that was a popular time, of course, for folks to be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2394.0,2400.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/495","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"coming home to Atlanta after potentially working abroad. Again, the most common","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2400.0,2405.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/496","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"symptom of flu, probably high fevers, was one of your clinical criteria for a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2405.0,2410.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/497","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"person under investigation. So even before the flu season hit, I had this bad","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2410.0,2415.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/498","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"feeling that we would have a busy winter. And it certainly was the case. Our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2415.0,2421.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/499","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rule-outs increased significantly. There was probably one week where we did","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2421.0,2425.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/500","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"three in our clinic, as well as another day where I remember we did two","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2425.0,2431.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/501","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rule-outs, two patients side-by-side, on two separate rooms, with two physicians.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2431.0,2435.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/502","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"A little bit more about the procedure. The majority of the cases, we tried to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2435.0,2441.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/503","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"see in our clinic when possible. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2441.0,2443.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/504","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nThe idea was that most of these rule-outs","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2443.0,2446.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/505","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"probably were not severely ill, probably were not bleeding or throwing up or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2446.0,2451.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/506","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"having diarrhea or anything that would make it really messy. They probably would","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2451.0,2456.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/507","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"mostly have the flu or other sort of minor ailments. The idea was to spare the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2456.0,2462.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/508","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"emergency departments from having to be overwhelmed by them. Now, the emergency","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2462.0,2466.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/509","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"departments developed their own protocols. But they were still quite extensive,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2466.0,2470.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/510","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in that parts of the emergency department would have to be sectioned off. A","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2470.0,2475.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/511","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"nurse and potentially a physician would be assigned to that room and potentially","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2475.0,2480.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/512","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"be stuck in the room until the patient was determined to be cleared of Ebola. It","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2480.0,2486.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/513","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was a pretty big burden for the emergency departments at Emory, to see one of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2486.0,2491.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/514","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these rule-outs. The idea was to try to, when possible, get them into their","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2491.0,2496.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/515","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"outpatient clinic, with special precautions.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2496.0,2498.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/516","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"What we would do is we would triage any call we got about potential cases. First","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2498.0,2504.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/517","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of all, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2504.0,2505.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/518","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nanyone who sounded like they might have Ebola and--let's say if somebody","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2505.0,2509.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/519","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"said they were stuck with a needle while working in an Ebola treatment unit in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2509.0,2514.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/520","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Africa, now they have a fever. That's a case we would have--I would have picked","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2514.0,2519.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/521","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"up the phone, called Dr. Ribner or one of his colleagues and said, \"Hey, we got","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2519.0,2524.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/522","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a potential case here. This is time to open that [Serious Communicable Disease]","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2524.0,2528.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/523","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Unit up.\" Or anybody who had a really, really good story of probably--or high","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2528.0,2532.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/524","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"chance of having Ebola, we really didn't want to risk bringing them into clinic.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2532.0,2536.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/525","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Second issue, anybody with wet symptoms--that would be the bleeding, nausea,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2536.0,2539.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/526","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"vomiting, diarrhea. Even if the more likely cause was a bad case of food","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2539.0,2543.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/527","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"poisoning, because of the extra precautions with these PUIs, anybody who even","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2543.0,2547.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/528","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"just threw up or--in our clinic, or let's say, threw up on the way to clinic and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2547.0,2552.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/529","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"got it on the hallway--that would have been a big, difficult situation for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2552.0,2556.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/530","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"cleanup. Anybody with wet symptoms, we would triage to our emergency","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2556.0,2559.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/531","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"departments, because they were better equipped to deal with those sort of symptoms.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2559.0,2563.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/532","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"What ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2563.0,2563.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/533","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthat left us with was folks with relatively low suspicion of illness. By","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2563.0,2568.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/534","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the CDC's PUI criteria, these would be the lowest tier--low but not zero risk of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2568.0,2574.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/535","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola. Basically, they have some mild symptoms of illness and they had traveled,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2574.0,2579.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/536","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the preceding twenty-one days, to the Ebola-affected areas, and on top of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2579.0,2584.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/537","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that, they did not have wet symptoms. If they sounded stable on the phone, we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2584.0,2590.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/538","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"brought them into our clinic, if we could accommodate them. We weren't open on","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2590.0,2596.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/539","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"nights or weekends, obviously. Certainly, if somebody needed to be seen at those","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2596.0,2601.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/540","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"times, we would send them to the ER. But the hope was to get as many as possible","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2601.0,2608.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/541","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to the outpatient clinic. We ended up seeing quite a few. I think","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2608.0,2613.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/542","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's--depending on how--even into 2016, we've seen some--we saw an odd potential","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2613.0,2618.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/543","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rule-out for Ebola, again, very low-risk, low ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2618.0,2621.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/544","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nsuspicion. But the total number, I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2621.0,2623.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/545","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"don't have an exact count, because it's kind of a vague number. But across the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2623.0,2629.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/546","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"whole university system, maybe on the order of forty or so forty-plus persons","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2629.0,2634.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/547","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"under investigation of Ebola. A large percentage of those, on the order of half,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2634.0,2639.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/548","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"when we published a case series, were seen in our clinic, as outpatients. So we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2639.0,2645.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/549","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were happy to spare the Emergency Department some of the burden of seeing all those.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2645.0,2651.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/550","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"On the other hand, it was a real challenge for us. Seeing one of these cases,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2651.0,2657.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/551","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"again, involved a huge crew, meeting the patient in the ambulance entrance,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2657.0,2662.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/552","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"bringing up through the elevators, and bringing them to our clinic. We took","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2662.0,2667.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/553","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"extra precautions with PPE, with cleanup, everything, getting the blood drawn.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2667.0,2671.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/554","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We'd draw them inside our clinic. We did not send them to the outpatient lab.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2671.0,2677.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/555","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"And we often would hang onto them. If I was worried about malaria, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2677.0,2682.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/556","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI would keep","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2682.0,2683.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/557","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"them in clinic until I got the malaria rapid test back. Because if it were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2683.0,2688.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/558","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"positive, we would admit them. Occasionally, my suspicion was so low of anything","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2688.0,2693.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/559","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"serious, I would see them and--I should mention my colleague, Dr. Jessica","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2693.0,2697.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/560","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Fairley, in our clinic, also saw a lot of these patients. We were the two","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2697.0,2702.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/561","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"physicians in TravelWell doing this. We would send them home, basically, if we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2702.0,2707.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/562","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"had our low suspicion, and often even before initial lab tests were back, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2707.0,2712.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/563","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"again, send them home with some precaution, escorting them out--tell them to go","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2712.0,2717.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/564","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"home, self-isolate. This was all done with full coordination with health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2717.0,2721.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/565","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"department officials, so that they were aware of what we were doing, of what our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2721.0,2726.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/566","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"thoughts were clinically. They would pick up the monitoring and surveillance--or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2726.0,2730.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/567","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"watching them, keeping track of them after they left. We would also keep in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2730.0,2735.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/568","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"touch with them, would call them back the next day, kind of let them know the results.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2735.0,2741.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/569","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"The whole goal was--again, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2741.0,2742.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/570","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nfor these folks to be seen in our clinic, we knew","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2742.0,2746.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/571","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that they probably didn't have Ebola. But again, they made this criteria. The","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2746.0,2750.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/572","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"goal was to hopefully diagnose an alternative. We were very aggressive in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2750.0,2754.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/573","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"testing, looking for flu, malaria, things like that--as well as potentially","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2754.0,2758.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/574","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"treating that alternative, so giving them Tamiflu, oseltamivir. The idea was,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2758.0,2762.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/575","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the sooner we could identify an alternative and also treat it--we could make","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2762.0,2766.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/576","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these symptoms go away. Now, identifying an alternative did not necessarily rule","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2766.0,2770.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/577","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"out Ebola, because you can have two things at once. There were certainly cases","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2770.0,2775.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/578","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"described in Africa of malaria and Ebola coinfection. Certainly, we couldn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2775.0,2779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/579","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rest on that. But it certainly made us much more comfortable and the patients","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2779.0,2784.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/580","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"more comfortable, when we could tell them, \"You have the flu. It's probably just","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2784.0,2789.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/581","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"going to get better in the next day,\" or \"The Tamiflu will make it go better","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2789.0,2794.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/582","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pretty soon.\" That was the case, in the vast majority of the time. Flu was the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2794.0,2799.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/583","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"most common diagnosis. We were very aggressive in treating with antivirals like","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2799.0,2803.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/584","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Tamiflu. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2803.0,2803.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/585","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nWe were very aggressive in testing. If you had a fever, we would check,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2803.0,2808.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/586","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you know, malaria smears and blood cultures, again. And doing a level of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2808.0,2813.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/587","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"treatment and diagnosis. You know, anyone with flulike symptoms got a nasal","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2813.0,2818.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/588","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"swab, looking for flu and other respiratory pathogens--being much more","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2818.0,2822.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/589","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"aggressive than I would have done in any other setting. Usually, if you go by","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2822.0,2828.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/590","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the recommendations, an otherwise young, healthy person with a mild case of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2828.0,2833.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/591","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"flu does not need antivirals. But this was a very unique situation, you know.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2833.0,2838.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/592","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Any extra day of fever caused a lot of worry for the patient, their family, the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2838.0,2844.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/593","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"health departments. The sooner we could identify the cause, treat it, make the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2844.0,2849.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/594","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"symptoms go away, the much easier things would be for everybody. So it was a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2849.0,2855.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/595","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"very different kind of medicine than I'd ever done before, this sort of really","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2855.0,2860.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/596","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"aggressive--identify and treat something to effectively rule out Ebola.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2860.0,2863.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/597","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Actually, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2863.0,2863.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/598","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI should also mention, Ebola testing, we certainly had it available.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2863.0,2867.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/599","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Our lab in the Ebola treatment unit was doing it. And we also had our colleagues","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2867.0,2872.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/600","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in CDC, down the street, that were potentially able to test. However, the key","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2872.0,2877.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/601","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"limitation of Ebola testing was that it was widely reported that, in the first","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2877.0,2882.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/602","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"three days of illness, the PCR [polymerase chain reaction] tests could be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2882.0,2886.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/603","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"negative. Those tests were great if they were positive. You kind of knew what","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2886.0,2891.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/604","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you were dealing with. But if they were negative, they did not rule out Ebola.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2891.0,2896.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/605","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We actually tested very few folks that we had ruled out. Because most of them","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2896.0,2901.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/606","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"presented typically within twenty-four hours of their first symptom. They were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2901.0,2905.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/607","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"being monitored every day for fevers. And when the health department heard that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2905.0,2909.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/608","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they would have a fever, you know, they would be triaged or told to get","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2909.0,2914.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/609","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"evaluated and often directed to our clinic. So, both because my suspicion was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2914.0,2918.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/610","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"very low for Ebola but also because they were early in their symptom onset, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2918.0,2923.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/611","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthere was no point in testing them. And then testing them, obviously, had other","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2923.0,2927.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/612","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"limitations. It was, obviously, expensive. We would have to get the specimen","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2927.0,2931.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/613","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"over to the treatment unit. They would have to fire up their lab and call in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2931.0,2936.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/614","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"on-call lab staff. It was no small deal. And the turnaround easily could be six","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2936.0,2941.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/615","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to twelve hours to get that whole process done. There was no way we were going","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2941.0,2946.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/616","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to have somebody wait in-clinic for twelve hours to do that. On a practical","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2946.0,2950.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/617","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"level, it was not deemed practical or necessary medically to test for Ebola, in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2950.0,2954.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/618","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the vast majority of the rule-outs we did.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2954.0,2957.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/619","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"So that was the challenge, ruling out Ebola without a good test to really rule","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2957.0,2962.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/620","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it out. Basically, we had to find that alternative cause and make sure the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2962.0,2966.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/621","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patients got better. When they got better, then we could say, look, this isn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2966.0,2970.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/622","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola. Ebola doesn't get better like this.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2970.0,2972.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/623","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Right. [laughs]","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2972.0,2973.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/624","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: That was a very interesting time. And quite fortunate that, otherwise, our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2973.0,2977.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/625","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"clinic was not too busy. I think one other effect of the ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2977.0,2981.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/626","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nEbola epidemic is a lot","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2981.0,2983.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/627","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of travel dropped dramatically, particularly to Africa. Prior to Ebola, we saw a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2983.0,2988.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/628","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lot of folks going on business or safari vacations to Kenya, South Africa, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2988.0,2993.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/629","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even also, a lot of business travel to West Africa, Nigeria, Ghana. That pretty","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2993.0,2998.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/630","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"much dramatically dropped, especially to West Africa, but also to Kenya. There","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=2998.0,3003.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/631","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were a lot of misunderstandings out there, assumptions that just because Ebola","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3003.0,3008.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/632","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was in West Africa, potentially all of Africa was dangerous to travel to. So","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3008.0,3013.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/633","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really, a lot of pre-travel business dropped very dramatically. It was fortunate","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3013.0,3018.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/634","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the sense that it gave our clinic a lot more time to deal with these","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3018.0,3024.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/635","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rule-outs. Because one rule-out in our clinic really tied up a doctor, [an RN],","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3024.0,3029.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/636","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"an LPN--a [licensed practical] nurse--and one of our clinic administrators.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3029.0,3033.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/637","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Usually, it tied us up for three hours or more to deal with this, with one","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3033.0,3039.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/638","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patient. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3039.0,3039.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/639","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nIt was a very unique sort of situation.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3039.0,3043.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/640","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: At the height of it, what would you say the rate of patients were, like the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3043.0,3051.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/641","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"number of patients you saw a week?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3051.0,3054.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/642","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: At the highest point, it was three that we saw, in our clinic alone. There","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3054.0,3061.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/643","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"could have been odd ones that also popped into ERs. But for our clinic, this was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3061.0,3068.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/644","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"right in December, right around the holidays. Three. And there was a good period","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3068.0,3074.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/645","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"from late November through February, almost into March, I feel like we were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3074.0,3080.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/646","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"seeing, on average, one a week. It became very routine. Our staff became very","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3080.0,3086.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/647","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"used to it. I really should say, our staff, our travel nurses, our LPNs, our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3086.0,3093.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/648","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"administrators, they really stepped up to not only learn this procedure, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3093.0,3098.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/649","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ndo it,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3098.0,3099.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/650","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and also do it--really valiantly being careful and yet being not too concerned,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3099.0,3105.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/651","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in that we were all assured that we were taking the proper precautions and that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3105.0,3111.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/652","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these were low-risk patients to start with. Never at any point was I ever","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3111.0,3117.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/653","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"worried that we had a serious situation, a potential spread in-clinic.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3117.0,3122.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/654","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Early on, when we were figuring it out, there were times where we had to adjust","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3122.0,3129.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/655","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"our procedures because we didn't--again, we were just figuring this out on the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3129.0,3135.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/656","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fly. There was, let's say, an example where we did see a returning worker who","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3135.0,3141.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/657","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was working on the Ebola response, who came back to town. This was early on,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3141.0,3147.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/658","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"maybe around September or early October. On the phone, they sounded like they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3147.0,3153.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/659","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"don't even have the symptoms of Ebola--no fever, no nausea, no vomiting, no","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3153.0,3159.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/660","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"diarrhea, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3159.0,3159.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/661","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\njust some runny nose. And they needed a place to go. The other","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3159.0,3164.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/662","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"phenomena that was going on in time is, it didn't matter what your symptom was.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3164.0,3169.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/663","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"You could have a pimple, and yet, if you went to your doctor's office and told","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3169.0,3175.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/664","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"him, \"By the way, I just came back from Liberia,\" they would basically say,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3175.0,3180.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/665","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"Don't come,\" or \"Please leave,\" or \"Go to the ER.\" Basically, all these folks","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3180.0,3185.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/666","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"didn't even have a place to go for really minor, non-Ebola symptoms. So this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3185.0,3190.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/667","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patient, early on, called us and said, \"[I] have some mild symptoms.\" And I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3190.0,3195.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/668","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"said, \"Sure, we can see you.\" The patient came a few hours later.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3195.0,3200.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/669","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I told my staff, \"Don't worry. They traveled but they have no symptoms. So","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3200.0,3205.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/670","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there's no special precautions.\" And, of course, I sent our LPN in, as per","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3205.0,3210.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/671","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"routine. She took them in and took vital signs. She came back with the vital","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3210.0,3215.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/672","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"signs and the patient had a fever. I could tell ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3215.0,3219.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/673","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nshe was very nervous, and I got","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3219.0,3221.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/674","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"very nervous too. Because we realized this one just slipped in and caught us","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3221.0,3225.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/675","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"off-guard. Now this patient, technically, we need to do precautions on. While I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3225.0,3229.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/676","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"could put on the protective equipment, I just had a nurse who'd gone there with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3229.0,3234.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/677","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"very limited protective equipment, maybe a pair of gloves, maybe a mask, but","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3234.0,3238.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/678","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"otherwise nothing else, in a patient who meets criteria for possible Ebola. The","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3238.0,3242.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/679","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"good news is, there was always a good story for flu. And that's what the patient","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3242.0,3247.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/680","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"had. But this really was a lesson in that we really had to be careful about","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3247.0,3252.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/681","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"anyone who had traveled coming into our clinic. Even if I was confident they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3252.0,3256.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/682","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"didn't have the symptoms, I would tell them, \"You need to check your","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3256.0,3260.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/683","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"temperatures, even up to the moment you leave home, and let us know if you have","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3260.0,3265.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/684","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a fever.\" Anyone who I thought might potentially pop a fever, sounds like the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3265.0,3269.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/685","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"flu maybe, even if they don't have a fever yet, we would take the precautions","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3269.0,3274.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/686","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"just because we didn't want to get burned. If they have their first fever","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3274.0,3278.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/687","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in-clinic, that counts. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3278.0,3279.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/688","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nThe lesson was we had to be careful in advance.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3279.0,3283.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/689","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We also had some other lessons too--transportation. A lot of these patients were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3283.0,3288.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/690","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"well, and they could self-transport, drive themselves. They had the flu or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3288.0,3293.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/691","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"something fairly minor. But some folks from the community actually didn't have a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3293.0,3298.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/692","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"way of getting in. How do you--you can't exactly tell them to catch the bus or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3298.0,3304.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/693","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"an Uber or something, when we're thinking they might have Ebola. So we worked","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3304.0,3310.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/694","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with our EMS [emergency medical] services and our county health departments.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3310.0,3314.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/695","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There were times where an ambulance had to be scrambled to take somebody home.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3314.0,3320.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/696","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We had patients a couple times--and there were some really tough questions. Who","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3320.0,3325.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/697","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pays for this? We had a patient who came in essentially for a sick visit with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3325.0,3331.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/698","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the flu, to an outpatient clinic. Insurance is only going to pay so much. Who","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3331.0,3337.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/699","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"pays for the ambulance ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3337.0,3339.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/700","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ntransport? Who pays for the protective equipment? All","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3339.0,3342.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/701","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these questions came up. Answers had to be figured out. Sometimes our hospital","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3342.0,3347.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/702","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"absorbed some of the cost, sometimes the health departments covered it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3347.0,3351.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/703","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Organizations that had employees returning from response, obviously, often","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3351.0,3354.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/704","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"stepped up to cover the costs. But there was no answer to this, before this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3354.0,3360.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/705","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"happened. We'd never dealt with this before. Our healthcare system was not","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3360.0,3364.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/706","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"prepared to deal with this, at any level.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3364.0,3367.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/707","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Here's another simple sort of dilemma. I see somebody, and I say, \"You probably","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3367.0,3372.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/708","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have the flu. You need to start Tamiflu.\" Problem is they need to go home and be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3372.0,3378.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/709","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"self-isolated. I can't exactly send them to CVS [Pharmacy] to pick up the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3378.0,3383.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/710","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"prescription. [laughter] So there were situations where, sure, they had a family","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3383.0,3387.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/711","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"member that could do it. But there were other times where they lived alone, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3387.0,3393.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/712","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they could get themselves home, but how are they going to get the prescription?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3393.0,3398.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/713","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We ended ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3398.0,3399.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/714","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nup just sending our administrator or nurse upstairs, to the pharmacy","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3399.0,3403.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/715","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"upstairs, to get the prescriptions for them. Who would pay for it? We didn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3403.0,3408.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/716","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even know. In the beginning, I actually paid for the meds [medications] for some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3408.0,3413.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/717","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of these patients. I think our health system offered to reimburse me, but I'd","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3413.0,3418.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/718","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"probably lost most of the receipts by then. We just had to make it up on the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3418.0,3424.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/719","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fly. We'd never dealt with this before, a situation where we couldn't even send","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3424.0,3429.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/720","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"somebody to pick--an outpatient couldn't even go pick up his meds. As we went","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3429.0,3434.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/721","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"along, we eventually developed a billing account with the pharmacy, so we could","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3434.0,3439.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/722","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"find a way to pay for the meds. But again, this all was figured out on the fly.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3439.0,3446.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/723","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Other odd things--the protective equipment we wore, we did not have the PAPR or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3446.0,3451.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/724","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the respirator. We just had the [face] shield. And the shields would fog up very","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3451.0,3457.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/725","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"quickly, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3457.0,3457.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/726","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nto the point that you could barely see anything. This was a challenge.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3457.0,3462.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/727","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"As a physician, I always had to try to examine these patients and look for a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3462.0,3468.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/728","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sore throat, look for strep throat [streptococcal pharyngitis]. On the other","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3468.0,3472.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/729","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"hand, our nurses had the tougher job. They had to draw blood in-clinic. To do","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3472.0,3477.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/730","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"this, when you have a fogged-up shield, literally dripping with condensation,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3477.0,3481.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/731","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"this is not only a challenge. It's potentially dangerous. We tried numerous","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3481.0,3485.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/732","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"things. I took one snorkeling trick from my childhood and smeared toothpaste","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3485.0,3489.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/733","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"inside of our masks, to see if that would work. Sometimes we used to do it, as a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3489.0,3495.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/734","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"way to keep your mask from fogging. I actually sent one of our staff upstairs to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3495.0,3501.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/735","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"buy toothpaste from the pharmacy to do this. I realized it actually does work,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3501.0,3506.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/736","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"but the cost is that the mask is kind of fogged from the toothpaste, in itself.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3506.0,3512.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/737","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[laughter] So it's kind of the middle ground. It's not as bad as it dripping","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3512.0,3517.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/738","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with condensation, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3517.0,3518.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/739","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nbut it was still not ideal. I knew there were special sprays","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3518.0,3522.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/740","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you could buy, and potentially, anti-fog masks that were available. Certainly,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3522.0,3526.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/741","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we did put the requests out to get those. In all honestly, I never saw them.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3526.0,3531.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/742","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"[laughs] They never came down. So this was the strategy. I knew that certain","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3531.0,3536.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/743","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"weather conditions, certain temperatures outside and relative humidities meant","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3536.0,3539.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/744","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that we were almost going to fog up fast. In those situations, sometimes I did","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3539.0,3544.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/745","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the toothpaste. Sometimes, we just decided the goal is, we move quickly. We get","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3544.0,3549.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/746","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"upstairs an--in fact, before I even do all my talking and everything, we get","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3549.0,3554.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/747","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that blood. Because I already know we're going to draw blood, blood cultures,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3554.0,3558.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/748","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"malaria smear, basic tests. Our nurse knew to get, right away, just drawing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3558.0,3562.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/749","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"blood, even sometimes before doing routine vital signs. Again, this is not","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3562.0,3566.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/750","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"routine. This is almost unthinkable in any other situation. But this was the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3566.0,3570.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/751","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"goal, to rush, to do things that require good vision before we couldn't see","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3570.0,3575.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/752","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"anymore. Other times, when it was very ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3575.0,3577.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/753","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\ndry, it was a safe bet that the fog","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3577.0,3580.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/754","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"wouldn't happen or it wouldn't get too bad. But we just learned that this was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3580.0,3585.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/755","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"our strategy. Sure, next time around, we probably should get the special","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3585.0,3589.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/756","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"equipment, to really not have to worry about it. But just an example of one of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3589.0,3595.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/757","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the things we had to deal with.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3595.0,3598.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/758","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We also had another unexpected challenge in our freight elevator. This was an","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3598.0,3603.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/759","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"elevator separate from the regular ones that patients and doctors and staff","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3603.0,3607.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/760","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"typically use to get up and down. We're on the seventh floor of a medical office","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3607.0,3613.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/761","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"tower, Emory Midtown. It is a crowded building. The elevator, on a good day, is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3613.0,3618.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/762","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"packed. So there's no way we're going to take a high-risk patient in the regular","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3618.0,3623.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/763","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"elevator. A part of our routine was we would meet the patient in the ambulance","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3623.0,3628.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/764","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"entrance, with the security detail. Security was also trained to put on some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3628.0,3633.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/765","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"protective equipment. We would get escorted through ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3633.0,3636.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/766","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthe--you know, in the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3636.0,3637.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/767","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"basement level of the hospital, and go to this elevator. Security would clear","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3637.0,3641.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/768","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the way. The elevator would be called and if somebody was in the elevator, the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3641.0,3646.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/769","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"security would tell them to get out, and we would get in there. It turns out","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3646.0,3651.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/770","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that elevator is quite busy too. There were days where we waited five to ten","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3651.0,3656.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/771","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"minutes for the elevator, and when we did see it, it was packed. These folks","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3656.0,3661.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/772","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would be alarmed when they come out to see this team in protective","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3661.0,3665.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/773","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"equipment--and told by the security officer to clear the way and take a quick","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3665.0,3669.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/774","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"exit to the right. Certainly, there were plenty of awkward moments, where both","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3669.0,3673.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/775","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"staff as well as patients saw the team traveling, that caused small alarm. But I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3673.0,3678.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/776","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would tell our patients, reassure them, \"Don't worry about all this, this big","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3678.0,3682.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/777","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"parade. It's all per routine.\" And especially if they were Ebola response","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3682.0,3686.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/778","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"workers, they were used to the routine. Because they'd dealt with all the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3686.0,3690.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/779","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"special protective equipment while they were in Africa and all the way back","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3690.0,3694.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/780","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"home, all the requirements. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3694.0,3695.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/781","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI told them, \"This is a special elevator. There are","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3695.0,3698.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/782","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"three folks who routinely--patients who use this elevator. All the regular","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3698.0,3702.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/783","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patients go through our elevator, the main elevator. But our Ebola rule-outs use","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3702.0,3706.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/784","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it, our VIPs [very important people]--folks, say--if you were ultra-famous and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3706.0,3710.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/785","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you would have a commotion if you just kind of walked through our lobby, you'd","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3710.0,3715.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/786","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"get escorted through this elevator. Finally, the convicts, the folks who are","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3715.0,3719.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/787","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"being brought in the chains and everything. That was actually quite frequent. We","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3719.0,3723.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/788","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"once, during a drill, were going into the elevator and it opened up and there is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3723.0,3728.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/789","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a guy there in chains, with police officers. All these things were the things we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3728.0,3733.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/790","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"had to think of, doing this.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3733.0,3735.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/791","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There was another time we exited the elevator, came back on our clinic floor and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3735.0,3740.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/792","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"came through the lobby. We were doing a relatively light rule-out. This one","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3740.0,3744.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/793","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"arrived late, and we were going to see them in our clinic at about five o'clock.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3744.0,3749.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/794","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I thought, okay, perfect. Everything's going to be empty. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3749.0,3752.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/795","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nAnd again, there is no","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3752.0,3754.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/796","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"way to be totally invisible. Even though we took this back elevator and went","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3754.0,3759.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/797","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through these ways, we still had to pass through, unfortunately, our main clinic","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3759.0,3764.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/798","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lobby. During the daytime, sometimes there would be some alarmed patients. But","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3764.0,3769.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/799","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"our staff knew well--warn folks, \"Don't be alarmed. We're just taking extra","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3769.0,3774.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/800","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"precautions.\" That didn't stop some patients from getting alarmed and getting a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3774.0,3779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/801","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"little, occasionally, dramatic. [laughter] But this time, after hours, at five","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3779.0,3783.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/802","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"o'clock, I thought, okay. No problem. It's going to be empty. But, of course, we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3783.0,3789.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/803","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"actually share that clinic waiting area with the bariatrics clinic that is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3789.0,3794.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/804","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"across the hall from the infectious disease clinic. It turns out, that day at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3794.0,3799.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/805","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"five o'clock, they have a group session with folks who may undergo bariatric","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3799.0,3804.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/806","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"surgery. There was this large group session going on, and we literally passed","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3804.0,3809.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/807","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through with all this protective equipment. They undoubtedly had a few alarmed ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3809.0,3814.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/808","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nlooks on their faces.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3814.0,3816.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/809","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But that was the reality. There was no clean way to do this. First and foremost,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3816.0,3823.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/810","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"our main goal was obviously safety of everyone. But sometimes we had--it was not","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3823.0,3829.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/811","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"necessarily possible to avoid these awkward situations, where we would be seen.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3829.0,3834.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/812","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It did lead to some problems. We did have staff, both who work downstairs near","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3834.0,3840.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/813","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the entry point, as well as clinic staff on our floor, who complained that this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3840.0,3846.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/814","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was--\"Is it safe? Should we doing this? Shouldn't all these folks be going to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3846.0,3852.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/815","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the Ebola unit?\" There was even an--I don't know where it came from, but there","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3852.0,3858.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/816","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was an accusation that we were seeing folks like Ebola patients and not telling","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3858.0,3864.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/817","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"folks, as if there were more Ebola cases than--this goes back to the paranoia","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3864.0,3870.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/818","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that hit Atlanta and the country, when we first accepted our first Ebola ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3870.0,3875.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/819","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\npatient. \"Why are you bringing those folks in? You're bringing dangerous","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3875.0,3879.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/820","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infection to our community.\" I think that led to a little bit of paranoia that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3879.0,3884.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/821","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"what we were doing was secretly seeing Ebola patients and not telling people.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3884.0,3888.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/822","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There was things like that we dealt with.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3888.0,3891.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/823","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Was that visitors or staff who were considering--","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3891.0,3894.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/824","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Far as I know, that was staff. I heard that those thoughts came in. In fact,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3894.0,3900.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/825","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we had a totally unauthorized group from within Emory poke their heads in and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3900.0,3905.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/826","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"say--what I mean by \"unauthorized\" is that they were in an infection control","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3905.0,3909.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/827","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"group but did not even have jurisdiction over our clinic. But they heard some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3909.0,3914.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/828","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"rumors and decided to come poke their heads in, and then came to ask what we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3914.0,3919.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/829","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were doing, basically. At that point, we already had the full support of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3919.0,3924.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/830","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"administration and [the Emory Healthcare Department of Infection Prevention and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3924.0,3927.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/831","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Control]. There was nothing covert about this. But it also was a lesson that we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3927.0,3932.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/832","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really had to get the word out, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3932.0,3934.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/833","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nassure folks, this is well thought out, we're","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3934.0,3937.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/834","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"doing the best we can, and the protection of everyone is our foremost concern.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3937.0,3942.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/835","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We developed something called the Code Buddy. I'll tell you where that term","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3942.0,3946.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/836","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"buddy\" comes from. Part of the procedure that our Ebola team and the treatment","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3946.0,3951.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/837","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"unit set up was that you had the nurse or the doctor that was in the room taking","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3951.0,3957.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/838","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"care of the patient, but they always needed somebody on the outside, watching","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3957.0,3961.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/839","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"things. \"There was a spill there. Did you see that?\" Or, \"Watch out. You just","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3961.0,3966.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/840","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"touched yourself on your face,\" or something. And on top of that, to help call","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3966.0,3971.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/841","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for an extra tube of--a blood-drawing tube or something. You needed that extra","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3971.0,3975.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/842","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"help, that extra hands there. Because when you're in there, you can't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3975.0,3979.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/843","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really--we're not really free to do everything. We developed that procedure,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3979.0,3983.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/844","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"adapted to our clinic, where we had somebody sitting outside the clinic door at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3983.0,3988.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/845","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"all times. That was usually our LPN. She was very good at it. Her job was to sit","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3988.0,3994.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/846","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"right there, door open, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3994.0,3995.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/847","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nwhile we worked on the patient, and make sure we did","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3995.0,3999.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/848","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"everything right, and would point us out with anything. She would help hand us","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=3999.0,4004.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/849","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"equipment and things like that. She was known as \"the buddy.\" That became kind","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4004.0,4009.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/850","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the code word. Whenever we activated our procedure to see a patient, our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4009.0,4014.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/851","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"administrators knew to call a Code Buddy, where they would basically go around","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4014.0,4019.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/852","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the whole floor, to the other clinics on our floor, and tell them, \"We have a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4019.0,4025.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/853","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Code Buddy.\" What that meant was, don't be alarmed. There will be a high-risk","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4025.0,4030.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/854","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patient passing through.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4030.0,4031.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/855","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We did this because the very first time we were practicing this procedure, there","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4031.0,4036.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/856","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was concern from other clinics in our floor, physicians and nurses, that again,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4036.0,4041.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/857","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"Is it safe? Are you putting us or our patients at risk?\" And again, we were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4041.0,4047.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/858","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"able to assure them, yes. We certainly took their concerns into account too, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4047.0,4052.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/859","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"found a space that was separate from our original clinic room ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4052.0,4056.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/860","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthat was even more","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4056.0,4058.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/861","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"isolated and separate from the other clinics, to really minimize visibility and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4058.0,4063.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/862","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"contact. And then, on top of that, developed the Code Buddy system, alarm","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4063.0,4068.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/863","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"system, so that they would be expecting it and be prepared to tell patients,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4068.0,4074.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/864","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"Don't worry about that,\" and know what to tell them. That turned out to be very","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4074.0,4081.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/865","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"important, obviously, just to reassure everybody, and in the end, just make it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4081.0,4086.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/866","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"routine. At the time, we accepted this as just--accept this. This is the new","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4086.0,4092.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/867","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"normal. Until Ebola goes away, this will be normal.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4092.0,4096.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/868","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Since then, that mentality goes on. Even though the Ebola epidemic hasn't had a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4096.0,4102.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/869","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"flare-up for a while, MERS has been a problem, 2015, the large MERS outbreak in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4102.0,4108.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/870","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"South Korea, in healthcare settings. We are applying the same sort of procedures","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4108.0,4113.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/871","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and things, screening, across our health system, to that. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4113.0,4117.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/872","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nWe have to face the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4117.0,4119.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/873","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"fact this is our new normal, that there is always going to be something out","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4119.0,4125.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/874","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there that is going to take a little bit more precautions to protect ourselves,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4125.0,4131.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/875","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patients and everything. Before Ebola, this was never, ever even thought of.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4131.0,4136.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/876","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Even though, yes, we had a problem with SARS, and MERS had existed, the reality","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4136.0,4142.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/877","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was that the US, we got lucky with SARS. We never had a big problem, like Canada","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4142.0,4149.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/878","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"did. That mentality that thought that this could be a routine thing never","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4149.0,4154.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/879","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"settled in. After Ebola, I think the lesson is that this is really a critical","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4154.0,4160.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/880","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"area of preparation. Again, MERS is not going away. We have seen rule-out MERS,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4160.0,4166.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/881","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in the last year, particularly after large migrations to the Middle East, like","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4166.0,4171.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/882","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the Hajj pilgrimage. And folks who have come directly, from--after ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4171.0,4175.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/883","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n traveling,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4175.0,4175.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/884","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's a new aspect of healthcare, not just infectious diseases or travel","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4175.0,4179.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/885","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"medicine, but emergency medicine, infection control, that we have to be prepared","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4179.0,4183.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/886","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"for infections that are not only dangerous to the patient. We were always aware","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4183.0,4188.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/887","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of things like malaria or meningitis that could kill a patient very quickly. But","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4188.0,4193.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/888","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"now, these are things that can be disastrous to staff and other patients. So it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4193.0,4198.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/889","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really is a new dimension in this, and that we are, to this day, still figuring out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4198.0,4204.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/890","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Again, a lot of big questions. Who pays for it? Who pays for all this training?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4204.0,4210.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/891","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"To do these procedures takes a lot of training and practice. Is it better for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4210.0,4215.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/892","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"everyone to be prepared, or for there to be a few centers that can do this? I'll","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4215.0,4221.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/893","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"give our state of Georgia a lot of credit. They've really been on the forefront","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4221.0,4226.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/894","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of state preparations. From early on, they developed a lot of procedures for how","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4226.0,4231.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/895","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to transport a patient ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4231.0,4232.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/896","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nacross the state, to get them to the Ebola assessment","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4232.0,4236.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/897","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"centers and the Ebola treatment units. This took a lot of planning and figuring","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4236.0,4241.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/898","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"out, on the fly. But I think our state, as well as CDC, has really done a great","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4241.0,4248.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/899","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"job with Emory to take care of a lot of folks in the state.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4248.0,4253.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/900","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: So I have the question, who does pay for all of this? Is it the state? Or who is--","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4253.0,4261.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/901","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I think the best answer is all of the above. I'll be the first to admit that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4261.0,4268.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/902","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'm a little ignorant of a lot of the details, in terms of who's paying for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4268.0,4274.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/903","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"what. As a physician, it's easy to not even think of that. But when it comes to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4274.0,4281.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/904","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"things like transporting patients across counties and things like that, the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4281.0,4285.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/905","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"state certainly has stepped in, covered it. CDC obviously plays a large role in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4285.0,4290.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/906","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"terms of their ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4290.0,4291.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/907","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nquarantine officers in the airports. CDC has always also had a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4291.0,4295.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/908","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"contract with Emory. Now this is actually a--the contract that originally led to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4295.0,4300.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/909","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the building of our treatment unit, long ago. Long before I came to Emory, that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4300.0,4306.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/910","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"treatment unit was there. They weren't expecting Ebola. They were expecting, I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4306.0,4311.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/911","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"think, more like a smallpox accident in the lab and somebody needed to be taken","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4311.0,4317.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/912","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"across the street to get care. And that contract still has--if anything, has","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4317.0,4322.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/913","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"been expanded since the Ebola epidemic. Because again, if CDC staff members are","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4322.0,4327.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/914","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sick, they need a way to get properly cared for. And obviously, there have to be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4327.0,4333.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/915","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"assurances that somebody would pay for it, so that somebody wouldn't be turned","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4333.0,4338.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/916","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"away, or there may be big questions about the bill afterwards. Again, the goal","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4338.0,4343.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/917","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is to take care of those folks.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4343.0,4346.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/918","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"At the end of the day, I think Emory has really absorbed a lot of costs, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4346.0,4352.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/919","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n whether","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4352.0,4352.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/920","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's really small things like the PPE that we use, the little costs here and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4352.0,4358.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/921","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"there, or the money out of my pocket to go for those--you know, Tamiflu. A lot","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4358.0,4365.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/922","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the time, even though the clinic was slow, we did occasionally cancel visits.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4365.0,4371.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/923","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We might have lost business. We took a risk. We knew that financially we may","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4371.0,4377.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/924","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"take a hit. But we just knew it was the right thing to do. I think, at the end","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4377.0,4385.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/925","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of the day, our emergency departments are way too busy to deal with the greater","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4385.0,4391.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/926","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"loss that would have happened, had all these folks gone to the ER--and a lot","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4391.0,4397.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/927","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"more of a financial--as well as a danger to the community, in terms of patient","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4397.0,4403.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/928","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"care, if all this had gone to the ER. I think it's--yeah. I don't even know if","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4403.0,4410.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/929","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"all the accounting's ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4410.0,4411.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/930","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nbeen done yet. But I do think the costs were absorbed","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4411.0,4415.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/931","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"across the board. Certainly, I'm glad the outbreak is over, for many reasons,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4415.0,4419.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/932","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"one of which is financial reasons.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4419.0,4421.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/933","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I do think it's part of this new medicine I'm describing, of being prepared for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4421.0,4426.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/934","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these things. It's not just the preparation and the protective equipment. It's","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4426.0,4430.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/935","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"also figuring out who pays for it, at the end of the day, too. Because at the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4430.0,4436.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/936","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"end of the day, you want to do the right thing. But you certainly don't want a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4436.0,4442.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/937","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patient or a health system to get penalized with a huge bill, just because","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4442.0,4447.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/938","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"somebody was doing the right thing and going to respond to an outbreak, and then","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4447.0,4452.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/939","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"coming home and getting a huge bill. Or a hospital stepping up and saying, yes,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4452.0,4457.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/940","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we'll take care of these patients because nobody else will. I certainly do agree","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4457.0,4462.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/941","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that it is better for certain centers to have more specialized levels of care.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4462.0,4467.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/942","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That goes back to the CDC's model of treatment units, assessment centers,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4467.0,4471.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/943","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"first-line providers. But if ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4471.0,4472.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/944","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nfolks are going to step up and do the right thing,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4472.0,4476.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/945","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we also have to assure folks that they're not going to go into the red, or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4476.0,4482.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/946","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"further into the red, by doing it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4482.0,4485.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/947","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I appreciate the description of this kind of new field, or emphasis on","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4485.0,4491.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/948","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"emergency medicine, that part of it--so much of what you're doing is not just","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4491.0,4497.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/949","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"preparing for the physical realities of what might happen, how a disease might","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4497.0,4502.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/950","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"spread, but also dealing with the social aspect of it. Much of the reason that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4502.0,4508.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/951","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"someone has to come up in a freight elevator--part of it is isolation, but part","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4508.0,4514.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/952","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of it is also so that nobody freaks out unnecessarily.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4514.0,4518.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/953","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Yeah, that is a really good point. I'll tell you another interesting thing.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4518.0,4524.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/954","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"If you recall, the first Ebola patient that came to Atlanta, that was a media","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4524.0,4530.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/955","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"circus. I didn't even come to Clifton Road. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4530.0,4533.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/956","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nWe're based in Midtown, and I didn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4533.0,4536.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/957","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even bother coming to this part of town because of the rows of reporters and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4536.0,4542.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/958","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"everything. That level of scrutiny and attention really did not die down,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4542.0,4547.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/959","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through most of the epidemic. It was clear that reporters scan the EMS--sort of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4547.0,4553.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/960","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"radio waves. There was one PUI I saw in the ER who had been triaged directly","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4553.0,4560.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/961","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"from the airport, I think identified post-travel with symptoms, appropriately","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4560.0,4564.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/962","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"transported over. And somehow the media got a hold of the--the report said a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4564.0,4570.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/963","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"possible Ebola patient was headed to Midtown. I literally was seeing this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4570.0,4575.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/964","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"patient, and on the TV above us was a live feed from a helicopter above us, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4575.0,4582.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/965","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"a reporter outside. Basically, they chased the ambulance all the way to the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4582.0,4587.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/966","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"hospital. Fortunately, the patient thought it was all amusing. But it was ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4587.0,4592.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/967","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4592.0,4593.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/968","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"little hectic, in that sense.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4593.0,4596.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/969","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I do think there was a lesson at some point after that, or at some point, to be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4596.0,4605.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/970","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"using nonpublic channels for these sort of communications. The unnecessary media","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4605.0,4611.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/971","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"concern, it leads to a lot of excess, unnecessary alarm. We weren't doing this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4611.0,4618.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/972","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in secret, but at the same time, there was no need for every patient to become a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4618.0,4627.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/973","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"spectacle--especially because these were all low-risk patients.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4627.0,4631.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/974","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I should make it clear. In all of our rule-outs, nobody had Ebola. Again, all","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4631.0,4639.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/975","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the cases of Ebola in the US were the ones that we knew about, except for that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4639.0,4648.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/976","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"case in Dallas, and that were highly publicized and managed. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4648.0,4653.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/977","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nBut the good news","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4653.0,4655.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/978","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"is our screening and precaution systems were never really challenged with a real","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4655.0,4661.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/979","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"case, which we're quite thankful for. But I am confident that even had there","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4661.0,4667.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/980","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"been a real case, I don't think there would have been any secondary cases among","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4667.0,4674.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/981","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"our staff members or the community. I think the precautions we took were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4674.0,4680.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/982","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"adequate. But you're right. That social aspect, the public aspect of it, it was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4680.0,4686.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/983","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"very new. It was a challenge--again, not just for other patients, but even our colleagues.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4686.0,4693.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/984","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: When somebody from the public, when somebody visiting the clinic or whoever,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4693.0,4699.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/985","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"had let's say an adverse reaction to seeing somebody in lots of PPE, what form","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4699.0,4706.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/986","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would that take? Are they demanding answers, or do they just have this look on","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4706.0,4713.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/987","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"their face?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4713.0,4714.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/988","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4714.0,4714.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/989","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nMostly just the look on their face. The good news is, there weren't any","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4714.0,4719.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/990","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"major sort of--disastrous PR [public relations] or--you know, nobody fainted.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4719.0,4723.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/991","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Nobody had a panic attack. More than a few folks had to be reassured by our","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4723.0,4729.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/992","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"staff. \"Oh, don't worry.\" We did a lot of drills to practice this. And even with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4729.0,4735.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/993","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"drills, people get alarmed. Even if we said, \"This is a drill.\" I got the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4735.0,4741.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/994","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"feeling that, over time, even if patients had never seen it before, by the time","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4741.0,4747.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/995","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we got later in the epidemic, I think they were just so used to the fact that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4747.0,4754.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/996","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"this sort of stuff was happening, that there's Ebola out there, everyone's being","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4754.0,4759.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/997","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"extra careful, that it was much easier for our staff to reassure folks. After","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4759.0,4764.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/998","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"what happened in Dallas, we would just tell them, \"We are just being extra","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4764.0,4769.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/999","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"careful with anybody. It is not any reason to be alarmed. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4769.0,4773.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1000","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nIn fact, you should be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4773.0,4775.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1001","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"reassured that we are doing this because this is what's protecting you.\"","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4775.0,4779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1002","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"That was the irony to all this. I think, on one hand, a lot of patients canceled","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4779.0,4785.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1003","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"appointments to Emory because we were the Ebola hospital, now--they would even","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4785.0,4789.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1004","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"cancel appointments to Midtown campus, even though we're not even the same","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4789.0,4793.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1005","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"campus where they were taking care of the Ebola patients. And yet the irony was,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4793.0,4798.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1006","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we were the most prepared to deal with an odd case were it to slip through the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4798.0,4804.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1007","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"ER or the clinic. If anything, other clinics were definitely not doing what we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4804.0,4809.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1008","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were doing in terms of screening folks. We certainly got transferred folks from","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4809.0,4813.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1009","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"other clinics, where literally, the patient made it all the way back, with no","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4813.0,4818.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1010","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"precautions, and by the time the doctor or nurse got the history, \"Oh! This","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4818.0,4823.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1011","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"person just traveled to the Ebola area. Oh no. And he has a fever now. What do","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4823.0,4829.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1012","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we do?\" And now this patient's already gone through the waiting room, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4829.0,4833.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1013","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthe triage","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4833.0,4834.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1014","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"area. Obviously, with our precautions in place, we were probably one of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4834.0,4839.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1015","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"safest hospitals out there during the period, because we were watching out for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4839.0,4844.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1016","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these things. I think that's the irony of it.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4844.0,4847.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1017","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I think some of that extended into our screening procedures, which we do to this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4847.0,4852.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1018","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"day to look for patients who might have MERS. If you make an appointment at","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4852.0,4857.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1019","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Emory clinics or go to our ER right now, you'll get asked--when you're admitted,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4857.0,4862.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1020","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"asked if you've been to a country where there's MERS activity and if you have","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4862.0,4867.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1021","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"symptoms. If there's a positive screen, then that immediately goes up a channel","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4867.0,4872.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1022","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"through the Department of Infection Prevention and Control and often ultimately","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4872.0,4876.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1023","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to me, where I collect some information and go over the CDC criteria and say,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4876.0,4881.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1024","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\"Okay. You do not make criteria. Sorry for the inconvenience. We're just being","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4881.0,4886.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1025","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"extra careful here,\" or occasionally, \"Yes, you do meet criteria. We have to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4886.0,4891.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1026","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"take some special precautions,\" and ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4891.0,4893.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1027","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nactually, sometimes have had to transport","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4893.0,4895.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1028","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"folks to our ER so we can do a MERS evaluation. That's the new normal. It is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4895.0,4902.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1029","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"important, though, that we not go overboard, and that the idea is to screen","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4902.0,4908.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1030","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"folks with these things that potentially are an immediate danger to the patient,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4908.0,4913.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1031","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to the doctors--physicians and their patients.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4913.0,4915.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1032","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Zika's been the disease of the year this year. Certainly, a lot of valid","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4915.0,4921.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1033","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"concerns, from both physicians, the public, and the CDC, on this disease. We are","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4921.0,4927.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1034","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"often asked at our meetings, \"Should we be screening for Zika? Should we be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4927.0,4933.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1035","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"asking, 'Have you been to a Zika-affected area?'\" And we haven't. I am, in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4933.0,4939.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1036","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"particular, of the opinion that while it's of major medical and public health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4939.0,4944.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1037","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"importance, somebody with Zika in the ER is not going to be passing it to the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4944.0,4950.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1038","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"whole ER. We don't have mosquitos flying around. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4950.0,4953.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1039","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\n[laughter] Which is standard","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4953.0,4955.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1040","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"precautions. It's not going to be the epidemic that MERS or Ebola could be. That","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4955.0,4962.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1041","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"said, doctors should be asking about it. It's important to identify the cases.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4962.0,4968.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1042","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But in terms of that first-line triage, before you come to the door, \"Have you","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4968.0,4975.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1043","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"been to this area?\" I think that's not the right thing for Zika.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4975.0,4981.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1044","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Another question I have. It sounded like you were saying that returning","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4981.0,4987.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1045","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"responders and people at risk would have a difficult time finding basic medical","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4987.0,4993.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1046","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"care elsewhere, besides your clinic. So your clinic, in a way, was a refuge for","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=4993.0,5000.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1047","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"some care for these individuals. Is that an accurate characterization?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5000.0,5005.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1048","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: That is. There was even a case where somebody--actually, ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5005.0,5010.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1049","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nit was not even an","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5010.0,5013.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1050","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infectious illness. Somebody, if I recall, needed a refill on some psychiatric","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5013.0,5019.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1051","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"medications and was unable to even get through the door of their regular clinic.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5019.0,5026.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1052","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"There were odd situations like that, that I'd never dealt with before. Or there","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5026.0,5033.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1053","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were times where the health department called us and said, \"Hey, this person is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5033.0,5040.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1054","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"under that twenty-one-day monitoring quarantine. They have some basic","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5040.0,5045.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1055","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"complaints, not Ebola symptoms.\" But again, there's nowhere--where else can you","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5045.0,5051.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1056","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"go? But they just need an urgent-care clinic, and we're basically the only place","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5051.0,5058.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1057","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that would say, \"Sure. We'll see them,\" and not be alarmed by it. Again, this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5058.0,5066.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1058","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was all so new, I wouldn't expect any urgent-care ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5066.0,5071.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1059","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nclinic or an ER to be prepared.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5071.0,5073.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1060","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"We wrote an editorial in the Annals of Internal Medicine saying that ambulatory","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5073.0,5077.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1061","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"care centers should start thinking of these things. The purpose of that wasn't","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5077.0,5081.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1062","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to say everybody should train to put on suits and be prepared to [treat for]","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5081.0,5086.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1063","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola. I think our main issue was, everyone should be able to screen and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5086.0,5091.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1064","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"identify somebody and have a plan of what to do, whether it's call the health","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5091.0,5096.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1065","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"department, transport them to an assessment center--or if they are equipped to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5096.0,5100.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1066","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"evaluate somebody, sure, get that in place. But the idea is to be prepared and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5100.0,5105.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1067","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"not be the clinic that is caught off-guard, because you have somebody in-clinic","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5105.0,5109.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1068","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"who might meet criteria.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5109.0,5110.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1069","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"But it is true. Again, even folks who didn't meet criteria had trouble seeing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5110.0,5115.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1070","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"their doctors. We had calls from concerned clinics about patients who had not","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5115.0,5119.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1071","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even gone to Ebola areas, but they were in Africa. Often, you get folks who kind","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5119.0,5124.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1072","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of assume that the whole continent is a potential risk--again, part of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5124.0,5128.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1073","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"alarm. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5128.0,5128.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1074","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nA number of times, we saw folks who had no symptoms of illness, and they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5128.0,5134.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1075","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"required a letter from a doctor saying that it was okay for them to go back to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5134.0,5141.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1076","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"work. Some of them had gone on Ebola response. Some of them were actually not on","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5141.0,5147.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1077","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"response, but they had family members who went on response. And somehow, word","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5147.0,5152.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1078","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"got out to their employers, whether it was the school district or company, that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5152.0,5157.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1079","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they had a family member who had been to an Ebola area. And they were told they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5157.0,5164.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1080","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"couldn't come back to work until they got cleared. We actually saw a handful of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5164.0,5170.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1081","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"folks who came to clinic to get a letter signed by me, essentially saying, they","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5170.0,5176.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1082","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meet no criteria whatsoever of a person under investigation. Their activities","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5176.0,5180.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1083","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"are not restricted whatsoever. We did a handful of those, something that was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5180.0,5185.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1084","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"almost unthinkable before Ebola but became somewhat routine.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5185.0,5188.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1085","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5188.0,5188.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1086","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nDid you ever have patients coming in who were themselves concerned, they're","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5188.0,5193.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1087","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"undergoing, like, flu symptoms? And if so, what was it like talking with them?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5193.0,5199.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1088","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: I would say most of them were a little nervous, as I'm sure I would be,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5199.0,5206.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1089","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"coming back with a fever after going to a place like that. Most of them took it","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5206.0,5213.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1090","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"quite well and understood the situation, especially if--a lot of them were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5213.0,5218.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1091","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"responders, and so did have either medical or public health backgrounds, and","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5218.0,5223.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1092","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"kind of knew the drill, and understood, we just have to take these precautions,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5223.0,5229.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1093","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"even if it's unlikely Ebola. I'd say most of them were quite fine about it. They","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5229.0,5236.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1094","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"were always very relieved when I called them up and said, \"Hey, the flu test was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5236.0,5243.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1095","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"positive. I think this is probably all it's going to be.\" ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5243.0,5248.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1096","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nSome of them actually","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5248.0,5250.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1097","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"thought it was--got a kick out of it. I've had PUIs take selfies with me while I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5250.0,5260.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1098","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was in PPE and things like that. [laughter] I saw folks that I had known from","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5260.0,5270.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1099","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"other parts of my career in our clinic. It was a very interesting experience.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5270.0,5278.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1100","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: I appreciated when you talked about wanting to highlight the work of your","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5278.0,5286.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"staff at the clinic, nurses and administrative staff, etcetera, and their role","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5286.0,5293.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"in everything. Are there any interactions that stand out to you, when you look","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5293.0,5301.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"back, or anything you'd like to highlight?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5301.0,5305.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5305.0,5306.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nI think, in the end, I really have to give a lot of credit to our--a couple","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5306.0,5312.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"levels--our hospital administration. I have to say, early on, I went to some","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5312.0,5317.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"meetings, and when I discussed some of these early cases, PUIs, \"What do we do?\"","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5317.0,5323.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It was frustrating. I felt like they didn't always get it. And why would they?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5323.0,5329.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1109","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"This was so novel. And on top of that, they saw the media circus that happened","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5329.0,5335.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1110","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with those first cases. One of my early frustrations was, oh, my gosh. They're","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5335.0,5340.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1111","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"more worried about a media circus than they are about just getting this patient","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5340.0,5345.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1112","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the care they need. And again, it wasn't the case. Me, as a physician, I'm just","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5345.0,5351.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1113","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"thinking, \"How do I get this patient from point A to point B, get their malaria","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5351.0,5357.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1114","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"treated? I can't believe somebody even brought up media issues during this","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5357.0,5362.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1115","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"discussion.\" It just took a lot of figuring out on the fly. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5362.0,5367.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1116","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nBut once we got a","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5367.0,5370.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1117","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"better feel of it, top down, medical officers and department chairs--full","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5370.0,5377.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1118","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"support, taking into full consideration every aspect of the care.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5377.0,5383.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1119","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Our interactions with the state health department were extremely productive.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5383.0,5389.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1120","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"When the state epis [epidemiologists]--Laura [S.] Edison, we worked very closely","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5389.0,5396.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1121","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"with, both in terms of being referred patients, as well as discussing cases with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5396.0,5404.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1122","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"them that they were monitoring. We worked closely with CDC. In fact, all of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5404.0,5412.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1123","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these folks had me on their cell phone call list. And I had their numbers, too.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5412.0,5422.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1124","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Because we were talking so regularly about folks getting ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5422.0,5427.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1125","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nreferred, about folks","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5427.0,5428.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1126","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"we were seeing and discharging. Part of the huge response here was just","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5428.0,5434.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1127","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"monitoring an enormous number of folks who have traveled--CDC monitoring their","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5434.0,5439.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1128","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"employees that returned, the state monitoring other folks who had returned. It","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5439.0,5445.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1129","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was a huge undertaking. And when any of these folks got sick, figuring out where","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5445.0,5452.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1130","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"they can get care--I think it was amazing what we figured out and got done, with","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5452.0,5459.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1131","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"clearly some bumps and lessons along the way. But I think, at the end of the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5459.0,5466.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1132","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"day, we did it quite well.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5466.0,5469.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1133","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"It's not just Emory, too. Susan Ray at Grady [Health] got their program to see","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5469.0,5476.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1134","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"these evaluations up and running pretty quickly--very quickly. She was","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5476.0,5481.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1135","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"discussing with me, \"How are you guys doing this?\" We were basically sharing ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5481.0,5487.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1136","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nnotes on how to implement these things and do it correctly. I think it was very","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5487.0,5496.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1137","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"positive, when you look back, seeing how everyone stepped up and did something","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5496.0,5503.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1138","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that had never been done before.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5503.0,5506.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1139","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Are there any other memories that you have that we didn't discuss, or","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5506.0,5514.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1140","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"anything else that you'd like to say to make sure we have it on the record?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5514.0,5523.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1141","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Let's see, here. Any other--[pause] I think I've covered most of it. I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5523.0,5531.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1142","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"really want to emphasize that all the training I ever had, both medically,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5531.0,5538.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1143","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"infectious disease, public health training, did not prepare me for this. I think","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5538.0,5545.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1144","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I really want to emphasize ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5545.0,5548.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1145","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nthat. It was just such a new situation. And just like","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5548.0,5552.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1146","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the responders, the folks taking care of Ebola patients in Africa, they were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5552.0,5557.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1147","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"doing things that--they were doing the best they can in their situation, whether","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5557.0,5562.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1148","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it was in layers of PPE that almost made it impossible to do the things that","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5562.0,5569.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1149","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would be routine for taking care of such sick patients--on our end, we were","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5569.0,5575.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1150","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"doing a lot of things that, in any other circumstance, I would have been","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5575.0,5581.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1151","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"horrified. The thought of, before you ask any questions, draw blood--things like","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5581.0,5586.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1152","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"that. As infectious disease physicians, we try to be judicious in our testing","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5586.0,5591.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1153","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"and treatments. But this was very different. We talked about, okay. There'll be","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5591.0,5596.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1154","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"times where we'll just treat empirically for malaria. Because we're not going to","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5596.0,5601.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1155","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have the tests back right away. And it's a dangerous infection on top of that. ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5601.0,5607.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1156","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nIf we can make these fevers go away, we can relax a little bit and the patient","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5607.0,5614.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1157","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"will be much happier. It was really one of those times where I just realized,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5614.0,5620.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1158","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"you had to be creative, you had to use every resource you had, and get on the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5620.0,5627.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1159","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"phone a lot, talk to--whether it's somebody at CDC or the state or Infection","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5627.0,5633.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1160","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Control [the Emory Healthcare Department of Infection Prevention and Control],","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5633.0,5637.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1161","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"saying, hey, here's the situation. And not even knowing what the answer's going","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5637.0,5642.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1162","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"to be. You realize that you're making it up as you go along because this was all","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5642.0,5649.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1163","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"unprecedented. I think that was the lesson. I'm sure this happens with any big","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5649.0,5655.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1164","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"kind of event like this. And it'll happen again. But the next time it happens,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5655.0,5661.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1165","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"I'll think I'll be better prepared. I think I can recognize now, okay, this is","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5661.0,5667.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1166","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"where our current ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5667.0,5668.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1167","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nguidelines stop helping us, and this is where we have to start","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5668.0,5672.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1168","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"coming up with the new ones really quick. I would say that's sort of my lasting","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5672.0,5678.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1169","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"lesson from that whole event.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5678.0,5680.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1170","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: Thank you, so much, Dr. Wu. This has been great, listening to your","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5680.0,5685.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1171","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"experiences. Thank you for being here and giving your time.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5685.0,5689.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1172","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Thank you very much. I really appreciate the opportunity to share this. I","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5689.0,5694.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1173","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"hope my lessons can be passed along for the future.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5694.0,5698.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1174","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":" [break]","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5698.0,5698.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1175","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: One more thing. As I mentioned, the confidentiality issues. We did our best,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5698.0,5703.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1176","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"obviously, to protect confidentiality. But again, we had to sort of improvise.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5703.0,5707.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1177","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Our \"buddy\" was out there with the door wide open. This was not a closed-door","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5707.0,5712.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1178","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"exam. Now, we didn't do anything terribly invasive, but it was very awkward. I'd","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5712.0,5717.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1179","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"never examined patients before with the door wide open and a third party sitting","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5717.0,5722.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1180","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"outside watching. And things like, how do you get consent from somebody who--you ","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5722.0,5727.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1181","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"\nknow, you can't hand them a pen and a sheet of paper and say, \"Sign this.\" We","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5727.0,5733.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1182","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"got approval to do verbal consents. So what we literally did is show them a copy","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5733.0,5739.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1183","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"of our standard consent form and say, \"We're going to take verbal consent.\" And","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5739.0,5744.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1184","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"have our administrator standing outside and say, \"Do you consent to care?\" They","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5744.0,5749.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1185","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"would say, \"Yes.\" And I would just throw that blank, unsigned copy into the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5749.0,5754.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1186","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"trash. [laughter] Because anything going into that room, essentially, in theory,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5754.0,5758.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1187","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"was contaminated. In fact, when we left the room, I would joke with them, \"Make","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5758.0,5763.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1188","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"sure you got everything. Because if you leave your cell phone or anything here,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5763.0,5768.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1189","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"it's going to go into the incinerator.\" So that was--yeah, we had to figure it out.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5768.0,5774.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1190","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: [laughs] Was that reality? Would it probably have to go to the incinerator?","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5774.0,5779.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1191","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Actually--here's the deal too, and a minor detail here. 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It still gets","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5851.0,5856.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1206","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"incinerated, as all medical trash does. But at least it doesn't have to go in","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5856.0,5861.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1207","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the separate hazmat [hazardous materials] truck or the autoclave first that the","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5861.0,5865.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1208","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ebola treatment unit was doing. But again, this was always on our minds. It was,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5865.0,5870.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1209","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"again, figuring out on the fly and then making the best of what we had. It","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5870.0,5876.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1210","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"wasn't perfect, but I think it was certainly more than good enough, in terms of","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5876.0,5881.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1211","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"being protective and taking the proper precautions.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5881.0,5884.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1212","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Q: There's so much to think about.","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5884.0,5887.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1213","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"WU: Oh, yeah! Again, we did drills left and right, just because every time we","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5887.0,5892.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1214","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"did a drill, we'd be like, okay, we didn't think of that. [laughter] You know,","format":"text/plain"},"target":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988#t=5892.0,5897.0"},{"id":"https://globalhealthchronicles.aviaryplatform.com/collections/2848/collection_resources/134193/file/248988/transcript/69471/annotation/1215","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"the elevator just took ten minutes, we've got to think of a way around this. 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