This is a talk about applied design. We will venture to the land of humanitarian aid and follow a story of applying a design skill set to a set of challenges, such as lack of equipment, lack of medical supplies, in times of war. We will look together at processes, challenges and the successes and failures that one might experience when the only option is to apply all skills to a very complex subject matter. We will witness bottom up changes in the healthcare system that start with individual impact: the impact of ideas. It is also a story about systems, and how we implement change in them, omitting the notion of centralised control.