Ratio collaborator, the Australian paediatrician Frank Oberklaid wrote to us in the early stages of the Covid pandemic about his and his wife’s clinical work. “We have been working from home now for over a month. I run my two clinics from home via telehealth – 70% of the hospital clinics are now run this way – and Fay sees her clients in the same way. It’s not too bad for old patients, but very difficult establishing a relationship with new patients. All staff of the research institute are now working from home, and all the hospitals in Melbourne including RCH are preparing for the tsunami that we all hope will not come. I am on zoom all day, and it is tiring in a different sort of way, more so than long days at the hospital. I am supposed to be working 0.8 but it seems busier than that”. Social innovator and psychologist Charlie Howard reflects on Frank’s words and her own experience of supporting her patients.