00:00 - And what I'm going to do right now

00:03 - is just touch on one of the projects that we work on.

00:07 - So primarily my focus has been on and currently is working with our Spanish

00:13 - speaking community and most of most of them, in fact, not,

00:16 - say maybe from my caseload, but 98% are undocumented,

00:21 - which we all know that that puts another layer of difficulties

00:26 - that they have in finding appropriate health care.

00:30 - So back in 2019,

00:33 - we received funding from the Health Services Health Resource and Services

00:39 - Administration to run a particular program

00:43 - to look at the risk factors for our,

00:48 - for our pregnant, moms.

00:51 - so we know that the mortality rate

00:53 - in Pennsylvania is significant.

00:57 - So according to the CDC,

01:01 - there was a, published report

01:03 - in 2021 that there were at least 28 maternal death

01:07 - for every hundred thousand that rose from the

01:11 - 2018 report, which was 11.8.

01:16 - And according to the American,

01:19 - the American Medical Association, there was a jump,

01:23 - a significant jump from 2018 and 2022 report.

01:27 - It rose to 44%.

01:30 - So that rate is growing where we're hope, where we were expect

01:34 - that things would go, you know, go down lower post pandemic.

01:38 - Those numbers are rising.

01:40 - So we're this project that we're working on.

01:44 - is looking at what are those factors

01:46 - and how can we help to improve it.

01:50 - So let me begin with the foundation for Delaware County.

01:53 - So we are based in our home offices in media, Pennsylvania.

01:58 - The services that we provide out of the Eddystone office.

02:02 - So the foundation itself, it is a philanthropic organization.

02:08 - So they provide a lot of people that look for persons to have the pockets

02:13 - and want to do something significant with their dollars.

02:16 - We help them to find places

02:19 - where they can put dollars to, to help the community.

02:23 - They want to reach out

02:24 - and they want to provide services, and they want to help to increase the

02:31 - I'm sorry, I'm reading it the right way.

02:32 - So again,

02:33 - they just want to provide opportunities and help the growth of the community.

02:36 - And that's what Foundation does.

02:39 - So if we look at it this way, we kind of like look at these three buckets.

02:42 - So we have donors that we kind of like tie in to what

02:46 - they want to do something with their with the funds that they have.

02:50 - They want to improve the community.

02:52 - So we help them to invest those dollars.

02:56 - so with those dollars, we go to the next bucket and they

02:59 - we strengthen the nonprofit organization.

03:02 - So we also provide,

03:06 - lessons.

03:06 - We have we provide, opportunities for them

03:09 - for, for I'm sorry, I'm getting.

03:14 - Let me take this off

03:15 - because I, if I look at this, I, I get, thrown off.

03:18 - So what we do so we have donors.

03:21 - They want to put invest their money in the communities.

03:24 - We then provide opportunities for nonprofit organizations that are either

03:30 - starting,

03:32 - new projects in the community or they want to enhance those projects.

03:35 - So we bring all of those together, and we have sessions where we are teaching

03:41 - the community or providing opportunities for them to learn

03:45 - how to make, how to tie in services to help their communities.

03:50 - And then we have that end result is a delivery of vital services.

03:57 - So what we have currently and you heard them speaking of which

04:00 - is our main programs are healthy

04:03 - start the nurse family partnership and our work programs.

04:07 - These programs are provided for our families.

04:10 - So we work with moms from the time that she's pregnant

04:13 - and with our Healthy Start program, we work with them

04:16 - until they're 18 month old with our Nurse family project.

04:20 - our Nurse Family Partnership program until they're about two years old.

04:24 - And as you heard, that follows them until that child is five years old.

04:29 - Within our program with Healthy Start

04:31 - and NFP, we have our help, our our work program.

04:35 - We have our health MLP program.

04:38 - So we partnered with Weidner University.

04:41 - So participants in our program have access to free legal services

04:46 - from lawyers that assist in anything from housing to issues that they're having

04:53 - with the with their landlord issues that they're having with benefits.

04:58 - so we again, they have that free service available to them.

05:02 - And then we have our Hope program, which provides services for clients

05:06 - if they need assistance with rent, if they just move,

05:09 - they don't have the furniture that they need, they need help,

05:15 - just fixing certain things around the home.

05:17 - We provide that service for our clients.

05:21 - The other component that we have within our program is moving beyond oppression.

05:26 - So we have now a social work team.

05:29 - We have licensed therapist.

05:31 - So if our clients are going through programs that they need

05:35 - are going through these through issues that they need help with, they can,

05:40 - be participants in our movie Beyond Depression.

05:43 - We also now have the Fatherhood Initiative.

05:46 - So we have always had fathers in our program,

05:49 - but something structured that is providing direct services to them.

05:55 - So we all know when you go to that

05:56 - you're pregnant, you go to the doctor that a doctor's talking to mom

06:00 - about the baby dad sitting there, who are they not looking at?

06:05 - Who are they not addressing is dad.

06:07 - So now we have that component.

06:09 - And then about also with reaching the dads we can't as case managers,

06:15 - the female case managers, there are some certain things

06:18 - that we can't talk about with that or what we can.

06:21 - But dad may not open up fully, but having that male there,

06:26 - they can talk to them about the concerns that they have being a father, that role

06:30 - that kind of like

06:32 - tie in.

06:33 - So again, we and we have our fatherhood.

06:35 - Our first part male case manager sitting right here.

06:39 - So I do have my staff in front.

06:41 - So I'll give them a hand.

06:45 - and we also have community based doula.

06:48 - So all of our case managers, including our male case managers,

06:52 - we are, doulas, certified,

06:56 - community health workers, and we are also Kelsey's.

07:01 - So we want to make sure that that is getting

07:03 - all of those services that are required or needed.

07:07 - Definitely.

07:09 - we also have our center for Hispanic Resources, and I coordinate that as well.

07:13 - So in Delaware County,

07:15 - we reach out to every family that is Spanish speaking only.

07:19 - So if they need something as simple as help with scheduling an appointment,

07:24 - they are too.

07:25 - So applying for services and doing the renewals

07:30 - SARS, it's a semiannual report, so we're there.

07:33 - So any capacity that we can help with, that's what we try to do,

07:37 - and tie them into services so it fits beyond our scope of service.

07:41 - We refer them out.

07:43 - We have our kids initiatives.

07:45 - So any family that needs a crib,

07:48 - no babies should go home and not have their own bed to sleep in.

07:54 - So we provide that.

07:55 - So we asked providers if they have a family that comes in,

07:59 - either mom is pregnant or they have a newborn

08:01 - and they say they don't have a place to put the baby.

08:04 - They can refer them to us and we will provide that crib.

08:08 - and we have

08:08 - also our health resource services that are in the schools.

08:12 - So they help, especially with our teen moms,

08:15 - or young moms in providing services,

08:18 - be it with

08:22 - protect having protected sex,

08:25 - their family planning.

08:26 - So those services are provided to them.

08:28 - There.

08:29 - So going on to the program that we're doing so healthy.

08:36 - Oh, it's not going to let me go back.

08:37 - So again healthy start.

08:39 - We provide services for our families

08:42 - from the time that mom is pregnant until they're 18 month old.

08:46 - And we just make sure that mom is getting adequate prenatal care,

08:51 - adequate postpartum care, and that that child is getting

08:53 - well-child visits, getting immunized.

08:56 - So we're helping to bring down any barriers that are keeping

08:59 - mom from attending that care.

09:03 - Women's and infant children need to be familiar

09:06 - with which they are now part of our services as well.

09:09 - And our nurse family partnership is provided

09:12 - from from the time that mom is pregnant until the child is two years old.

09:16 - So they're the nursing side of that,

09:20 - case management that they get.

09:21 - So if they're a first time mom and sometimes multiple mom,

09:24 - multiple families, then again, they

09:28 - they're provided with a nurse that follows them through from pregnancy

09:31 - until postpartum and again, till that child

09:34 - is two years old.

09:37 - We have the center for Hispanic Resources.

09:41 - I'm very excited about this

09:43 - because at one time I was the only one.

09:46 - We now have our staff, so our bilingual staff has grown from

09:52 - three at one point to one point down to one.

09:55 - And now there are seven of us, in the office.

09:58 - So I'm very excited about that.

10:05 - So what we do at the center, again, it's a one stop shop.

10:08 - Whatever I tell people, the only thing we don't do at our center

10:11 - is taxes, because we don't have anybody who has that expertise.

10:15 - If we did, we would provide it.

10:18 - but we just again, in,

10:19 - in services that we don't provide, we try to tie them in.

10:22 - And if you're familiar with Delaware County, we really are a desert.

10:27 - When it comes to our our Spanish

10:30 - speaking families, especially when they're immigrant, undocumented.

10:34 - So I end up referring I have to refer a lot of clients to the Redding area,

10:39 - Allentown, even up to New York for services that they need.

10:44 - Unfortunately, that may mean that they have to move out of our service area,

10:48 - but if it's what they need, if it's what's the best for their family,

10:53 - I happily will say goodbye to them and,

10:55 - you know, welcome them back when they're able to come back.

10:58 - But we need to make sure that our families are provided for,

11:02 - whether it's where we are or if we need to send them somewhere else.

11:08 - So the

11:10 - our, healthy start maternal mortality prevention initiatives.

11:13 - So this is that, that that program that we're doing right now,

11:17 - what we're doing is we're providing clinical and social support.

11:21 - The mental health service case conferencing and community education.

11:25 - So with that clinical support, what we are doing

11:28 - is we're identifying those moms that are greater risk.

11:32 - So we we we're running this program with chest pain health services.

11:37 - So all of our moms really they end up

11:39 - being at risk because they have the social determinants.

11:43 - The majority of the clients that we see that are going to house

11:47 - health, pain, chest pain, health services, they are undocumented.

11:52 - The program itself, this initiative was looking at our

11:55 - our black mothers and their mortality rate.

11:58 - But because the majority of our moms that attention span

12:03 - are Latinas our our undocumented,

12:07 - that became the the shift in the program kind of like came there.

12:12 - And that's where we we switched things around to identify

12:15 - the health issues that they were having.

12:18 - And again, the jump that we saw in the maternal health

12:22 - from that, from that last report, that 44% increase,

12:26 - it's staggering to see what they're going through.

12:29 - so we looked at them, identified that they're

12:32 - the ones that need that in case intense care services.

12:36 - And that's where we we took the direction of our program,

12:40 - the mental health service piece.

12:41 - So many of chest pan does have social workers,

12:45 - that they can provide that

12:49 - service when it comes to mental health,

12:52 - when it comes to moms that are having issues with depression.

12:56 - And we talked to them, we explained to them, yeah,

12:58 - you know, your hormones are jumping all over the place.

13:00 - So they're going to have, you know, their ups and downs.

13:02 - But we try to catch it

13:05 - when we know that things are going a little bit beyond the normal.

13:08 - You know, blues of pregnancy or so we provide that service to them.

13:13 - And now with our social work department, we are able to enroll them in

13:18 - our behavioral, are moving beyond depression.

13:21 - So they get that intense therapy.

13:24 - And then after that, after that initial therapy that they get,

13:28 - they are provided kind of like that little jump session at the end,

13:33 - our case conferencing.

13:36 - so the way that it's set up was we we meet monthly.

13:39 - We go over all of the clients that are enrolled, and going through

13:44 - chest pain that are in our program, attending services there.

13:47 - And we discuss their caseload.

13:50 - We discuss what they're going through.

13:52 - One of the things we start off with is what is their family history?

13:56 - What's the medical history so that the doctors know it because oftentimes

14:00 - they may not they the client gets there and they they do go through that list of,

14:06 - issues that, that you've had in your family,

14:08 - but they may not understand it the way that it's described.

14:11 - And I know we talked about that last session about,

14:15 - language barriers and appropriate translations.

14:19 - We have the majority of our our moms come from Guatemala and Salvador

14:24 - and Honduras, and we have at least three different dialects.

14:29 - So as great as it is that there are language services that they have

14:33 - interpreter services, propio or, you know, whatever language service they tie into.

14:38 - If you do not speak that dialect,

14:42 - you cannot get the information across here to that patient.

14:46 - So we often see that, you know, moms are going home.

14:50 - We see the paperwork that they're sent home with.

14:52 - So that's a key component in the case management is that

14:56 - we try to after mom has that visit sit down with mom.

15:00 - They she may not notice.

15:01 - Oh, you know, you're taking you have to take this medication or this

15:06 - this is a diagnosis.

15:07 - So if that wasn't explained through the interpreter, not that they

15:11 - that they missed it.

15:13 - It's just that time that that the provider has they have a certain timeline.

15:17 - You know, they can't stay there for an hour or two hours with that patient.

15:21 - They have to go on to the next one.

15:23 - So it's a key component that after they've had that visit, we follow up,

15:27 - we make sure that the case managers meeting with that with their,

15:31 - client to discuss what happened that, that, that appointment

15:33 - and make sure that anything that was provided there

15:38 - that they may not be aware of or that they have a question of

15:41 - and it wasn't answered, we make sure that that's being done,

15:44 - and especially if they're also tied into our Nurse family

15:47 - partnership program, then that's a circle of service that they get.

15:52 - And that again.

15:53 - And then the community education again,

15:55 - like I said, we we're all also community health workers or in training for it.

15:59 - So making sure that they understand that things like, medications,

16:03 - making sure that they understand how to take that medicine, do you take it,

16:08 - you know, twice a day, three times a day, once a day,

16:11 - twice a day, making sure that they understand what that means?

16:14 - And are they taking it appropriately?

16:19 - So again, we are identifying things like,

16:24 - housing instability, behavioral health Behav past

16:28 - behavioral health, diagnose is substance disorders, preexisting health conditions.

16:34 - So we're looking at those things and making sure that the delivery

16:37 - of our program is tailored to each, of our clients.

16:43 - So making sure that that's addressed and providing those services.

16:47 - So it's a way that we make sure that that interaction

16:51 - of information is being shared across all of the providers.

16:55 - So we don't want to we don't want to duplicate programs either.

17:01 - So who's at the table?

17:04 - Again?

17:04 - We have we we're reading we're Chespin health Services.

17:07 - And that's where our clients are going for their, prenatal care,

17:11 - postpartum care and the children going there for well-child visits.

17:14 - And it's also their primary for,

17:17 - their PCP, their primary, provider.

17:21 - we have at these meetings, we've got if they're tied into NFP,

17:26 - our nurse family partnership nurses there,

17:29 - we have the social worker from the health center.

17:33 - We have our case manager, and we also have the the nurse.

17:39 - We have our nurse supervisor that sits in on the appointments.

17:43 - And she's like the go to to make sure that every client's information

17:47 - is there at the time that we're discussing it,

17:49 - whether it's a procedure that they have medication, diagnosis, upcoming

17:54 - visits, that all that information is presented.

17:59 - So we share it.

17:59 - We discuss the medical status.

18:01 - Has anything changed?

18:04 - has there been an improvement if they were diagnose, is there an improvement?

18:09 - has it gotten worse?

18:10 - And what then what can we do as a team to make sure

18:14 - that their need is being met?

18:18 - we want to make sure that there is patient involved.

18:21 - And also it's like we as much as we're making sure that the client

18:25 - or our patient role for them or patient for them, our client, that

18:28 - their needs are being met, we make sure that they're also included.

18:32 - They're a key component in making sure that their care is adequate.

18:38 - So we don't want to sit around them and just talk at them or talk around them.

18:43 - We include them.

18:47 - the other thing is

18:48 - we want to reach a consensus, a consensus in their needs.

18:51 - So that's why, again, everybody comes to the table

18:55 - and we want to make sure that including that that patient,

18:59 - the client, that their needs are being met and how are we doing it appropriately.

19:04 - Again, we don't want to be telling them this is what you need to do.

19:09 - We want to discuss why

19:11 - and make sure that there's an open forum and them asking

19:14 - and getting the appropriate information so that we know that

19:18 - they feel more comfortable and are apt to follow through in their care.

19:25 - So an answer it.

19:28 - Well, one of our staff person staff members that is no longer there.

19:32 - This is how she kind of like summed up the case.

19:34 - Conferencing helped us to really close a loop when we're talking

19:38 - about collaborations and continuous continuity of care.

19:42 - So having access to care providers is not something that typically happens

19:46 - in the social service settings, where we are able to ensure

19:50 - that the messages are getting communicated on both ends.

19:54 - So it helps us to make sure that we can understand what's happening

19:57 - with participants in regard to their medical concerns

20:01 - and are really they being able to connect Chespin with just been around whatever

20:06 - social determinants of health care they may have?

20:09 - So to help them to understand what may be contributing

20:13 - to Mom may be missing and maybe missing an appointment,

20:16 - or maybe following up on a test for a test or procedure.

20:20 - So to explain that

20:22 - kind of one of the one of the

20:24 - reasons this also exists is if,

20:28 - like, for example, you go to the doctor,

20:31 - you're told this is this is the medication you need to take or

20:34 - you need to get such and such test if something comes up behind the scene

20:39 - and I can't make it or I don't do what the doctor said,

20:44 - if that happens more than once or twice, it's

20:48 - probably on the medical side.

20:50 - I may maybe look as a noncompliant patient

20:55 - and that's what that provider may see.

20:58 - By having this coordination of care,

21:01 - then we can shed light on what's going on with the client.

21:06 - So again this is what the medical provider says.

21:09 - You you either you sugars or up.

21:12 - You need to take this medication or you need to now go to this further test.

21:17 - This is what they don't do. It.

21:20 - The provider doesn't see what we see.

21:22 - So on this end, same patient,

21:26 - our client

21:28 - mother of three

21:31 - undocumented

21:33 - back is rent is due.

21:36 - Partner may have left.

21:38 - Her partner may not be working.

21:40 - She's not working.

21:42 - Three other children that need

21:44 - to get to different places need to be fed.

21:47 - Last thing that she's thinking of is,

21:51 - oh yeah, I was told I need to do this.

21:53 - She's got all of this on her plate.

21:57 - So we're seeing that layer of what's

21:59 - preventing her from doing what she needs to get done.

22:04 - So by having this

22:07 - method going on,

22:09 - we can now share with the provider this is what's going on.

22:13 - So what do we what can we do to make sure that mom is getting that care.

22:19 - So this is where we plug in all the services that we have.

22:22 - We have hope.

22:23 - We have that case manager.

22:25 - We have the therapist.

22:28 - We have the provider.

22:30 - So now what can we do to close that loop to make sure that mom, despite

22:35 - all the challenges that she has, we may not be able individually

22:40 - or as one

22:41 - of the players at the table, may not be able to take it all away.

22:45 - But together then we can provide that needed help.

22:50 - Whether it's, you know, what is helping mom establish a plan.

22:55 - You know who who can you you know who's in your corner.

22:59 - How can we get people there to help you do get kids

23:02 - where they need to go so that you can go to your appointment?

23:06 - Transportation? No problem.

23:08 - We can get you an Uber.

23:09 - We can get you a bus pass.

23:12 - If it's an issue of food insecurity, we can get food.

23:15 - We can get gift cards.

23:16 - We can get, you know, what's needed to you.

23:18 - So that's how we try to ensure that mom is getting that care.

23:31 - Okay, so then this is, you know,

23:33 - and these are the services that, again, we're we're collaborating with Chespin.

23:38 - so their mission is to make sure that they're providing that care.

23:42 - Also the prevent, you know, the primary

23:45 - and prevention care, they are medical, team.

23:49 - They've got they've got a dental office there.

23:51 - They have behavioral health,

23:54 - and the outreach that they have.

23:56 - So they also have community health workers that work with them.

23:59 - So they say it's the same issues that they that they're see the same

24:03 - services that we have and they have we kind of like meshed them together

24:07 - when it comes to working with our clients.

24:11 - So to kind of like share

24:14 - how this kind of works in some cases that we've had,

24:19 - we had a young lady came to our program,

24:25 - she ended up losing the baby at two months.

24:29 - She could not understand.

24:31 - It was this was just, like very traumatic to her.

24:34 - Was traumatic to us.

24:35 - As you know, we had her from the time that she was pregnant.

24:41 - she had a, a doula

24:43 - also that was provided to her.

24:47 - So when we found out that that the baby had passed away,

24:51 - mom was not given information at the hospital.

24:55 - Two about maybe 2 to 3 weeks prior to that.

24:59 - The baby has been hospitalized.

25:02 - with symptoms that appear to be those of a of, like,

25:06 - a very severe cold and going through testing, nothing very concrete.

25:11 - And then here we go.

25:12 - Now, at two months, baby dies.

25:16 - mom went home.

25:17 - Still was unclear as to what was going on.

25:20 - we tied her into our moving beyond depression and kept her in our program,

25:25 - to make sure that she was had that support and she was going to be okay,

25:30 - because the other issue got everyone not an issue, but the other dynamic

25:34 - in her family is that she lives with her sister, who already had children.

25:40 - Sister is pregnant again.

25:41 - She's in our program, have a cousin.

25:43 - So all these relatives are also in our program.

25:47 - So imagine what mom is feeling like

25:49 - this was her first pregnancy, her first child.

25:53 - So again, making sure that she stayed in that,

25:57 - you know, in our moving beyond depression and still had the support was very key.

26:02 - The other component that helped by us having this,

26:05 - you know, this program going and this this particular project is

26:11 - we were able to get information relayed to mom, not through the hospital,

26:17 - but it was through chest pen

26:19 - when they got the report and they were able to sit down

26:22 - and talk to us and find out that it was a congenital,

26:26 - issue that the baby had.

26:28 - And it she, it was on the paternal side.

26:32 - So we were then able to take that information to mom,

26:35 - sit down and talk to her and relieve her because she didn't know what to think.

26:40 - Mom was thinking, you know, should she ever have a child again?

26:44 - so this is something that helped her.

26:46 - And again, because she had relatives

26:49 - that lived at home with her that were, currently pregnant,

26:54 - this was something this model of what we're doing

26:57 - gave an added layer of support to her.

27:01 - We had another issue with or another, another family,

27:06 - where a lot of things were going on and it was, you know,

27:09 - things like the, the food insecurity, the rent,

27:14 - not having a lack of, of employment

27:17 - was another issue that was keeping mom

27:20 - from going to doctor's appointments like she should.

27:23 - So we were able to provide that continuity here

27:27 - by having all the players at the table kind of like piece together.

27:31 - What can you do?

27:32 - What can this this what can this person do?

27:34 - What can this organization do?

27:36 - And how do we make sure, again, that mom is getting the appropriate care?

27:41 - The other issue that we see, and this is an issue,

27:45 - is for our moms that are undocumented.

27:48 - If they don't have a medical issue going up to get a,

27:53 - if they don't have that medical issue going on,

27:56 - then they are only able to apply for emergency medical assistance.

28:00 - And Pennsylvania provides, medical assistance if they qualify for income.

28:06 - It covers just the, labor and delivery.

28:10 - So that sometimes keeps mom from getting additional care

28:15 - because we had a family that the the mother she had the thyroid issue

28:19 - which when we tried to do the emergency medical assistance,

28:24 - it wasn't deemed an emergency per se.

28:27 - So she wasn't able to get it.

28:28 - So that was preventing her from still getting the care.

28:32 - But this is those cases where we were able to find out,

28:35 - you know, if you end up, if you go here, if you go here to Philadelphia,

28:39 - you know, they have a particular service and that's what she ended up doing.

28:43 - She ended up moving

28:44 - out of our service area, but she was able to get the care that she needed

28:48 - and was able to continue taking care of her family.

28:51 - The baby that she was carrying,

28:53 - subsequently, after did find out

28:55 - she did have a healthy birth, and she is continuing

28:57 - to get the medical care that she needs for her condition.

29:00 - So if it is, if that loss for us as a as a client

29:05 - resulted in her getting the benefit

29:08 - of what she needed elsewhere, then kudos for her.

29:13 - You know, we'll send her where she needs

29:15 - because that's ultimately what's most important

29:17 - is that whoever comes through our door, they get the needed care.

29:22 - so we we will keep on looking at these factors.

29:24 - So we realizing lack of medical insurance definitely is a deterrent,

29:31 - but we can try to work as much around those, those systems

29:35 - to make sure that mom gets the care that she needs.

29:38 - So we we will look at, you know, other Weidner has a school of nursing.

29:43 - So they provide care for persons who are not,

29:48 - who don't have insurance.

29:49 - It doesn't matter where you are on that spectrum if you need that care,

29:53 - they're providing it.

29:54 - So we're looking at what else is in our in our area service area to provide

29:59 - that circle of care and making sure that everybody is coming through our doors

30:03 - or going through our medical offices or getting that care.

30:07 - So at this point, I'm going to wrap it up.

30:11 - I will be around if you have any questions.

30:15 - I am here, so I thank you for taking the time

30:18 - to come to this session and find out what we're doing, and please

30:23 - feel free to contact me and my contact information. And

30:30 - I'm at the Foundation for Delaware County.

30:33 - I have a long names.

30:35 - I kept it hyphenated.

30:37 - When I'm writing it out, I'm like, oh, why did I keep all of that?

30:40 - But feel free to look me up. I have,

30:43 - I'm here for the rest of the conference,

30:46 - so thank you very much.

30:54 - Thank you so much, Daisy, for that presentation.

30:57 - I think that is an amazing presentation

30:59 - that we should take advantage of that and put on the community outside.