Q&A with TheZone Medical Staff

okay good evening everybody that's a broad give you camp director we have here with us our camp doctor dr. Jeffrey Teitelbaum who has been with us for many years coming up for Shabbos in the summer and been free there for us throughout the whole year dr. teitelbaum is a doctor in internal medicine and a pediatrician and especially during this time he's extremely extremely busy and he graciously agreed to give us about a half an hour to concede he's in his office probably right you're now wearing his coat and giving us a I guess an appointment you would say I'm dealing with this we have with us as well Shmuel satsuki who is our EMT in camp who will be relating the questions that we've gotten from many different people something to keep in mind is many of the questions unfortunately the medical field does not know at this point as it's a new virus and dr. Taylor I'm still agreed to come on and give us a little background and stuff what we can do how to prevent it a little bit health measures what we can do if you have any questions you could send them I'm the bottom you can put them in the chat and we will see them if we have time we'll get them if not I'm sorry I apologize I will try the best doctor Ted Obama you give us a few minutes exactly explaining what is code 19 what is this virus that's happening right now sure corona viruses are a group of viruses that the medical community is known about for many many years I have diagnosed corona viruses and patients for many years I could do a simple nasal test and I do it all the time and what attest to come out as corona virus however this year in a place in China called Mohan there was a novel which we it's a brand new type of corona virus and it was detected it was never ever detected in human beings and they called that the novel coronavirus 2019 strainings an animal strain and the first time that it affected human beings and since it affected human beings for the first time therefore no human being has immunity to it and since nobody has immune two winters no vaccines that were ever created for it there's no medicines right and no person is naturally new because they never had anything like it before it causes general coronaviruses in general cause mild disease like colds and because severe diseases like pneumonia this novel coronavirus is predominantly doing the same thing in children causing minor mild disease but in certain susceptible people it's causing an overwhelming type of pneumonia that's causing thickening and fibrosis and lungs and causing people to have an acute respiratory distress syndrome similar viruses like this were in the past there was something called SARS in the past or something called mares in the past and these are similar types of outbreaks of novel new viruses perhaps you've heard of other things like swine flu in 2009 but every time a new virus comes out that humans don't have and you do it affects them in a very intense way this virus especially affects those people who are older and older varies the more older a person is the more at risk they are people over 70s 80s 90s but people over 50s also are considered older and people have chronic conditions like diabetes or if they have heart disease or lung disease or other immuno compromising situations are all more susceptible young people tend to get milder cases and less severe the pediatricians are not as busy as the internists are the pediatric warts are not as busy as the adult internal medicine wards are and and that's what's happening so I'm seeing a lot of people these days and the people that I'm seeing the range a lot of people just have fever you have colds they have shaking chills they're extremely ill and Tylenol and they get better then I have some people and they vary in age not always old they're more more than older people normal underlying conditions all of a sudden they just can't breathe every step they're taking they're feeling short of breath and when we check that with a simple test called the pulse oximeter and we see if their oxygen is low we know they have problems normal pulse oximeter range ninety five to a hundred these people are all less than ninety five when they're having problems if they're 90 to 95 they're having mild disease if they're less than 90 we're having severe disease and some of the major issues were having is finding beds for these people and that's what that's what's happening that's what's Harold they're definitely news to me you say it's not the first time that's happened I thought that this is a new thing they discover you're saying you ready diagnosis this this is a novel new virus that was that came to end of 2019 and China's was called a new virus but what I'm saying is that this new type of crota virus belongs to a group of corona viruses that we've passed but this is a new type what I said in the past is we as human beings have had other outbreaks in our past with new viruses like this as well it was a virus be called SARS about eighteen years ago there was a there's about ten years ago it was swine flu 2009 so humanity has seen novel viruses come from animal sources that become human viruses and affect human beings and eat and each time that this has happened humans have been very susceptible and and a lot of ill people from that and that's why it hits us so so difficult but we've had new viruses in the past this is not the first time we've had a new virus those other episodes were new viral episodes SARS MERS torn through these are all episodes of new viruses entering and eventually humanity becomes immune to it and they become part of natural things that mutate over time and we will become immune to it in years to come and these viruses will stay with us and they will mutate and become different strains and we're gonna have to try to stay immune to them in years to come thank you so much okay small our Mt Shu or can you take us away with some of the questions that we have yeah okay so I just wanna remind everyone that if you have any questions we want something clarified you can just send it into chat box and we'll see it no one else will see it just us so don't worry about that okay so let's start off first so as if we all know we're all stuck inside to this we're trying to social distancing that's the new hot button word everyone's using does it is there a problem for going outside should I be worried about going outside at all or is there a way to go outside that will still keep me protected people don't have to stay indoors within walls okay if you have a backyard if you have a driveway if you could go out it's good to get some fresh air it's good to exercise you shouldn't stay locked into your room all day long trying you know to stay out of the sunshine out of the air no you can go out okay but you should limit your social interactions if you live on a house and you have four or five acres you don't gonna stay inside your house so you can go to your backyard you can here in Brooklyn people are going to their porches are going to their backyard you going up and down the driveways if they have to limit to where they have to no they'd already have to go but when you're going in the street don't come within six feet of any other person maybe ten maybe more usually when one person talks to another there's a certain amount of spray that comes out of their mouth if I were to put a little paint in everybody's mouth and I would tell them just to talk you'll see a little mist of color coming and and creating a little mist and all the surfaces around and landing on the people in front of you for six feet when you call maybe that Spray those ten feet when you sneeze maybe those ten feet so therefore it's important to stay in talking distance not closing five feet if you worried person a sneeze stay 10 feet away so this past Shabbos people are walking on Ocean Parkway but when you walk on Ocean Parkway as soon as you came here somebody you saw this person went down when that person went that way okay so you can be outdoors you just have to be socially distant we should be gathering parts we shouldn't gather you know in backyards but if we're not there together you have to go so we gotta do something as long as the law allows you to do it do what you're allowed to do with it in parameters in the law and socially distance and how would you say the safe way to someone needs to go to store to get food or something like that what is the proper way that they should what poor questions should they take do they need to wear gloves when they go into the store do they need to wipe down the products if they buy before they bring it into the house what about mail don't they get delivery from somewhere or takeout do they need to be worried about that those are all excellent questions there's no specific guidance everything the virus can last on different surfaces or different lengths of time things like cardboard at the last for an hour or two seems like mental collapse in some studies up to two or three days other surfaces like plastic can be somewhere in between those two so generally if you get something in a cardboard box it's been out there it should be okay you don't know how to eat you know how the UPS person put it down but think about it no matter what you're touching okay if you touches your hands from the cart that you are pushing in the supermarket or from any package how is it going to get inside your body it's not going through your hands it's not going through your hands it's going to go from your hands to your face if you bring it to your face then you're at risk okay so if you wear a pair of gloves when you're touching everything in your glove touches your face you accomplish nothing so it's not a matter of the object when you have a human being they could spray it upon you they can talk to you and spray you they can coughing sneezing on you but if you're talking about an object and you're touching that it has her own on it I'm sorry I'm getting call that an answering service if you're touching an object it has Corona but you wash your hands afterwards it's not gonna affect you it doesn't go through your hands got it so how come there are people saying that Nath's are either not necessary or don't work at all the question we're not gonna sit here and try to figure out why certain people say certain things there's a lot of different things going on out there and we're not here to defend everything that people say so you have to find out what your sources are you should go ahead and only leave credible sources the only thing you should read is the recommendations if you live in New York City the New York City Department of Health if you live outside of New York City in New York State and you should leave the New York State Department of Health recommendations and if you live anywhere else you should follow your local health department's regulations you should not be following what social media is telling you and what people say that's non verifiable and medical professionals are too busy to sit around and try to understand what everybody says what they're saying so do you believe a mask is an appropriate measure for people to take or is it to resign for that help you in certain circumstances if you wear a mask the whole day and you are assuming that the people around you are giving you coronavirus then the second you're touching that mask on the outside of that mask your hands are contaminated you would have to then wash your hands if you took your mask and put it down underneath your chin now your whole face is smeared with whatever is on the outside of your mask so at that point you would have to take your mask and throw it out so a mask should be used for an interaction with somebody that you are at risk for and if you think that you've been at risk because you were accountable something could have sprayed you just remember the outside of the mask is contaminated so if you put it up your head down your head or touch it it's infected so no people should not be wearing masks an entire day if they're healthy and around just a general population I is a doctor I will wear a mask because I talk to people and if I talk to people maybe I'm gonna spray them and therefore to protect my patients I will wear a mask if my patients are near me I will protect myself from their spray by wearing a mask and then when I finish I take off the mask put in the garbage and washing a hand my hands if I wear two masks an entire day that mask the second I'm moving away from its position is contaminating my hands or my body so I am putting away the coat leave the benefit that I get they should be used for short periods of time when you are at risk and then discarded if you wear Erica loves the whole day you accomplished nothing because whatever you're in contact with your touching whatever you're touching is is getting it loves so if you think that you're protecting yourself against coronavirus that means you have coronavirus you've been exposed that your gloves habit whatever you touched is now infected so what are you gonna do you can't eat low air it's an ocean wear gloves the whole day we shouldn't wear masks okay if you have a certain situation where you are coming in contact more high-risk you can wear it during that time and then remove it okay thank you um so now gonna move on to a little different topic if I know somebody who was with someone who was actually diagnosed with them at the virus do I consider myself as if I was exposed to the virus and do I need to quarantine myself from everybody else or everything depends on where you live okay so the rule I'm gonna say now is going to be for the location I say okay at the beginning of this viral pandemic when it was not widespread he was just a few people who had it and the government officials were trying to isolate those people so it shouldn't spread there was one type of rule that I'm going to say once it has spread so widely in different locations then different rules go to effect so in the beginning of the illness the beginning of the spread around us and we let's say before poram okay at that time it wasn't widespread the New York State Department of Health the way we're dealing with New York State was based on the CDC guidelines that if anybody was found to have it then anybody who came in close contact with that person would have to quarantine themselves for 14 days that means they're perfectly healthy but they came in contact with somebody that had it they would then have to lock himself away for 14 days to see if they would come out with symptoms if they didn't have symptoms they can then come out the person who had the illness had to follow their criteria for being locked up that was cool isolation but the healthy people were quarantined so ill people are isolated healthy people are quarantined to see they would come out in 14 days that is what's still being done in parts of New York State and parts of the country New York City is very different New York City is considered if every single person already is exposed and if every single person is exposed then if somebody has the illness that person is isolated locked up for seven days for sure for the first time they have symptoms till they are feeling well after seven days for at least three days meaning let's say they got sick on a Friday they have to stay locked up for seven days till the next Friday and they have to be feeling well for three days at that point that isolated person can re-enter the world anybody else who came in contact with that person anybody else who came in contact with that person even though certain household never can go about their regular life in New York City because there's never a time that anybody in New York City could feel that they're not at risk every single person in New York City is exposed every single day and if we quarantined New York City residents for 14 days the moment it would come out they have been quarantined again because everybody has it so therefore New York City if somebody's ill they're isolated for seven days and if for seven days they're isolated in three days they're well they can come out but all their contacts including their household members can go about their regular routine if and they should all self monitor themselves with temperatures and they develop symptoms then they go into isolation so outside of New York City there is a quarantine for people who are exposed to a case in New York City there is no quarantine for healthy people exposed to people at it so at what point do I consider myself symptoms what are the exact symptoms so I need to now isolate in New York City specifically and in general and included in that there's the many people are talking about the taste and smell the loss of taste and smell it's not on the official CDC website as a symptom but there have been a lot of stories of people saying that they've lost taste and smell and then have been diagnosed so is that something enough for me to say that I'm I have it and now I need to lock myself up the New York City Department of Health and state government they are right now considering whether to include those as additional markers of disease okay certainly if somebody has fever certainly if they have cough if they have body aches if they have shortness of breath those are clear those people haven't and in New York City we do not even test people is recommended at this time not to test anybody everybody is presumed to have it which creates a whole set of problems that you will discuss today would have something else that maybe they are not [Music] being diagnosed properly maybe they're missing other things but everybody in New York City nobody's being tested their own allowed tests unless there's a good reason everybody's presumed to have it there are additional tests that are not there are additional symptoms are not classic twenty to thirty percent of patients are presenting with diarrhea okay there's a lot of talk about not being able to smell or taste as a good marker of it but it's not diagnostic by itself we have some people who just can't go ahead and smell and taste and that has not been defined by New York City as the part of health as a sign of coded so kovin 19 is fever with the cough with the body aches the shortest of breath with sore throat it can have diarrhea it can have the lack of smell and taste and all these by a physician have to be taken into consideration but it could be all them none of them some of them and different providers are trying to figure it out in places where they use testing the testing helps define it but testing is not perfect because you could have a false negative and it could still be kovat you can have a positive test and maybe the person's over it so testing is not recommended in New York City is still used in other parts of the state and other states but its challenge it's a challenge to say if a person hasn't sometimes you not if they have these mild symptoms sometimes they have to tell somebody isolate yourself for seven days out of the doubt we're we're people that are used to wanting to be sure of everything we want to be everything how do I know for sure and telling me to lock myself up for seven days how do I know and we're in a state right now where we're a standard for affairs where we don't No and we're just trying to find follow guidelines as best as possible and sometimes people are making mistakes with we just have to follow guidelines that's what we're doing right now you mentioned fever what what temperature is considered fever for a regular person above 100 point 4 for healthy and workers are considering a hundred point okay thank you is there any ways that I can make myself healthier to abuse a boost my immune system to help me fight this specific virus yes yes you should sleep okay get sleep you should have a positive mindset if people are at home all day long worried and nervous that's going to depress your immune system you should eat properly don't overeat cuz you're home okay eat healthy foods you should exercise you should exercise you should get some a walk a jog just exercise and keep your body fit because if a person does get an illness and they're not fit it's a greater strain on their body you should practice good hygiene and good social distance okay and once someone has this they're considered immunity go out and they're totally fine nobody knows nobody knows it's possible but nobody knows for sure and there is no definition because they do not have a serological tests to confirm the immunity and they are trying to figure out if there's one strain going on or multiple strings we don't really know it's only going on for about a week and a half in New York City that the hospitals are getting all these patients and they're starting to do genetic testing all these strains so first thing to find out how many strains are out there and nobody knows technically speaking if somebody thinks they had it and then a week or two later they would have other symptoms and we're starting to see people like that and we quarantine or isolate them again so therefore no we don't consider people to say but I had it read so now I could do everything I want and in case I get sick again I don't have to go through these procedures we are not working with that assumption we are working with the assumption that people will be isolated again and it's possible for them to get it again even though that might not be true we hope that we'll have answers in the weeks to come to clarify that but there is no current answer but that's how we are doing things okay many times we hear that we're trying to flatten the curve to prevent an overrun of the hospital so that they can actually take care of the patients and not have too many people there if we keep hearing that many of the patients that are higher risk meaning older than 50 or 60 patients with different chronic conditions and things like that if that's true then why can't the younger people go out and stay away from those older people or Canada younger person also get really sick younger people are getting sick i yesterday was 37 years old and have no true saturation in five percents the younger people are also getting sick there are some neighborhoods where the local physicians have thought it best to let it burn out in their communities and therefore everybody will become immune and there are some communities where it has taken such a stronghold that the numbers are started perhaps even to go down of cases in those areas when that proposal was given to the Department of Health officials to let that happen so that it could spread across and then I reckon become immune nobody will take the responsibility of letting that happen because any casualty that happens is the responsibility of those people so therefore that is not the decision of public health if people just wanted to knock out all the old people then they would go ahead and do it but since every life is precious and young people do have it as well to make that sort of public health decision a person would have to say they're taking a fries for every debt that happens and nobody will take that price nobody will go ahead and take that responsibility and therefore the recommendations to save as many people as possible and this is the best way if we go ahead and flatten the curve maybe a medication can be found and each hospital is doing trials to try to see which medications will work maybe the vaccine can be developed it can delay as much as possible we might get time to have a medication or a vaccine become available and nobody responsibilities of any death so at the moment it's true to say that there's no medications or treatments for the virus itself specifically just regular care of the patient there are experimental protocols that are being done I myself am prescribing medications from people that have moderate disease that almost have to enter the hospital we are using as outpatients certain protocols at the hospitals are using the hospitals are using experimental protocols I think learn from China and from other countries and but they have no proof according to the American standards which are much more rigorous that these actually work and the studies from China and France are not considered conclusive and they're not considered trustworthy and therefore they're all being tried in the current epidemic in different hospitals the cha saluting different regimens and you're trying to control them in a reliable way to find out what's working some doctors are using medications but nothing has been proven to work there are regiments that we're using and nothing is proven okay specifically in New York State they're talking governor cuomo's been mentioning respirators as one of the points of a bottleneck in the hospital's what exactly is a respirator and why is there a shortage and why can't they just make more respirators are respirators are highly advanced machines that help people breathe there are high-tech machines they're expensive and there's just only a certain amount of machines and there's only a certain amount of units that could handle it even if you have a lot of machines but if you don't have enough respiratory technicians there you know the nurses or doctors who can manage these machines having them won't help anybody just yesterday in one Hospital in Queens 13 people died okay how could that happen even if you had all the machines in the world it's not gonna help you if you don't have enough people watching them so it's not just having machines willing to help if you don't have enough people watching these machines what we're trying to do is we are trying local testing agencies right now including Hatzolah sometimes the saying is better off to for a mild patient to stay home I've had some mild patients with o2 saturations about 93 94 percent that normally would go to a hospital in this situation trying to keep them home getting something called an oxygen concentrator which is a home device that increases some oxygen to people and giving them a pulse oximeter and we're keeping some of these people home because we're worried that if we send them to emergency rooms and they're not well enough staffed they can die waiting for staff in the emergency room and that's what's happened in Europe and Italy and so if we don't just send them in we're trying to see if we can keep them home once they wrote two sad drops less than 90 then the the machines that some people get their hands on a home won't help them those situations anything we send them in without so pace office coming up and many people plan to go to hotels or family or have their grandmother come what do people do so they cancel their plans and stay home so they invite people to their house or I don't know what hotels that are opened I think they all closed as far as I know maybe they're similar still open I don't know how they're doing it almost every one that I'm aware I know a lot of people who own them I know what people go to them and their devil closed I don't think advice planning in the hotel it could be a catastrophe if you have older people who go they're not going and younger people generally aren't people are avoiding gathering on Pesach almost people who are calling me I'm saying don't gather you know seeing a lot of young families making things up for the first time themselves older people are not joining the children there is some talk that if people started a week ago beforehand to totally quarantine themselves totally quarantined themselves for 14 days nobody goes into the house nobody goes out of the house no cleaning help nobody goes shopping nothing family is totally isolated 14 days and the grandparent is and from going to place a to place B there's no contact people I miss during those 14 days nobody got sick even once there is a possibility of saying they could join each other but those conditions are so difficult to go ahead and and guarantee that if it wasn't done by today there's no way to do it because me 14 days to do it so if people didn't make the plans last week and started already there's no way from today they could because 14 days are now already they're facing okay okay so just there will be people doing things that alone young couples never made it will be making it themselves older people usually have grandchildren will not be happy okay there is a risk and nobody could say it's okay i'ma stay quarantined and themselves totally which is very difficult to do if nerdily if they did totally quarantine himself for fourteen days both sides and and like I said so difficult to do theoretically it should be okay but each each person should ask their provider the grandparents or older or more susceptible should ask their provider if they're allowed to do it that's not something that really the permission here it's a theoretical possibility and totally isolated means like not even going to the store to get food you can't go to the pharmacy to get your essentials you can't go to the supermarket that would break the quarantine okay I'm talking about the stores for a second we see that they dot they stop mini on him and originally the rule was over fifty people together some places have ten but what is the difference between having fifty people in one place as opposed to 200 isn't that gonna spread it anyway right now there is no 50 anymore that that was passed Friday one week ago last Friday they already did not allow 50 no gathers of any kind earlier 50 was what they were trying to limit it till last Friday in New York City as of last Saturday they did not allow 50 anymore there's no fifty rule anymore any gathering of any size is illegal right right so that's that's a question what was the original thinking for 50 what is 50 helpless mitigating at that point they were trying to mitigate that means that a little better is better than nothing and they were trying to mitigate the gaming's decrease the risk but not they felt they somethings better than nothing that was a number destrosa okay but today they're not even allowing 50 so I'll give you an example okay my son was supposed to get married today and last Friday we thought we could gather 50 people who are counting the family members last Saturday night in New York City I saw that they abolished the rule we could not have 50 people you can't even have ten people okay as of Sunday 8:00 p.m. in New York City so on Saturday night we decided that we have to make the wedding before Sunday night 8 p.m. so at 10 p.m. New York City time on Saturday night we said we have to make a wedding in the next 12 hours so we just gathered and we had maybe 15 men okay and made the wedding a hooker in the driveway because if it would have been past 8 p.m. on Sunday at that point no gathering would be allowed not even up 10 people and if you have 10 men with the one caller that's 11 already so we went ahead and made a wedding on Sunday because today we wouldn't have been able to have it that was a zone zone counselor from years ago yeah I was supposed to be there yeah I had a notification on my phone today about the wedding yeah so that so it really affects a lot of people there are a lot of weddings we are sitting that Sunday because that was the last day that you'd be able to have any gathering of any kind okay so if everyone in New York is considered to be already exposed why we still trying to keep apart from everyone you're exposed and you don't know you're gonna come down with it yes everybody is exposed so but we don't know who's gonna come down with it and everybody is exposed to different degrees if I'm next to somebody who's very sick on day that he's very sick he's very contagious on other days he's mildly contagious so ever it's considered exposed and and I could come down with it any single day it doesn't pay to quarantine I'm not the whole point of quarantine is trying to isolate the virus we're not able to isolate it's so widespread and we it'll be it's futile okay um about the medications that you mentioned oh by the way if you live upstate New York where aura is right now I don't think they're having that many cases over there so if one case would be over there one case wouldn't be over there then that person who hadn't would have to be locked up isolated whoever came in contacted them and have to quarantine for 14 days because they're trying to make sure it doesn't spread out of that contain the area but here in New York it's so widespread quarantine won't help the spread spread it already is out there everybody should just monitor themself for their health if they develop symptoms then isolate yourself okay there have been reports that the men are more effective than women said accurate or neither seems the data seems to corroborate that almost every single patient that I had is male whatever spouses that I see it's usually the husband's the wives are bringing the husband's it seems to be that that seems to be the data right now so does that mean that if we have to go out to get food for example should the wife go as opposed to the husband there's no recommendations about that everybody should do the best that they can there's no recommendation so that's a very good question I could ask the health departments I don't want to make my own recommendation though if anyone has any questions just remind you that you could set it into the chair of getting a few of them over there by the way I just want to say that everything that's happening is changing every single day so the advice that I gave people two weeks ago is different device I gave one week ago and the advice I'm giving today might be different in a few days sometimes the advice changes from morning tonight so everything that we're saying is for this time only and things may change and things are definitely going to change because the whole situation is involved okay so we've heard a many press conferences they talked about a drug for malaria quote chloroquine or hydroxy cork when we understand that right now there's no official treatments and that it's under trial but what does a trial mean exactly and how long can something like that take we're doing Hydra I'm using hydroxychloroquine right now on patients who meet certain criteria if they meet those criteria then I prescribed the hydroxychloroquine a number of doctors are able to do it you have to be part of a study group to be able to do it until this week all in New York State all pharmacies were allowed to give it out the governor did not change the law this week and you cannot get in all pharmacies of pharmacies and now I dispense it unless the doctors prescribing it are part of a study group trying to get the data to see if it works it worked in China it was supposedly helpful in China and other countries the United States is skeptical if it's working and there's different dosages and different regimens being given in different hospitals some houses are using 620 somebody's in for two twice today using too much or twice a day some people using this many days will use it that there's so many different ways of using it with so many different other drugs we'll set the max with famotidine taxi cycling with other drugs nobody knows for sure it's working they're trying to do different dosages in different hospitals by and comparing the effectiveness and getting American data with American rigorous standards to see if there is a benefit on it or not okay so right now it could take weeks trial that's right and this is a medication that's been around for a while we already know the side effects of it it's it's a deemed relatively safe excused and they have a lot of side effects affect the heart rhythm and when it's used with other drugs that also affect the heart rhythm there's a lot of people that we are referring to use it on because they might die from using the drug okay so it goes to say do not self-medicate even if you have that medication in your house or some other condition no there's a number patience that I before I used to ask the cardiologists ask their other specialists I have taken EKGs on people and made sure that they're fine before I give it to them it is it is dangerous to use it without direction to a physician and somebody that has been contagion I think we set this already once but some people are asking it so ask again after someone is diagnosed with with the virus how long for how long are they considered contagious New York City at least for seven days once they've had the onset of symptoms for seven days and they also have to be feeling feeling better for three days so seven days to the onset and they have to be feeling better for three days before they can go back so if somebody today develop symptoms on Thursday next Thursday morning if they were feeling better for three days already then they could go at it party if they're not feeling better they'd have to wait till they're past the seven days and then wave three days of feeling okay so total of ten oh forget it okay even if they're feeling better by day four then day five six and seven would count as feeling well and completing seven days seven days or seven plus whatever it takes to be wealthy three days okay give us a little clarity understanding how exactly the planning the curve is savings people's lives by it's quite simple if the hospital has so many patients in the emergency room that they don't have enough doctors to take care of them and enough rooms to be seen they can die in the waiting room waiting to get attention so that means to say that even someone who's young and healthy because they can't get the care that they would otherwise be fine from the virus therefore they can also have died from it if they would be the only person in the hospital they would have gotten the care they need to live but since there are so many people and the doctors can't get to eat person and they don't have enough supplies for each person they're dying because they can get the care they'll be the only person Lhasa and have all the doctor's attention they would happening the curve means that you get attention and that means that if there's a car accident or something then that patient can also who might have survived but now that the hospital is overrun they're included and it's not enough this way okay there's one question I don't understand maybe you could explain someone asks what if you can explain what it means to strengthen respiratory hygiene I don't know what that means exactly but I am hygiene is hygiene you gotta keep your cleanliness I don't know what okay you shouldn't if they can just clarify anything I think social distancing we'll just make sure to do not breathing on top of each other not exactly sure what the phrases okay and if let's say somebody is smokes or something like that is this or or is overweight is that considered being at risk for more severe repercussions from this you know there's a lot of factors everything depends on and we could see some people have all the risk factors in the world and have nothing and we could see people who have no risk factors and all some have terrible disease risk factors is a way of what people do to minimize their risks okay so people tell me but so-and-so smokes and ease they live to be a hundred and twenty and somebody watches himself he's a marathon runner and so vegetarian and somehow he died at 19 we believe there's no kind of sparkle bought occurs for who tells us we have to do this topless we have to go ahead and do what we need to do having these risk factors anything that affects your lungs smoking being overweight that all makes breathing harder potentially those people will have more of a risk and I definitely see that people who have some difficulty with breathing all of a sudden that they're given a challenge to the breathing rest to the breathing system to the restaurant system they will already be in a challenge point so people should be as healthy as possible to give their bodies the best chance to fight off the respiratory challenge if a person's overweight they already are having difficulty breathing now you add something to it it could potentially somebody's an asthmatic somebody's vape somebody smokes they are affecting himself in a way that could lead to a more riskier situation okay so starting to smoke today what will help me in the future probably in this good incentive to teas is what you need is what you need but there's other benefits as well yes for the meantime don't smoke don't they take care I'll go out for a run do some calisthenics do some jumping jacks jump rope if you only have a porch to be on just do some exercise get short of breath when you're doing your jumping jacks and your jumping rope and your jogging in place your jumping and jogging up and down your driveway and be healthy don't be overweight take care of any respiratory challenge you have so shouldn't become additive to any condition you have okay we have our last question if anyone has anything that's less chance so we're looking forward to the warmer months now and there people say that as just like the flu vaccine the flu season we have every year sort of Peters out towards the warmer months is there hope that maybe this would sort of die out towards the summer as the weather warms up now and they've been people talking about using blow dryers to help kill the virus if you could talk about that as well there's no recommendations from any Department of Health to use blow dryers or choose something suntan machines or anything like that so I'm not aware of any credible recommendations for that what what will be in two months now I don't know it's gonna be in a week from now I could be okay we have to stay positive I think we need to you know trust that kind of Oracle that things will get better and we have to do what we can to keep people safe right now but I don't think anybody really has you know any knowledge nobody knows just gonna be tomorrow nobody knows will be next week and I don't think anybody's giving recommendations and predictions what I could say is that this is not the first time that humanity has faced such a challenge they never challenged they've never been challenged in this sort of a generational it's everything that we have but we've been challenged in the past and if you look at the history of all epidemics in the past they come and they go I can't say that we won't have this go without being unscathed there have been you know losses and there's been you know tragedies and alibi we should come through it without any more but as we speak you know there are there are people struggling right now for their lives but I'm certain that at some point so this will pass and we have to do our part now every single moment to contain it as much as possible to protect ourselves protect our elderly protect those at risk and with our efforts not kind of spark whose see after the shamalia I'm confident that at some point we'll come through it okay so a few people sent in now they got the last chance warning so just we'll go through them quickly here so many people are paying hard time finding the comparing you know school and school to going to the store explained why having a meeting of people with the proper social distancing guard lines is still a problem but me going to get food from the store is not the longer you spend with somebody in face-to-face contact in a contained area the greater the risk when you go ahead and you pass somebody in the street you're passing them for one second when you go ahead and sit with somebody cut loose a style or dab awning right next to them in front of that to them the longer you're staying the longer you have contact with them so it's a prolonged period of time that you are gathered together it's very different in passing somebody for a short period of time okay someone wants to know is can we assume that schools will be open after Pesach or is that something we can answer at the moment every community's gonna have to see what's doing by then it's hard to say no to areas are the same partisan I don't have that bikini emotion at the moment we just have no answer okay and okay this has been asked a few times we could cover this but they can reiterate just quickly about pays off if someone already had the virus so at the moment we we don't consider them immune and therefore if someone gets it again we have to be isolate but if they had it already can they now get together for Pesach or no the recommendation general okay wait until there are tests of immunity we don't know who's and just because somebody has it they thought they had we mentioned this question before maybe there's different strains maybe they had a mild case and even have a full case the answer is no okay we cannot assume that we had it we're done until well until we have proof of that right now there is no proof in the medical societies to prove that a reckons who does as taking their own risk and there is going to tell people will do but if you ask for a recommendation recommendation is no I know no manana me no outdoor minion him nothing No you know when when when you start going ahead you know what this past Shabbos was my son's of birth I had an ability to have a safer tour in my house with ten people and I could have done it with my own family I didn't do it this Shabbos is my son's Shabbat Catan okay and I could get ten people easily even safer Toyota my own family I'm not doing it the reason I'm not doing it is because even if I think I know how to do it in a smart way somebody is going to go ahead and see what's being done and do it in a not smart way so even if you follow the best sort of protocols somebody's gonna look and say well if he could do why can I do it before you know it people don't know what they're doing and it becomes a dangerous situation and therefore even though you have great Rabbani who we could arrange they could do a a minyan and be very far away from the next person if you really know a hundred percent you're gonna be careful it's possible somebody's not gonna do it and if we don't try to go to the edge of what I could do and try to get away with it if you're on the highway and you say you know what it says I can travel this many miles per hour and I'm gonna go right by the edge you could fall off we have to go ahead and establish guidelines that the general population is going to be able to follow across and not try to be outsmart the system and then fall down and get hurt hurt somebody else and cause other people to see what we're doing and they should stumble it is the law it's Dean of the muscles of Dina and you have to follow you have to ask your rabbis if the government tells you that you're not allowed to do it and you went to heaven did it you're gonna have to ask and I don't have to answer not a rabbi if those brought us our prophets if those fields are considered to us I don't have the answer to such questions rabbis will have to answer them it seems they have answered that there's so many letters of rabbis who said not to do it and if they said not to do it then who are we to try to be more than them okay oh thank you very much if anyone's did a lot people asked about camp we're gonna talk about camp after this is over I thought this is gonna be a half an hour meeting it's now an hour I have you should call me and I have to go thank you so very much cut about we really really appreciate your time unbelievable should only see you shouldn't force the whole class or though I mean good luck everybody okay Abbadon everybody sit down take care of people asked about the summer camp if you can just answer then it um yeah just quickly about camp obviously at this point like you just heard it's in the medical field that's unknown so by us is for sure unknown as it stands in our we are having camp if you're tormenta people ask you if this camp and should they sign up the answers they should sign up and reserve a spot obviously if it's not safe the deemed safe to us to open up then we will not open camp but people will get full refunds bar Hashem as of today I saw that someone sent around that in Schoharie County there's only two cases so let's hope it stays that way and that's the first place that could open up and we're all safe to go there I know if it's gonna help if everyone was maybe I want to go into quarantine for three weeks everyone coming to camp about because I want to keep on babbling and stay safe and never left and put together just together to keep everybody on here is that there is interview session be starting we're going to do them via zoom sorry we can't have I mean you never know maybe have to pay some label to have a reunion but the way it stands as well start with interviews now because people I want to take interviews people want to get in and want to get the cool spots in camp and you can't thank you all enough Shmuel thank you so much you did a perfect job getting all the questions very clearly and thank you so much probably ask us everybody everybody we show we hear good news guys we talk to your campers we tried the attorneys I'm telling you so bored they go you think you're bored a double bored they've been out at a school and I don't think way before us they go nuts so reach out are you gonna do okay special activity coming up next week wants to be his own millionaire look out a virtual and maybe we should work for the staff I like that idea people consider that okay thank you so much guys for the Travis