1 00:00:00,080 --> 00:00:14,080 Speaker 1: Kay Welcome to the Therapy for Black Girls Podcast, a 2 00:00:14,160 --> 00:00:18,959 Speaker 1: weekly conversation about mental health, personal development, and all the 3 00:00:19,000 --> 00:00:22,040 Speaker 1: small decisions we can make to become the best possible 4 00:00:22,160 --> 00:00:26,599 Speaker 1: versions of ourselves. I'm your host, Dr Joy hard and Bradford, 5 00:00:26,960 --> 00:00:32,040 Speaker 1: a licensed psychologist in Atlanta, Georgia. For more information or 6 00:00:32,159 --> 00:00:35,560 Speaker 1: to find a therapist in your area, visit our website 7 00:00:35,680 --> 00:00:39,280 Speaker 1: at Therapy for Black Girls dot com. While I hope 8 00:00:39,320 --> 00:00:43,199 Speaker 1: you love listening to and learning from the podcast, it 9 00:00:43,360 --> 00:00:46,400 Speaker 1: is not meant to be a substitute for relationship with 10 00:00:46,440 --> 00:00:57,680 Speaker 1: a licensed mental health professional. Hey, y'all, thanks so much 11 00:00:57,680 --> 00:01:00,520 Speaker 1: for joining me for session one of the Therapy for 12 00:01:00,560 --> 00:01:05,399 Speaker 1: Black Girls podcast last week. Through the generous sponsorship and 13 00:01:05,440 --> 00:01:08,960 Speaker 1: support of MADIQ, I was able to have a conversation 14 00:01:09,000 --> 00:01:12,560 Speaker 1: with Dr Ony Blackstock, who is the Assistant Commissioner for 15 00:01:12,600 --> 00:01:16,120 Speaker 1: the Bureau of HIV AIDS Prevention and Control for the 16 00:01:16,120 --> 00:01:20,320 Speaker 1: New York City Health Department. Dr Blackstock has spent much 17 00:01:20,319 --> 00:01:23,800 Speaker 1: of her career advocating for justice in medicine, and it's 18 00:01:23,880 --> 00:01:27,840 Speaker 1: always so amazing at translating medical information so that it's 19 00:01:27,920 --> 00:01:31,720 Speaker 1: digestible for everyone. She shared all the facts you need 20 00:01:31,760 --> 00:01:34,759 Speaker 1: to know about what we currently know about COVID nineteen, 21 00:01:35,640 --> 00:01:38,640 Speaker 1: tips on how to keep you and your loved one safe, 22 00:01:39,120 --> 00:01:42,319 Speaker 1: and what vaccine development looks like for the virus and 23 00:01:42,400 --> 00:01:46,080 Speaker 1: how it would work once we have one. This conversation 24 00:01:46,120 --> 00:01:49,200 Speaker 1: originally took place on our Facebook page and it was 25 00:01:49,280 --> 00:01:51,400 Speaker 1: so good that I wanted to make sure as many 26 00:01:51,440 --> 00:01:55,560 Speaker 1: of you heard it as possible. Once you've listened, please 27 00:01:55,600 --> 00:01:58,840 Speaker 1: be sure to share with your circles as well. Here's 28 00:01:58,840 --> 00:02:04,200 Speaker 1: our conversation. I'm very happy that you all were able 29 00:02:04,240 --> 00:02:07,520 Speaker 1: to join us this Thursday afternoon. UM. So those of 30 00:02:07,560 --> 00:02:09,520 Speaker 1: you who have been following for some time, you know 31 00:02:09,600 --> 00:02:12,520 Speaker 1: that this is typically our three for Thursday time. We 32 00:02:12,560 --> 00:02:15,560 Speaker 1: have a very special guest with us returning special guests, 33 00:02:15,919 --> 00:02:18,400 Speaker 1: UM Dr Ony black Sock. So i am Dr joy 34 00:02:18,480 --> 00:02:21,720 Speaker 1: Harton Bradford. I am the like I'm a licensed psychologist 35 00:02:21,800 --> 00:02:24,639 Speaker 1: and the founder of Therapy for Black Girls. And Dr 36 00:02:24,720 --> 00:02:27,359 Speaker 1: Only black Stock is the Assistant Commissioner for the Bureau 37 00:02:27,400 --> 00:02:30,760 Speaker 1: of h for Vesion in Control for the New York 38 00:02:30,800 --> 00:02:34,560 Speaker 1: City Health Department. So welcome back, Dr black Side, thanks 39 00:02:34,560 --> 00:02:36,639 Speaker 1: for having me. Dr Bradford, get to see you again, 40 00:02:37,240 --> 00:02:40,119 Speaker 1: perfect perfect, I'm very happy to have you back. Janet's 41 00:02:40,120 --> 00:02:42,079 Speaker 1: in the comments, saying that she follows you on Twitter 42 00:02:42,200 --> 00:02:47,120 Speaker 1: loves you. So today Dr black Sock. The last time 43 00:02:47,160 --> 00:02:49,760 Speaker 1: she joined us, we talked all about prep um, the 44 00:02:49,840 --> 00:02:53,880 Speaker 1: medication that is used related to hi UM, and today 45 00:02:53,960 --> 00:02:56,440 Speaker 1: she is joining us to talk about all of the 46 00:02:56,520 --> 00:02:59,040 Speaker 1: facts that we need to know about COVID nineteen. So 47 00:02:59,120 --> 00:03:04,399 Speaker 1: we know um how this is disproportionately unfortunately impacting our community. 48 00:03:04,480 --> 00:03:06,600 Speaker 1: So we really wanted to make sure that we had 49 00:03:06,600 --> 00:03:09,400 Speaker 1: a conversation with a physician who is doing the work 50 00:03:09,400 --> 00:03:11,760 Speaker 1: on the front line UM to to kind of give 51 00:03:11,840 --> 00:03:14,720 Speaker 1: us the factual information and to kind of get rid 52 00:03:14,760 --> 00:03:17,960 Speaker 1: of any misconceptions that people are having. So really thankful 53 00:03:18,040 --> 00:03:21,359 Speaker 1: to the medi q T for partnering with us again 54 00:03:21,440 --> 00:03:24,799 Speaker 1: to sponsor this conversation with Dr black Sock. So Dr 55 00:03:24,840 --> 00:03:27,240 Speaker 1: black Sock, and make sure you drop your questions in 56 00:03:27,360 --> 00:03:29,760 Speaker 1: the comments. So Dr black Stock will be answering as 57 00:03:29,800 --> 00:03:32,240 Speaker 1: many questions as you can, UM, so make sure you're 58 00:03:32,320 --> 00:03:34,760 Speaker 1: dropping those in the comments. So, Dr black Stock, I 59 00:03:34,800 --> 00:03:38,400 Speaker 1: want to first weekend by hearing UM, why is this 60 00:03:38,520 --> 00:03:43,200 Speaker 1: virus so different than any other virus that we've experienced. 61 00:03:44,000 --> 00:03:48,240 Speaker 1: So Dr Bradford said, this is UM a novel virus, 62 00:03:48,280 --> 00:03:52,360 Speaker 1: so a new virus, brand new UM, identified in late 63 00:03:52,400 --> 00:03:56,480 Speaker 1: December and will hunt China and since then has traveled 64 00:03:56,520 --> 00:04:01,200 Speaker 1: across the globe. UM. This virus in particular seems UM 65 00:04:01,240 --> 00:04:05,080 Speaker 1: more contagious than some of its predecessors UM, such as 66 00:04:05,720 --> 00:04:08,240 Speaker 1: UM Stars and mirrors, which people may have heard of 67 00:04:08,280 --> 00:04:12,640 Speaker 1: in the past. UM. And then also something that seems 68 00:04:13,000 --> 00:04:16,280 Speaker 1: so unique about it is that people can have UH 69 00:04:16,440 --> 00:04:21,000 Speaker 1: infection with UM the coronavirus and novel coronavirus and not 70 00:04:21,120 --> 00:04:24,159 Speaker 1: have any symptoms or have very mild symptoms. And so 71 00:04:24,240 --> 00:04:27,200 Speaker 1: because of that, people may be spreading it to others 72 00:04:27,440 --> 00:04:31,400 Speaker 1: without knowing UM. The stars virus UM the first one 73 00:04:31,480 --> 00:04:34,479 Speaker 1: from back I think in two thousand three I believe 74 00:04:34,600 --> 00:04:40,039 Speaker 1: or thirteen that virus UM typically caused like very significant 75 00:04:40,080 --> 00:04:43,200 Speaker 1: respiratory symptoms, so if someone was sick UM, they knew 76 00:04:43,240 --> 00:04:47,080 Speaker 1: it UM. But with the novel coronavirus, there are people 77 00:04:47,160 --> 00:04:50,360 Speaker 1: who may have no symptoms, are very mild symptoms with 78 00:04:50,440 --> 00:04:54,400 Speaker 1: it and then can spread to others mmmmmmmmm. And something 79 00:04:54,440 --> 00:04:56,400 Speaker 1: else that we are kind of learning is how it 80 00:04:56,560 --> 00:05:00,440 Speaker 1: impacts people differently. And so you know, I think a 81 00:05:00,440 --> 00:05:02,880 Speaker 1: lot of people have been shocked UM. And of course 82 00:05:03,000 --> 00:05:04,960 Speaker 1: it is on a case by case basis, with that 83 00:05:05,200 --> 00:05:09,520 Speaker 1: children are not seemingly as impacted UM, at least by 84 00:05:09,560 --> 00:05:11,840 Speaker 1: the symptoms of the coronavirus. Can you talk a little 85 00:05:11,839 --> 00:05:16,760 Speaker 1: bit about that, right, So, we are seeing UM much 86 00:05:16,960 --> 00:05:20,520 Speaker 1: you know, worse outcomes UM as age increases, So particularly 87 00:05:20,520 --> 00:05:23,160 Speaker 1: in older people in the population, we're seeing them being 88 00:05:23,200 --> 00:05:29,200 Speaker 1: disproportionately impacted, hospitalized and dying from this new coronavirus infection 89 00:05:29,839 --> 00:05:32,160 Speaker 1: and UM. The thought is that some of this has 90 00:05:32,200 --> 00:05:35,320 Speaker 1: to do with sort of differences in the body's response 91 00:05:35,440 --> 00:05:38,520 Speaker 1: to this new virus. So older people have a more 92 00:05:38,960 --> 00:05:42,920 Speaker 1: vigorous response in terms of mounting UM and immune response 93 00:05:43,320 --> 00:05:45,920 Speaker 1: UM so may have like a lot for instance, UM 94 00:05:46,240 --> 00:05:48,880 Speaker 1: the lung involvement that we see when people have really 95 00:05:49,080 --> 00:05:52,040 Speaker 1: UM much trouble breathing and the lungs full up with 96 00:05:52,160 --> 00:05:55,160 Speaker 1: inflammatory cells UM, that is more likely to happen. And 97 00:05:55,320 --> 00:05:58,360 Speaker 1: someone who is older UM than someone who was younger. 98 00:05:58,400 --> 00:06:01,279 Speaker 1: So these differences and how people are responding by age 99 00:06:01,360 --> 00:06:04,919 Speaker 1: seemed to be UM one of the reasons why we 100 00:06:05,000 --> 00:06:09,200 Speaker 1: see it affecting older people more and UM younger people 101 00:06:09,279 --> 00:06:12,159 Speaker 1: less got it. Got it. So, what are some of 102 00:06:12,200 --> 00:06:14,039 Speaker 1: the main things that we can do down the black 103 00:06:14,120 --> 00:06:16,760 Speaker 1: side to make sure that we are keeping ourselves safe 104 00:06:16,800 --> 00:06:22,680 Speaker 1: and I love right. So if people have the ability 105 00:06:22,800 --> 00:06:26,159 Speaker 1: to to definitely shelter in place. I know that not 106 00:06:26,240 --> 00:06:31,039 Speaker 1: everyone has access to safe UM and warm shelter UM, 107 00:06:31,160 --> 00:06:34,479 Speaker 1: but if you do, to definitely stay inside unless you 108 00:06:34,520 --> 00:06:39,160 Speaker 1: need to go outside for essential items like food or 109 00:06:39,200 --> 00:06:42,239 Speaker 1: there's like urgent medical care you need. Otherwise UM, please 110 00:06:42,360 --> 00:06:44,560 Speaker 1: stay inside. People should probably only be going out every 111 00:06:44,560 --> 00:06:47,039 Speaker 1: one to two weeks if they're able to. UM. We 112 00:06:47,120 --> 00:06:49,480 Speaker 1: understand some people don't have that choice and are still 113 00:06:49,760 --> 00:06:53,680 Speaker 1: having to work to support themselves, support their families. UM. 114 00:06:53,760 --> 00:06:57,040 Speaker 1: For for those individuals who must leave UM the house 115 00:06:57,200 --> 00:07:02,640 Speaker 1: frequently and are in like high contact UH professions recommendation 116 00:07:02,960 --> 00:07:06,080 Speaker 1: is to UM you know when they are coming back home, 117 00:07:06,480 --> 00:07:09,239 Speaker 1: really to if they can change their clothes before entering 118 00:07:09,560 --> 00:07:14,160 Speaker 1: their homes UM and then to immediately shower if possible, 119 00:07:14,760 --> 00:07:17,080 Speaker 1: because that can reduce the risk if there's anything like 120 00:07:17,120 --> 00:07:19,320 Speaker 1: on their clothes or on their bodies that could be 121 00:07:19,400 --> 00:07:21,360 Speaker 1: like the vibeer virus and then they could touch a 122 00:07:21,400 --> 00:07:23,320 Speaker 1: contact surface and then so when in their home could 123 00:07:23,360 --> 00:07:26,680 Speaker 1: touch it that could cause spread. So definitely changing one's 124 00:07:26,680 --> 00:07:28,480 Speaker 1: clothes when one goes home, or just having a different 125 00:07:28,520 --> 00:07:32,080 Speaker 1: set of clothes for work UM than for home. UM. 126 00:07:32,120 --> 00:07:35,640 Speaker 1: Obviously hand hygiene for everyone, so washing your hands for 127 00:07:35,720 --> 00:07:39,160 Speaker 1: twenty seconds with soap and water or using alcohol based 128 00:07:39,360 --> 00:07:42,800 Speaker 1: UM sanitizer. UM. If you need to reach out to 129 00:07:43,080 --> 00:07:47,400 Speaker 1: a physician or healthcare provider, seeing whether they have a 130 00:07:47,400 --> 00:07:50,360 Speaker 1: telehealth option UM if you're if you're able to those 131 00:07:50,360 --> 00:07:53,760 Speaker 1: are all UM really important as well. When you cough 132 00:07:53,920 --> 00:07:56,440 Speaker 1: or you sneeze, make sure you're sneezing into a tissue 133 00:07:56,920 --> 00:07:59,360 Speaker 1: or into the crook of your your arm like this, 134 00:07:59,800 --> 00:08:02,840 Speaker 1: and not using your hands. Avoid shaking hands with people. 135 00:08:03,080 --> 00:08:06,360 Speaker 1: You can do what kind of salute, elbows, whatever it is. 136 00:08:06,560 --> 00:08:11,120 Speaker 1: Avoid um touching other people. Making sure you're disinfecting your home. 137 00:08:11,520 --> 00:08:13,440 Speaker 1: Making sure also that you're taking care of yourself, that 138 00:08:13,480 --> 00:08:16,200 Speaker 1: you're like eating well, that you're getting the sleep that 139 00:08:16,240 --> 00:08:18,200 Speaker 1: you need. I noticed this is a very stressful time, 140 00:08:18,240 --> 00:08:20,600 Speaker 1: so people may not be able to get the sleep 141 00:08:20,640 --> 00:08:23,840 Speaker 1: that they need, but trying to really prioritize sleep. And 142 00:08:23,840 --> 00:08:26,239 Speaker 1: then also part of health is really the social support 143 00:08:26,280 --> 00:08:28,720 Speaker 1: that we have from our family and friends, So really 144 00:08:28,760 --> 00:08:32,720 Speaker 1: trying to maintain maintaining those connections UM. But doing so virtually. 145 00:08:33,400 --> 00:08:35,520 Speaker 1: And I'm part of the reason it sounds like that 146 00:08:35,600 --> 00:08:38,800 Speaker 1: the recommendation so quickly was for people to shelter at 147 00:08:38,840 --> 00:08:41,560 Speaker 1: home if they could, was because of how easy it 148 00:08:41,679 --> 00:08:46,480 Speaker 1: seems for the virus despread. Correctly, yes, right, so right, 149 00:08:46,520 --> 00:08:47,920 Speaker 1: and so that was another thing, right to add to 150 00:08:47,920 --> 00:08:51,880 Speaker 1: add to the issue runs physical distancing or social distancing. 151 00:08:52,640 --> 00:08:55,160 Speaker 1: And the whole idea is that so this virus is 152 00:08:55,160 --> 00:09:00,760 Speaker 1: spread when someone coughs, sneezes, um, or um talks. It 153 00:09:00,800 --> 00:09:03,400 Speaker 1: can be spread in terms of respiratory droplets and these 154 00:09:03,440 --> 00:09:06,480 Speaker 1: little sort of droplets that include that have the virus 155 00:09:06,520 --> 00:09:09,680 Speaker 1: in them, but they don't go further than than six ft. 156 00:09:10,120 --> 00:09:12,800 Speaker 1: And so that is the reason why we want people 157 00:09:12,840 --> 00:09:15,800 Speaker 1: to to um have a distance of at least six 158 00:09:15,840 --> 00:09:18,360 Speaker 1: feet other people, because that way they won't be infected 159 00:09:18,640 --> 00:09:23,480 Speaker 1: through droplets. UM. It's also spread by if someone you know, 160 00:09:23,559 --> 00:09:27,000 Speaker 1: costs or sneezes, touches their nose, their face, whatever, and 161 00:09:27,040 --> 00:09:29,559 Speaker 1: then touches the surface or touch is someone else, and 162 00:09:29,559 --> 00:09:31,800 Speaker 1: then that person touches it and then touches them their face. 163 00:09:32,320 --> 00:09:36,240 Speaker 1: So definitely avoid so physical distancing, which obviously an extension 164 00:09:36,240 --> 00:09:38,240 Speaker 1: of the sheltering in place, but when you do go outside, 165 00:09:38,280 --> 00:09:41,240 Speaker 1: maintaining at least six feet if you can, UM and 166 00:09:41,320 --> 00:09:45,360 Speaker 1: avoiding touching your face. Also, I should add UM depending 167 00:09:45,360 --> 00:09:47,559 Speaker 1: on what jurisdiction you live in in New York City 168 00:09:47,600 --> 00:09:50,440 Speaker 1: and so the recommendation is for everyone if they are 169 00:09:50,480 --> 00:09:53,199 Speaker 1: in places where they cannot maintain a six ft distance 170 00:09:53,280 --> 00:09:57,480 Speaker 1: to where a face covering. The face covering does not 171 00:09:57,559 --> 00:10:02,440 Speaker 1: necessarily prevent someone from acchore ring the novel coronavirus or 172 00:10:02,440 --> 00:10:07,120 Speaker 1: COVID nineteen UM, it prevents them from passing it to 173 00:10:07,120 --> 00:10:08,920 Speaker 1: someone else, kind of we set. A lot of people 174 00:10:09,040 --> 00:10:12,400 Speaker 1: may not have any symptoms and maybe unknowingly transmitting it. 175 00:10:12,440 --> 00:10:15,640 Speaker 1: So the face covering can help if you have coronavirus infection, 176 00:10:16,120 --> 00:10:18,560 Speaker 1: may not know it helps you to prevent prevent you 177 00:10:18,600 --> 00:10:22,040 Speaker 1: from passing it to others. Got it. So we have 178 00:10:22,120 --> 00:10:26,120 Speaker 1: a question from Cynthia who says, what about black folks 179 00:10:26,120 --> 00:10:29,920 Speaker 1: who are not exercising caution because they consider the virus 180 00:10:30,000 --> 00:10:32,520 Speaker 1: a hoax? UM. So, I'm not sure how much you've 181 00:10:32,520 --> 00:10:36,840 Speaker 1: heard about some of the misinformation around UM, the coronavirus 182 00:10:36,920 --> 00:10:40,320 Speaker 1: being related to five g um, to the telephone, you know, 183 00:10:40,400 --> 00:10:42,480 Speaker 1: systems and those kinds of things like what kinds of 184 00:10:42,520 --> 00:10:44,959 Speaker 1: things would you say about that. Yeah, I definitely want 185 00:10:44,960 --> 00:10:49,840 Speaker 1: to make space for you know, concerns around this virus 186 00:10:49,840 --> 00:10:53,280 Speaker 1: being a hoax, because I think that UM, as black 187 00:10:53,320 --> 00:10:55,960 Speaker 1: people in this country, we have obviously been been treating 188 00:10:55,960 --> 00:10:57,800 Speaker 1: a way that would make a sort of question what 189 00:10:57,840 --> 00:11:01,200 Speaker 1: we're hearing from sort of larger authority, and so I 190 00:11:01,240 --> 00:11:03,320 Speaker 1: want to say like whole space for that and the 191 00:11:03,360 --> 00:11:05,080 Speaker 1: fact that this is not a hoax. This is like 192 00:11:05,080 --> 00:11:09,600 Speaker 1: a very real virus that is really causing UM much 193 00:11:09,960 --> 00:11:15,280 Speaker 1: illness and death around the globe. UM. We no initially 194 00:11:15,320 --> 00:11:18,080 Speaker 1: think there were also some suggestions that black people don't 195 00:11:18,120 --> 00:11:21,439 Speaker 1: get coronavirus infections initially, UM, and I think that that 196 00:11:21,520 --> 00:11:22,760 Speaker 1: had a lot to do with like we just didn't 197 00:11:22,760 --> 00:11:25,040 Speaker 1: have access to testing for it, so that was why, 198 00:11:25,040 --> 00:11:27,760 Speaker 1: and then people were saying it wasn't happening happening in Africa. 199 00:11:27,840 --> 00:11:29,880 Speaker 1: I think also again and now we're seeing Africa being 200 00:11:30,360 --> 00:11:33,160 Speaker 1: impacted and a lot of it is really about our 201 00:11:33,679 --> 00:11:37,600 Speaker 1: people have access to testing. And initially, UM the criteria 202 00:11:37,600 --> 00:11:40,640 Speaker 1: to be tested very early on, and this were very restrictive, 203 00:11:40,880 --> 00:11:44,760 Speaker 1: so people had to have like travel to um Muhan, 204 00:11:44,880 --> 00:11:47,960 Speaker 1: China and or Italy, and some other places that were 205 00:11:48,200 --> 00:11:50,200 Speaker 1: being heavily impacted, and you know we are you know, 206 00:11:50,559 --> 00:11:52,640 Speaker 1: many of us some do travel, but many of us 207 00:11:52,679 --> 00:11:55,000 Speaker 1: don't travel, and so we would we would be limited 208 00:11:55,320 --> 00:11:58,440 Speaker 1: UM by those UM really strict reteria criteria in terms 209 00:11:58,480 --> 00:12:02,000 Speaker 1: of being able to get tested UM. Now test testing 210 00:12:02,040 --> 00:12:04,840 Speaker 1: has opened up more, but we still have we still 211 00:12:04,840 --> 00:12:07,480 Speaker 1: deal with some of the same same barriers. And obviously, 212 00:12:08,040 --> 00:12:11,079 Speaker 1: you know, provider bias, concerns that maybe our symptoms aren't 213 00:12:11,080 --> 00:12:14,960 Speaker 1: being treated, aren't being UM sort of considered serious when 214 00:12:14,960 --> 00:12:18,280 Speaker 1: they are. We do know there are beliefs that medical 215 00:12:18,320 --> 00:12:22,080 Speaker 1: providers have partular white medical providers that you know, black 216 00:12:22,080 --> 00:12:24,880 Speaker 1: people may have a different threshold for pain UM, and 217 00:12:24,920 --> 00:12:28,760 Speaker 1: we know that these UM biases really impact the care 218 00:12:28,800 --> 00:12:33,000 Speaker 1: that people receive. So I want to acknowledge counter narratives 219 00:12:33,080 --> 00:12:36,680 Speaker 1: and beliefs around that's potentially being a hoax UM and 220 00:12:36,760 --> 00:12:39,800 Speaker 1: those beliefs with the fact that this is something that's 221 00:12:39,920 --> 00:12:43,000 Speaker 1: very real, and we want to make sure that UM 222 00:12:43,040 --> 00:12:45,800 Speaker 1: that black communities know this are doing what they can 223 00:12:46,120 --> 00:12:49,360 Speaker 1: to stay safe, recognizing their lot to structural factors UM 224 00:12:49,480 --> 00:12:52,679 Speaker 1: that make us very vulnerable to this. M H. Good, 225 00:12:52,760 --> 00:12:55,600 Speaker 1: I appreciate you being able to hold spacebook both of those. 226 00:12:56,240 --> 00:12:58,400 Speaker 1: That is a very real part of our history in 227 00:12:58,440 --> 00:13:01,599 Speaker 1: this country for sure. Way, So you mentioned testing a 228 00:13:01,640 --> 00:13:03,240 Speaker 1: little bit, and so I want to dive into that 229 00:13:03,280 --> 00:13:05,760 Speaker 1: a little bit more because you said that like testing 230 00:13:05,840 --> 00:13:08,600 Speaker 1: has opened up, UM, but we are also kind of 231 00:13:08,600 --> 00:13:11,280 Speaker 1: seeing accounts on social media and even I've heard from 232 00:13:11,320 --> 00:13:13,959 Speaker 1: like friends and colleagues UM that they may hand some 233 00:13:14,160 --> 00:13:16,839 Speaker 1: symptoms but they try to call around to try to 234 00:13:16,880 --> 00:13:19,080 Speaker 1: find a test and they're still kind of saying, you know, 235 00:13:19,120 --> 00:13:21,800 Speaker 1: like oh they're not enough tests or you don't actually 236 00:13:21,840 --> 00:13:23,959 Speaker 1: meet the threshold. So what kind of information would you 237 00:13:24,000 --> 00:13:27,319 Speaker 1: share with us about testing? Right? So I would say, UM, 238 00:13:27,360 --> 00:13:30,880 Speaker 1: just first becalling that everyone is UM listening or watching 239 00:13:30,960 --> 00:13:33,760 Speaker 1: from different places throughout the country. So making sure you 240 00:13:33,840 --> 00:13:36,800 Speaker 1: check with your local and state health department web page 241 00:13:36,840 --> 00:13:40,040 Speaker 1: like web pages to see sort of what UM testing 242 00:13:40,120 --> 00:13:42,199 Speaker 1: is available and what are sort of the threshold for 243 00:13:42,240 --> 00:13:45,120 Speaker 1: testing where you live. UM. Just saying that I think 244 00:13:45,200 --> 00:13:49,080 Speaker 1: also private providers maybe also doing something you know different 245 00:13:49,120 --> 00:13:51,559 Speaker 1: in terms of like who they're testing and whatever. Is 246 00:13:51,640 --> 00:13:55,640 Speaker 1: just putting that out there, UM. But because testing has 247 00:13:55,679 --> 00:13:58,200 Speaker 1: been limited, it has been reserved UM at least where 248 00:13:58,240 --> 00:14:01,040 Speaker 1: I AM in New York City for people who were present, 249 00:14:01,080 --> 00:14:04,640 Speaker 1: who were sicker, who had more more chronic medical conditions 250 00:14:04,720 --> 00:14:08,480 Speaker 1: like diabetes and high blood pressure, UM, people with very 251 00:14:08,520 --> 00:14:11,720 Speaker 1: severe presentation, you know, very shorter breath. And so the 252 00:14:11,800 --> 00:14:16,760 Speaker 1: priority has been to test those individuals UM because we 253 00:14:16,800 --> 00:14:21,080 Speaker 1: want folks who have milder illness UM, if they're doing 254 00:14:21,080 --> 00:14:23,400 Speaker 1: okay and they don't need medical help, we want them 255 00:14:23,400 --> 00:14:27,840 Speaker 1: to stay home UM to isolate themselves um UM for 256 00:14:28,000 --> 00:14:30,440 Speaker 1: a certain period of time after which they won't be 257 00:14:30,840 --> 00:14:33,320 Speaker 1: able to pass it on to others UM and to 258 00:14:33,440 --> 00:14:35,040 Speaker 1: do that and that's sort of the way that we 259 00:14:35,080 --> 00:14:39,040 Speaker 1: had been addressing this issue around the shortage of tests. 260 00:14:39,280 --> 00:14:45,080 Speaker 1: Now we're seeing increases in UM resources putting putting um 261 00:14:45,240 --> 00:14:48,040 Speaker 1: for testing and so hopefully we'll see some of those 262 00:14:48,080 --> 00:14:51,440 Speaker 1: barriers lesson UM. And I'm happy also to talk about 263 00:14:51,440 --> 00:14:53,880 Speaker 1: like their different types of testing UM. There are two 264 00:14:53,880 --> 00:14:57,520 Speaker 1: main types of testing people may have heard about sure 265 00:14:57,600 --> 00:15:01,480 Speaker 1: so UM there's like there's like molecular or PCR testing 266 00:15:01,840 --> 00:15:04,880 Speaker 1: and that testing is usually involving like a swab in 267 00:15:05,240 --> 00:15:09,200 Speaker 1: up the nose UM and UM also in the nostrils 268 00:15:09,200 --> 00:15:11,840 Speaker 1: sometime now in the saliva and sort of back in 269 00:15:11,960 --> 00:15:16,560 Speaker 1: the throat UM. That testing is for if someone has 270 00:15:16,600 --> 00:15:19,160 Speaker 1: an infection at that moment, So it's like, do I 271 00:15:19,200 --> 00:15:23,520 Speaker 1: have coronavirus UM COVID nineteen right now, UM, and so 272 00:15:23,600 --> 00:15:25,640 Speaker 1: that's what that test helps to identify it we call 273 00:15:25,760 --> 00:15:28,800 Speaker 1: like acute infection UM. The reality is that none of 274 00:15:28,840 --> 00:15:31,600 Speaker 1: these tests are a hundred percent accurate UM. So it 275 00:15:31,720 --> 00:15:34,280 Speaker 1: is possible, depending on how the spestim most was taken 276 00:15:34,400 --> 00:15:37,480 Speaker 1: or whatever, that someone who does have symptoms that are 277 00:15:37,600 --> 00:15:42,160 Speaker 1: very consistent with COVID nineteen could test negative UM. And 278 00:15:42,200 --> 00:15:45,120 Speaker 1: then it's also possible that you could have a false positive. 279 00:15:45,480 --> 00:15:47,720 Speaker 1: So just to say that like, they're not a hundred 280 00:15:47,720 --> 00:15:50,800 Speaker 1: percent accurate UM. But typically if someone test positive and 281 00:15:50,840 --> 00:15:54,320 Speaker 1: they have symptoms consistent, we say that that is coronavirus 282 00:15:54,480 --> 00:15:58,680 Speaker 1: UM COVID nineteen. There's also testing UM, antibody testing or 283 00:15:58,680 --> 00:16:03,600 Speaker 1: sterologic testing UM, and that UM you make people may 284 00:16:03,640 --> 00:16:05,560 Speaker 1: hear more and more about that, and that type of 285 00:16:05,560 --> 00:16:10,080 Speaker 1: testing can help us determine if someone has been infected 286 00:16:10,240 --> 00:16:14,120 Speaker 1: in the past UH with UM, with with the virus 287 00:16:14,120 --> 00:16:18,120 Speaker 1: that causes COVID nineteen UM our body. When we're exposed 288 00:16:18,160 --> 00:16:21,920 Speaker 1: to UM, a virus or bacteria UM can often mount 289 00:16:22,120 --> 00:16:25,800 Speaker 1: UM an antibody response, and but sometimes it doesn't do 290 00:16:25,840 --> 00:16:28,680 Speaker 1: that necessarily immediately. So that's why this test is not 291 00:16:28,840 --> 00:16:31,720 Speaker 1: used for UM testing. Like a current infection, it can, 292 00:16:32,040 --> 00:16:34,600 Speaker 1: but it takes time to develop anybody response. So that's 293 00:16:34,600 --> 00:16:38,120 Speaker 1: why it can detect whether someone has had a previous infection. 294 00:16:38,640 --> 00:16:40,560 Speaker 1: All that being said is there are many tests that 295 00:16:40,600 --> 00:16:43,200 Speaker 1: are flooding the market now UM, and many of them 296 00:16:43,200 --> 00:16:46,640 Speaker 1: have very questionable accuracy, and so we just want to 297 00:16:46,640 --> 00:16:48,960 Speaker 1: make sure that people understand that many of these tests 298 00:16:49,040 --> 00:16:54,440 Speaker 1: UM haven't necessarily been validated UM, and so it's possible, 299 00:16:54,520 --> 00:16:58,160 Speaker 1: but someone can get UM a false positive, so saying 300 00:16:58,240 --> 00:17:00,720 Speaker 1: that a test result that says they've been a supposed 301 00:17:00,760 --> 00:17:03,920 Speaker 1: to coronavirus and they had it, and then people will think, oh, 302 00:17:03,960 --> 00:17:06,639 Speaker 1: well now I have protection against and then they'll go 303 00:17:06,680 --> 00:17:08,520 Speaker 1: out and do whatever they want to do UM. And 304 00:17:08,520 --> 00:17:12,440 Speaker 1: then people who potentially have false negative tests as well. UM. 305 00:17:12,720 --> 00:17:14,800 Speaker 1: So just to say that UM, there are more and 306 00:17:14,840 --> 00:17:17,800 Speaker 1: more tests that are coming on the market and hopefully 307 00:17:18,000 --> 00:17:20,880 Speaker 1: we will be able to UM, you know, have more 308 00:17:20,920 --> 00:17:24,200 Speaker 1: widespread availability of these tests and have them be really accurate. 309 00:17:25,160 --> 00:17:27,679 Speaker 1: God God, thank you for that. Dr black Sack and 310 00:17:27,720 --> 00:17:31,280 Speaker 1: don't forget to be dropping your questions in the comments section. 311 00:17:31,600 --> 00:17:33,600 Speaker 1: And for those of you joining us, please make sure 312 00:17:33,640 --> 00:17:35,800 Speaker 1: that you're sharing this on your Facebook pages as well, 313 00:17:35,880 --> 00:17:38,920 Speaker 1: so that we can get as many people getting goomation 314 00:17:39,000 --> 00:17:43,119 Speaker 1: as possible. So we saw another question, UM, why are 315 00:17:43,160 --> 00:17:45,840 Speaker 1: we having just as many cases in the warmer climates 316 00:17:45,880 --> 00:17:49,480 Speaker 1: if he kills the virus? Okay, So it's it's actually 317 00:17:49,560 --> 00:17:52,000 Speaker 1: not clear this is a new virus, Like we don't 318 00:17:52,080 --> 00:17:54,280 Speaker 1: know whether he kills it or not. I think this 319 00:17:54,440 --> 00:17:57,639 Speaker 1: is we're going to see, um what happens. UM. We 320 00:17:57,680 --> 00:17:59,600 Speaker 1: know and people in Florida, I think are you know, 321 00:17:59,640 --> 00:18:02,719 Speaker 1: and warm climates throughout the world are being impacted. So 322 00:18:02,760 --> 00:18:05,320 Speaker 1: it's not completely clear whether this is going to have 323 00:18:05,440 --> 00:18:09,200 Speaker 1: like a significant seasonal variation. UM. There is a thought 324 00:18:09,320 --> 00:18:13,920 Speaker 1: that it is possible that by the summertime being might 325 00:18:13,960 --> 00:18:17,520 Speaker 1: improve based on all the social distancing and physical UM 326 00:18:17,560 --> 00:18:20,440 Speaker 1: and mitigation measures that are being taken. UM, but it's 327 00:18:20,480 --> 00:18:22,720 Speaker 1: possible that it may come back again in the fall 328 00:18:23,200 --> 00:18:26,679 Speaker 1: for a second wave along with the flu. So I 329 00:18:26,800 --> 00:18:30,400 Speaker 1: suspect that, UM, I don't know if we'll be going 330 00:18:30,440 --> 00:18:35,400 Speaker 1: back to normal any time soon. UM, And that as 331 00:18:35,440 --> 00:18:37,639 Speaker 1: we see the clines in the number of cases and 332 00:18:37,720 --> 00:18:41,240 Speaker 1: lower transmission of this virus. Um, we may say, like 333 00:18:41,240 --> 00:18:45,640 Speaker 1: a relaxing of the physical distancing. So maybe people may 334 00:18:45,680 --> 00:18:48,000 Speaker 1: return to work, but not everyone all at one time. 335 00:18:48,119 --> 00:18:51,560 Speaker 1: Maybe it'll be staggered. People might have alternating schedules. We 336 00:18:51,640 --> 00:18:54,440 Speaker 1: might see maybe more businesses opening up, but only allowing 337 00:18:54,760 --> 00:18:58,120 Speaker 1: a smaller number of people inside. Um. So I think 338 00:18:58,160 --> 00:19:01,960 Speaker 1: that might end up being our new normal, goad it. 339 00:19:02,359 --> 00:19:05,000 Speaker 1: So let's talk a little bit about this new normal 340 00:19:05,200 --> 00:19:07,639 Speaker 1: in like what kinds of things would need to be 341 00:19:07,720 --> 00:19:10,639 Speaker 1: in place for us to be able to even gather again. 342 00:19:10,680 --> 00:19:13,520 Speaker 1: And I know that one part of that is a vaccine, right, 343 00:19:13,960 --> 00:19:17,240 Speaker 1: um tell us? Like where things stand with the vaccine 344 00:19:17,280 --> 00:19:21,560 Speaker 1: and what would the vaccine even do? Right? Okay? So, um, 345 00:19:21,600 --> 00:19:25,679 Speaker 1: there are I think like dozens of vaccine candidates that 346 00:19:25,720 --> 00:19:28,800 Speaker 1: are in very early stages of development and investigation. I 347 00:19:28,840 --> 00:19:32,600 Speaker 1: believe there are five vaccine candidates that are in clinical 348 00:19:32,640 --> 00:19:34,760 Speaker 1: trials too, of which I believe are here in the 349 00:19:34,840 --> 00:19:38,879 Speaker 1: United States. So, a vaccine basically prevents or reduces the 350 00:19:39,000 --> 00:19:43,439 Speaker 1: risk of infection by a virus or bacteria, and it 351 00:19:43,520 --> 00:19:47,960 Speaker 1: does so by sort of replicating the body's immune response 352 00:19:48,119 --> 00:19:50,560 Speaker 1: to that virus or bacteria so that when the body 353 00:19:50,600 --> 00:19:55,320 Speaker 1: actually does see it, it is ready to protect itself. UM. 354 00:19:55,359 --> 00:19:58,040 Speaker 1: So just to say that there are lots of stages 355 00:19:58,119 --> 00:20:02,760 Speaker 1: to vaccine development, and that typical vaccines take UM usually 356 00:20:02,800 --> 00:20:04,760 Speaker 1: and I'm partly there's no typical but about ten to 357 00:20:04,840 --> 00:20:08,240 Speaker 1: fifteen years for development. Obviously, things are going to be 358 00:20:08,359 --> 00:20:13,480 Speaker 1: much more accelerated with UM a vaccine against COVID nineteen 359 00:20:13,880 --> 00:20:17,639 Speaker 1: and the timeline that UM Dr Anthony Fauci from the 360 00:20:17,640 --> 00:20:20,359 Speaker 1: and I H has put forward is about twelve to 361 00:20:20,440 --> 00:20:25,360 Speaker 1: fifteen months. I have heard him say on the news that, UM, 362 00:20:25,400 --> 00:20:27,920 Speaker 1: they think it's possible that there will be a vaccine 363 00:20:28,440 --> 00:20:32,640 Speaker 1: available in the fall, probably for frontline workers, first responders, 364 00:20:32,680 --> 00:20:36,359 Speaker 1: healthcare workers sort of more like piloting testing that, and 365 00:20:36,400 --> 00:20:40,600 Speaker 1: then for the more general population if all things go 366 00:20:40,760 --> 00:20:44,320 Speaker 1: as planned, UM by next spring. But this is like 367 00:20:44,880 --> 00:20:47,120 Speaker 1: that would be like if everything went as planned, there 368 00:20:47,119 --> 00:20:50,359 Speaker 1: were no issues. But people should know, you know, initially 369 00:20:50,359 --> 00:20:53,080 Speaker 1: their test vaccines and know in animal models they have 370 00:20:53,080 --> 00:20:54,800 Speaker 1: to see if they're safe, and they have to test 371 00:20:54,880 --> 00:20:57,720 Speaker 1: them and learn and people who have you know, healthy people, 372 00:20:57,800 --> 00:21:00,200 Speaker 1: Like there's just lots of different steps and the same 373 00:21:00,200 --> 00:21:03,040 Speaker 1: thing for treatment as well. UM. There are lots of 374 00:21:03,080 --> 00:21:07,320 Speaker 1: different their pre clinical stages UM, their phase one, two 375 00:21:07,320 --> 00:21:11,879 Speaker 1: and three stays is of clinical trials UM. The thought 376 00:21:11,960 --> 00:21:16,120 Speaker 1: is that there will probably be a treatment treatment UM 377 00:21:16,160 --> 00:21:20,040 Speaker 1: that's approved before we have a vaccine UM. And there 378 00:21:20,040 --> 00:21:22,480 Speaker 1: are a number of a number of dozens of treatments 379 00:21:22,520 --> 00:21:27,639 Speaker 1: also that are being investigated. UM. The NAH on Tuesday 380 00:21:27,760 --> 00:21:31,480 Speaker 1: came out with their UM treatment guidelines for COVID nineteen 381 00:21:32,080 --> 00:21:35,960 Speaker 1: and as of now it is supplemental really supplemental oxygen 382 00:21:36,080 --> 00:21:40,000 Speaker 1: and mechanical ventilatory supports really helping people to breathe as 383 00:21:40,040 --> 00:21:45,320 Speaker 1: their body fights off this UM infection. UM. There are 384 00:21:45,359 --> 00:21:50,600 Speaker 1: no FDA approved treatments for COVID nineteen. UM. There are 385 00:21:51,880 --> 00:21:54,240 Speaker 1: people may have heard of, like chloroquine and hy hydroxy 386 00:21:54,320 --> 00:21:57,280 Speaker 1: chloroquine UM and the panel at the National Institute of 387 00:21:57,280 --> 00:21:59,480 Speaker 1: Health recommended that if these are used, that they should 388 00:21:59,480 --> 00:22:01,960 Speaker 1: be used within context of a clinical trial because there 389 00:22:02,000 --> 00:22:05,320 Speaker 1: was not enough evidence to use them outside of of 390 00:22:05,640 --> 00:22:09,840 Speaker 1: a research UM setting. UM. So yeah, so a number 391 00:22:09,880 --> 00:22:12,280 Speaker 1: of uh oh and then also the NH trial also 392 00:22:12,320 --> 00:22:18,440 Speaker 1: said they actually recommended against using high doroxic chloroquine plus 393 00:22:18,760 --> 00:22:22,080 Speaker 1: zetro miycin. This is what UM. The President had actually 394 00:22:22,080 --> 00:22:25,840 Speaker 1: recommended UM as potential treatment. They're saying that the data 395 00:22:25,880 --> 00:22:27,960 Speaker 1: that they have suggests that it's actually more does more 396 00:22:28,000 --> 00:22:32,720 Speaker 1: harm than good. And then also UM callitro or lapinovie 397 00:22:32,760 --> 00:22:35,680 Speaker 1: bratano are, which is an HIV medication which has had 398 00:22:36,200 --> 00:22:40,480 Speaker 1: activity against other coronaviruses. They're also saying that that also 399 00:22:40,720 --> 00:22:43,920 Speaker 1: the risks appear to outweigh the benefits. So those were 400 00:22:44,000 --> 00:22:47,680 Speaker 1: two medications that they were saying definitely don't use hydroxic 401 00:22:47,760 --> 00:22:50,119 Speaker 1: chloroquine alone and chloroquint could be used as well as 402 00:22:50,200 --> 00:22:54,120 Speaker 1: rim dissevere another medication UM, but within the setting of 403 00:22:54,240 --> 00:22:58,960 Speaker 1: clinical clinical trials. So can you explain to us how 404 00:22:59,119 --> 00:23:01,560 Speaker 1: that window is going to be shortened? So if something 405 00:23:01,600 --> 00:23:06,400 Speaker 1: typically takes ten to fifty is before, like, how how 406 00:23:06,480 --> 00:23:08,160 Speaker 1: is it going to be possible for it to give 407 00:23:08,200 --> 00:23:13,800 Speaker 1: you us so much quicker? Yeah, I think I suspect UM. 408 00:23:13,880 --> 00:23:15,440 Speaker 1: It's a really good question. I don't know if like 409 00:23:15,480 --> 00:23:18,040 Speaker 1: maybe the numbers of people that will be enrolled will 410 00:23:18,040 --> 00:23:20,400 Speaker 1: be much larger. I have to say, I'm not sure 411 00:23:20,440 --> 00:23:23,960 Speaker 1: how they're able to UM accelerate this. I do know 412 00:23:24,000 --> 00:23:26,400 Speaker 1: that there are many people who are collaborating from all 413 00:23:26,400 --> 00:23:29,480 Speaker 1: over the globe and I'm sure sort of sharing best 414 00:23:29,520 --> 00:23:31,679 Speaker 1: practices and what they're learning. I'm sure sort of like 415 00:23:32,040 --> 00:23:34,960 Speaker 1: putting everyone's brains together will help. And there may be 416 00:23:35,040 --> 00:23:39,800 Speaker 1: differences and how recruitment is happening, how um the trials 417 00:23:39,800 --> 00:23:42,399 Speaker 1: are being designed that would allow for them to be 418 00:23:42,640 --> 00:23:44,800 Speaker 1: to be expedited. So for instance, like if you're able 419 00:23:44,840 --> 00:23:47,199 Speaker 1: to like enroll a larger number of people, you have 420 00:23:47,280 --> 00:23:50,159 Speaker 1: like more power to see whether there's a difference between 421 00:23:50,160 --> 00:23:52,440 Speaker 1: different treatments. So that may be one way that they're 422 00:23:52,480 --> 00:23:55,000 Speaker 1: they're doing this. And can you explain a little bit 423 00:23:55,000 --> 00:23:57,600 Speaker 1: about a clinical trial, because there may be people who say, like, yes, 424 00:23:57,960 --> 00:24:00,280 Speaker 1: me up, like I want to help. Um, you know, 425 00:24:00,320 --> 00:24:02,240 Speaker 1: so how wouldn't we would like to participate in a 426 00:24:02,240 --> 00:24:05,679 Speaker 1: clinical trial and easn't see Yeah, yeah, so they're different too, 427 00:24:05,680 --> 00:24:09,600 Speaker 1: they're different stages at stages of clinical trials. UM. So 428 00:24:09,680 --> 00:24:11,880 Speaker 1: Phase one are the clinical trials. Those are the first 429 00:24:11,880 --> 00:24:16,560 Speaker 1: clinical trials that happen in human beings, and those are 430 00:24:16,600 --> 00:24:19,000 Speaker 1: really testing for safety and they enroll like a very 431 00:24:19,040 --> 00:24:22,199 Speaker 1: small number of people. UM. And then that goes all 432 00:24:22,240 --> 00:24:23,960 Speaker 1: the way to phase three trials, which are really the 433 00:24:23,960 --> 00:24:27,480 Speaker 1: trials around enrolling a large number of people, and those 434 00:24:27,520 --> 00:24:30,600 Speaker 1: are looking at UM sort of how efficacious, how well 435 00:24:30,640 --> 00:24:34,760 Speaker 1: does this treatment work, and also like how also looking 436 00:24:34,800 --> 00:24:37,159 Speaker 1: more again at the time at safety, at different like 437 00:24:37,200 --> 00:24:39,960 Speaker 1: side effects that people are having, and phase three is 438 00:24:39,960 --> 00:24:44,240 Speaker 1: what's needed usually to get um FDA approval or a 439 00:24:44,280 --> 00:24:48,199 Speaker 1: license to be able to market the medication UM SO, 440 00:24:48,400 --> 00:24:51,360 Speaker 1: I think I suspect like I'm online and I maybe 441 00:24:51,440 --> 00:24:54,240 Speaker 1: I can like look for resources afterwards, but there are 442 00:24:54,240 --> 00:24:58,400 Speaker 1: probably opportunities to be to take part in in treatment trials. 443 00:24:58,400 --> 00:25:00,399 Speaker 1: Treatment trials are likely going to be happening happening in 444 00:25:00,440 --> 00:25:03,600 Speaker 1: hospital settings already, so if someone is hospital is hospital life, 445 00:25:03,720 --> 00:25:06,120 Speaker 1: treatment will probably be for those folks who have very 446 00:25:06,160 --> 00:25:11,480 Speaker 1: severe disease UM right now. And then for vaccine trials 447 00:25:11,720 --> 00:25:14,160 Speaker 1: UM I can look and see if the ni H 448 00:25:14,480 --> 00:25:17,720 Speaker 1: or any other entities have I'm sure there's stuff online 449 00:25:17,760 --> 00:25:21,560 Speaker 1: so people can volunteer to be part of these trials UM. 450 00:25:21,640 --> 00:25:24,320 Speaker 1: And then they're also a number of studies that are 451 00:25:24,320 --> 00:25:27,560 Speaker 1: going on where and these are also related to um 452 00:25:27,560 --> 00:25:31,800 Speaker 1: TO treatment. People who have had COVID nineteen like and 453 00:25:32,560 --> 00:25:35,720 Speaker 1: can give their serum SO and having anybodies from that 454 00:25:35,800 --> 00:25:38,200 Speaker 1: taken so that they can be also used as part 455 00:25:38,200 --> 00:25:40,920 Speaker 1: clinical trials for for for treatment to see if they 456 00:25:41,119 --> 00:25:44,360 Speaker 1: they can treat or protect people from from COVID nineteen. 457 00:25:45,320 --> 00:25:49,040 Speaker 1: Got you? Okay? Okay? So justica for families that have 458 00:25:49,160 --> 00:25:52,399 Speaker 1: hand a FAMI member and households has positive for COVID 459 00:25:52,480 --> 00:25:55,680 Speaker 1: nineteen and have recovered and return to work, should extra 460 00:25:55,720 --> 00:25:57,960 Speaker 1: precautions still be taken by the family members who have 461 00:25:58,040 --> 00:26:00,800 Speaker 1: not contracted devirus in their time would to be advised 462 00:26:00,800 --> 00:26:02,760 Speaker 1: for the family member who has to return to work 463 00:26:02,800 --> 00:26:07,359 Speaker 1: to continue working? Okay? So with the family member who 464 00:26:07,400 --> 00:26:10,320 Speaker 1: has to return to work, is that person UM had 465 00:26:10,359 --> 00:26:14,800 Speaker 1: COVID or did not have COVID nineteen person tested positive 466 00:26:15,000 --> 00:26:18,520 Speaker 1: has recovered and returned to work. Yeah? So yeah, So 467 00:26:18,600 --> 00:26:23,040 Speaker 1: the there is UM data to suggest that most people 468 00:26:23,040 --> 00:26:28,240 Speaker 1: who have on COVID nineteen UM probably stopped shedding virus, 469 00:26:28,280 --> 00:26:30,120 Speaker 1: meaning they don't they can't pass it to other people, 470 00:26:30,160 --> 00:26:33,879 Speaker 1: probably after eight days after symptom on set, after they 471 00:26:33,880 --> 00:26:37,439 Speaker 1: start having symptoms. UM, and we had we used this 472 00:26:37,560 --> 00:26:41,399 Speaker 1: like seven plus three type thing UM for most healthy people, 473 00:26:41,520 --> 00:26:44,359 Speaker 1: Like if it's been seven days since the person started 474 00:26:44,400 --> 00:26:48,439 Speaker 1: having symptoms, UM, it's been three days since they have 475 00:26:48,560 --> 00:26:50,680 Speaker 1: not had a fever and they haven't been taking any 476 00:26:50,760 --> 00:26:55,159 Speaker 1: title at all or or other fever reducing medication and 477 00:26:55,200 --> 00:26:58,600 Speaker 1: their overall improving, then they can probably like they're not 478 00:26:58,720 --> 00:27:02,600 Speaker 1: infectious and can probably conduct their business as usual. UM 479 00:27:02,640 --> 00:27:04,400 Speaker 1: I was still safe for the people in the house 480 00:27:04,440 --> 00:27:07,520 Speaker 1: who have not had COVID nineteen, Like obviously they're potentially 481 00:27:07,640 --> 00:27:11,600 Speaker 1: at risk, but not of getting COVID nineteen from they're 482 00:27:11,640 --> 00:27:12,919 Speaker 1: the people who are in the house with them. If that, 483 00:27:12,920 --> 00:27:15,600 Speaker 1: if they have lab if they have lab confirmed um COVID, 484 00:27:15,640 --> 00:27:18,480 Speaker 1: if it's been confirmed by a test um, and so 485 00:27:18,520 --> 00:27:21,080 Speaker 1: they should take off all the precautions. I think everyone 486 00:27:21,119 --> 00:27:23,600 Speaker 1: should just, you know, take all the precautions in terms 487 00:27:23,600 --> 00:27:28,879 Speaker 1: of hand hygiene, the social physical distance, saying when you sneeze, 488 00:27:29,000 --> 00:27:31,240 Speaker 1: use your elbow like all of that. Everyone should just 489 00:27:31,280 --> 00:27:34,639 Speaker 1: continue doing that because we don't we don't know who, 490 00:27:34,720 --> 00:27:37,280 Speaker 1: Because it's possible that the people in that house, because 491 00:27:37,280 --> 00:27:39,840 Speaker 1: they were living with someone who had COVID nineteen, they 492 00:27:39,880 --> 00:27:43,119 Speaker 1: actually may have had it already. We don't know, So 493 00:27:43,160 --> 00:27:46,160 Speaker 1: it's just safe to act like we all could potentially 494 00:27:46,160 --> 00:27:48,159 Speaker 1: have it, and just to protect ourselves and other people. 495 00:27:49,800 --> 00:27:53,000 Speaker 1: Another question, can we realistically expect to travel out of 496 00:27:53,000 --> 00:27:56,200 Speaker 1: the US this year. Oh, it's a good it's a 497 00:27:56,200 --> 00:27:58,879 Speaker 1: good question. I I don't know. I don't think anyone 498 00:27:58,960 --> 00:28:02,840 Speaker 1: can predict their few. Sure, I think everyone should try 499 00:28:02,880 --> 00:28:06,720 Speaker 1: that if they can hunker down, stay put, because we 500 00:28:06,760 --> 00:28:09,280 Speaker 1: are literally hiding from this virus, right We're like in 501 00:28:09,320 --> 00:28:11,359 Speaker 1: our homes if we have we're fortunate to have a 502 00:28:11,359 --> 00:28:14,480 Speaker 1: home that's safe and warm. UM. And I think that 503 00:28:14,960 --> 00:28:17,119 Speaker 1: I think to the extent that we can to continue 504 00:28:17,359 --> 00:28:21,440 Speaker 1: UM physical distancing UM. And this will also give us 505 00:28:21,440 --> 00:28:26,440 Speaker 1: time and many jurisdictions to like ramp up other other initiatives, 506 00:28:26,440 --> 00:28:29,200 Speaker 1: so like there's gonna be this in New York City. UM. 507 00:28:29,240 --> 00:28:33,000 Speaker 1: A lot of resources put behind UM contact case investigation 508 00:28:33,040 --> 00:28:37,400 Speaker 1: and contact tracing. So once we have many fewer cases, 509 00:28:37,800 --> 00:28:41,040 Speaker 1: we can have disease detectives go out and if they 510 00:28:41,280 --> 00:28:43,560 Speaker 1: and if someone has positive, they can go and talk 511 00:28:43,560 --> 00:28:46,000 Speaker 1: with their contacts UM, the people who who have been 512 00:28:46,040 --> 00:28:47,920 Speaker 1: in contact with them, they can put them potentially or 513 00:28:47,920 --> 00:28:49,840 Speaker 1: make sure they isolate themselves. So then I'll be a 514 00:28:49,960 --> 00:28:53,040 Speaker 1: much more magicable number of people that we can directly 515 00:28:53,480 --> 00:28:55,840 Speaker 1: UM work with to ensure that they also are not 516 00:28:55,920 --> 00:29:00,000 Speaker 1: passing UM the virus on UM to other people. UM 517 00:29:00,000 --> 00:29:04,320 Speaker 1: will also hopefully there'll be a time to like develop 518 00:29:04,320 --> 00:29:06,480 Speaker 1: a treatment, develop a vaccine. So I think we need 519 00:29:06,520 --> 00:29:10,920 Speaker 1: to use these like non pharmaceutical interventions like the physical 520 00:29:10,960 --> 00:29:16,120 Speaker 1: distancing until which time we have like robust treatment and 521 00:29:16,640 --> 00:29:20,040 Speaker 1: vaccine available. So I think they'll probably be like a 522 00:29:20,080 --> 00:29:23,320 Speaker 1: tightening and a listen listening and a tightening of the 523 00:29:23,440 --> 00:29:26,560 Speaker 1: social of physical distancing. So I think, oh loosten, we 524 00:29:26,640 --> 00:29:31,440 Speaker 1: might then see every crudescence or like an increase in cases, 525 00:29:31,480 --> 00:29:34,160 Speaker 1: and then we'll have to tighten up again. And so 526 00:29:34,200 --> 00:29:36,360 Speaker 1: it maybe like that for a while until we have 527 00:29:36,880 --> 00:29:40,200 Speaker 1: vaccine intreatment not to black slide. I had also seen 528 00:29:40,240 --> 00:29:43,600 Speaker 1: something I'm not sure, um where about you know, if 529 00:29:43,680 --> 00:29:49,320 Speaker 1: you've contracted COVID nineteen, like the possibility of getting infected 530 00:29:49,360 --> 00:29:51,080 Speaker 1: with this. So people were kind of thinking, like it's 531 00:29:51,080 --> 00:29:52,880 Speaker 1: like the chicken pots right, like where you have it 532 00:29:52,960 --> 00:29:56,000 Speaker 1: once and then you don't ever get it again. Can 533 00:29:56,040 --> 00:29:57,719 Speaker 1: you talk a little bit about that. Do we know 534 00:29:58,080 --> 00:30:00,360 Speaker 1: enough yet to know if you'll you'll be to give 535 00:30:00,360 --> 00:30:05,200 Speaker 1: me infected? Right? So, typically with with many viruses, like 536 00:30:05,240 --> 00:30:08,760 Speaker 1: once you've been exposed, you developed some level of immunity 537 00:30:08,840 --> 00:30:12,920 Speaker 1: or protection to that virus. UM this is a new virus, 538 00:30:12,960 --> 00:30:15,240 Speaker 1: so we really don't know. I think the thought is 539 00:30:15,280 --> 00:30:16,880 Speaker 1: that there should be so we don't know if it's 540 00:30:16,880 --> 00:30:19,920 Speaker 1: probably not full immunity but some partial immunity to it. 541 00:30:20,280 --> 00:30:22,000 Speaker 1: UM that would protect people, But we also don't know 542 00:30:22,160 --> 00:30:25,440 Speaker 1: you know, the level of protection and how long that lacks. 543 00:30:25,920 --> 00:30:29,400 Speaker 1: So I think until we know, everyone should act like 544 00:30:29,560 --> 00:30:32,440 Speaker 1: they have the potential to be would be infected again, 545 00:30:32,440 --> 00:30:36,640 Speaker 1: and just use um whatever precautions are needed. Okay, so 546 00:30:36,680 --> 00:30:38,560 Speaker 1: we have another question. Can I get it if I 547 00:30:38,640 --> 00:30:41,520 Speaker 1: stand in my backyard for ten minutes? My grandmother is 548 00:30:41,560 --> 00:30:43,840 Speaker 1: saying the outside and makes her nauseous. But I think 549 00:30:43,840 --> 00:30:47,680 Speaker 1: her anxiety was getting to her. Okay, if you're standing 550 00:30:47,680 --> 00:30:50,320 Speaker 1: in your backyard with nobody else or just with the 551 00:30:50,320 --> 00:30:54,800 Speaker 1: people that you live with. Um, she's it is not 552 00:30:54,880 --> 00:30:57,600 Speaker 1: it is not. It isn't would you say? I said, 553 00:30:57,640 --> 00:31:00,640 Speaker 1: I'm thinking she's talking about yeah no, not no. And 554 00:31:00,760 --> 00:31:03,040 Speaker 1: they're worried that the wind could like blow the virus. 555 00:31:03,440 --> 00:31:06,280 Speaker 1: Well she said that her grandmother says that the outside 556 00:31:06,280 --> 00:31:10,920 Speaker 1: air makes her nauseous. Okay, yeah, I think yeah, no, no, no, no, Actually, 557 00:31:11,080 --> 00:31:16,720 Speaker 1: so like solitary like walking, exercising, standing, um while maintaining 558 00:31:16,800 --> 00:31:21,160 Speaker 1: six ft from somebody else that you should definitely be safe. 559 00:31:22,160 --> 00:31:25,200 Speaker 1: Got it? Okay? Another question, I heard that it impacts 560 00:31:25,200 --> 00:31:28,080 Speaker 1: people differently based on blood type. Is this true or 561 00:31:28,200 --> 00:31:32,200 Speaker 1: is this something being researched. Um? I heard that as well. 562 00:31:32,280 --> 00:31:34,000 Speaker 1: I don't know the basis for it, and I don't 563 00:31:34,040 --> 00:31:37,400 Speaker 1: know the data behind it, and probably UM their number 564 00:31:37,400 --> 00:31:39,440 Speaker 1: of studies that are underway right now, we'll probably get 565 00:31:39,440 --> 00:31:44,040 Speaker 1: more definitive information about that in the future. Okay. UM. 566 00:31:44,120 --> 00:31:49,000 Speaker 1: Is it a myth that household pitts can get the virus? Yeah? Yeah, no, 567 00:31:49,080 --> 00:31:51,600 Speaker 1: it's not a myth, so apparently UM, and I can 568 00:31:51,640 --> 00:31:56,160 Speaker 1: probably post to your page. Dr Bradford, UM an info 569 00:31:56,320 --> 00:31:59,200 Speaker 1: sheet from our health department in New York City about 570 00:31:59,280 --> 00:32:02,760 Speaker 1: pets and COVID nineteen. But pets can like there are 571 00:32:02,840 --> 00:32:06,200 Speaker 1: reports of cats, I believe, potentially dogs who have cats 572 00:32:06,280 --> 00:32:09,520 Speaker 1: definitely who have gotten COVID nineteen. Um. We don't know 573 00:32:09,560 --> 00:32:11,520 Speaker 1: if it can be passed the other way, like a 574 00:32:11,560 --> 00:32:14,480 Speaker 1: pet could pass it to a human being. But human 575 00:32:14,480 --> 00:32:19,080 Speaker 1: being um to pet? Um? Yes has been seen okay? 576 00:32:19,400 --> 00:32:22,200 Speaker 1: And another question, how much care and caution should we 577 00:32:22,240 --> 00:32:27,280 Speaker 1: take with things like groceries? Are packages from Amazon for example. Yeah, 578 00:32:27,320 --> 00:32:29,040 Speaker 1: I know that's a really good question. UM. And I 579 00:32:29,120 --> 00:32:31,840 Speaker 1: just heard something from the CDC about this. I think 580 00:32:31,840 --> 00:32:36,760 Speaker 1: the thought that UM packages from supermarket being contaminated, it's 581 00:32:36,880 --> 00:32:38,960 Speaker 1: it's beitely very unlikely and from the ability of the 582 00:32:39,040 --> 00:32:43,360 Speaker 1: virus to live that long on on these various surfaces. UM. 583 00:32:43,400 --> 00:32:45,160 Speaker 1: But I don't think it's unreasonable. And I do this 584 00:32:45,240 --> 00:32:48,440 Speaker 1: too when I get my Amazon packages UM, like the boxes, 585 00:32:48,520 --> 00:32:50,360 Speaker 1: I do let them sit for like twenty four hours, 586 00:32:51,320 --> 00:32:53,080 Speaker 1: you know, I mean, or if you or if you 587 00:32:53,280 --> 00:32:56,280 Speaker 1: do manipulate them or touch them, just making sure you 588 00:32:56,360 --> 00:32:59,200 Speaker 1: use gloves UM, that that can be something that's helpful 589 00:32:59,240 --> 00:33:01,120 Speaker 1: if you don't have time what it's set and then 590 00:33:01,200 --> 00:33:04,600 Speaker 1: just washing your hands afterwards, or just you know, doing 591 00:33:04,640 --> 00:33:06,120 Speaker 1: whatever you need to and just making sure you have 592 00:33:06,200 --> 00:33:08,840 Speaker 1: the correct UM handing and hiking that you're washing your 593 00:33:08,840 --> 00:33:11,880 Speaker 1: hands for twenty seconds with open water or using a 594 00:33:12,160 --> 00:33:17,000 Speaker 1: m alcohol based sanitizer. MM hmm. Okay. So, so the 595 00:33:17,760 --> 00:33:21,360 Speaker 1: UM information that have been circulating around, like having this 596 00:33:21,400 --> 00:33:24,160 Speaker 1: whole separate staging area in your home, like we can 597 00:33:24,200 --> 00:33:27,160 Speaker 1: bring your groceries in, you wipe it all down and 598 00:33:27,240 --> 00:33:29,440 Speaker 1: do all of these things. You're saying that that is 599 00:33:29,520 --> 00:33:32,400 Speaker 1: likely not necessary, right, and there's there have been no 600 00:33:32,600 --> 00:33:36,240 Speaker 1: like case reports of people I'm getting COVID nineteen from 601 00:33:36,280 --> 00:33:41,880 Speaker 1: their groceries. Okay, yeah, got it, got it. So I 602 00:33:41,960 --> 00:33:44,280 Speaker 1: know in our community we have been talking a lot 603 00:33:44,400 --> 00:33:49,640 Speaker 1: just about the anxiety related to things reopening. Um, you know, 604 00:33:49,720 --> 00:33:53,360 Speaker 1: so what kinds of suggestions maybe would you have around um? 605 00:33:53,400 --> 00:33:55,000 Speaker 1: And I think so much of it is still kind 606 00:33:55,000 --> 00:33:56,880 Speaker 1: of up in the air because we don't even know 607 00:33:56,960 --> 00:33:59,480 Speaker 1: like how things are gonna be reopening, you know, I think, 608 00:34:00,360 --> 00:34:02,120 Speaker 1: and like there's gonna be a lifting of the gate, 609 00:34:02,200 --> 00:34:03,920 Speaker 1: so to speak, and like we all are free to 610 00:34:04,000 --> 00:34:06,240 Speaker 1: kind of roam a little bit more, um, you know, 611 00:34:06,440 --> 00:34:08,520 Speaker 1: because the suggestions would you hand for people like in 612 00:34:08,600 --> 00:34:11,520 Speaker 1: managing their anxiety about how these things are going to 613 00:34:11,600 --> 00:34:16,120 Speaker 1: be reopening, right. So I think with this whole situation, 614 00:34:16,160 --> 00:34:18,319 Speaker 1: it's like you know, and I'm sure you've probably seen 615 00:34:18,320 --> 00:34:21,279 Speaker 1: this as a psychologist, Like the so that diagram was 616 00:34:21,320 --> 00:34:23,040 Speaker 1: like the things that are in your sphere of control 617 00:34:23,120 --> 00:34:25,400 Speaker 1: and those that are like outside your sphere of control. 618 00:34:25,480 --> 00:34:28,120 Speaker 1: So like, you know, just continuing, you know, when you're 619 00:34:28,120 --> 00:34:30,640 Speaker 1: going outside depending on the rules in jurisdiction, you know, 620 00:34:30,680 --> 00:34:34,320 Speaker 1: face covering is the same thing, hand hygiene, physical distancing, 621 00:34:34,400 --> 00:34:36,680 Speaker 1: just doing this just you know, just whatever you can 622 00:34:36,760 --> 00:34:40,440 Speaker 1: do that's in your power to stay safe, you know, 623 00:34:40,480 --> 00:34:44,440 Speaker 1: without you know, obviously this is very anxiety producing experience 624 00:34:44,440 --> 00:34:46,560 Speaker 1: for many people. But there are things that that we 625 00:34:46,640 --> 00:34:48,920 Speaker 1: can do and that we do have control over. So 626 00:34:48,960 --> 00:34:52,880 Speaker 1: I would do those things, um and do what do 627 00:34:52,920 --> 00:34:54,799 Speaker 1: what makes sense to you, like I, I, you know, 628 00:34:55,080 --> 00:34:58,439 Speaker 1: obviously large gatherings, I would probably be very concerned about those. 629 00:34:58,520 --> 00:35:00,400 Speaker 1: And I used suspect that we're are going to have 630 00:35:00,480 --> 00:35:03,759 Speaker 1: very large gatherings for a while now, you know, stadiums 631 00:35:03,800 --> 00:35:07,920 Speaker 1: builled with people hobably not I think, um, you know, 632 00:35:08,200 --> 00:35:10,319 Speaker 1: there's so much uncertainty, and so we just kind of 633 00:35:10,360 --> 00:35:13,319 Speaker 1: like have to really take it a day at a time. 634 00:35:15,200 --> 00:35:20,320 Speaker 1: Got it? Okay? Is the CDC testing circulated air and busses, trains, 635 00:35:20,400 --> 00:35:24,400 Speaker 1: grocery stores, elevators, nursing homes. Are they still focused on 636 00:35:24,480 --> 00:35:29,799 Speaker 1: direct person to person content? Okay? So the data that 637 00:35:29,880 --> 00:35:34,440 Speaker 1: we have again suggests that this is passed by UM droplets, 638 00:35:34,520 --> 00:35:39,040 Speaker 1: like the droplets that someone's coughing, sneezing, talking, that UM 639 00:35:39,760 --> 00:35:42,760 Speaker 1: in close proximity to you that could spread that way 640 00:35:42,920 --> 00:35:46,560 Speaker 1: or usually by falling on a surface and someone touches 641 00:35:46,560 --> 00:35:51,240 Speaker 1: them and touches their face. Um. There has been some 642 00:35:51,239 --> 00:35:56,360 Speaker 1: some data to suggest that this is also airborne UM, 643 00:35:56,440 --> 00:35:59,120 Speaker 1: and so I know some hospitals are taking also airborne precautions, 644 00:35:59,120 --> 00:36:00,759 Speaker 1: meaning that like it can be it's all like in 645 00:36:00,800 --> 00:36:03,239 Speaker 1: the air, no matter where you are, people can get it. 646 00:36:03,280 --> 00:36:06,600 Speaker 1: But typically we have that. I believe the CDC hasn't 647 00:36:06,640 --> 00:36:10,759 Speaker 1: focusing on UM this being acquired through droplets, so like 648 00:36:10,840 --> 00:36:15,480 Speaker 1: close contact with with one another. Okay, another question I 649 00:36:15,520 --> 00:36:19,279 Speaker 1: had missed, excluding the age factor, say two forty year 650 00:36:19,280 --> 00:36:22,680 Speaker 1: olds are both exposed, why might one be very sick 651 00:36:22,760 --> 00:36:27,040 Speaker 1: or even die and the other have no symptoms at all. Yeah, 652 00:36:27,080 --> 00:36:30,160 Speaker 1: I think this is like the one million dollar or whatever, 653 00:36:30,200 --> 00:36:33,440 Speaker 1: the six whatever the million dollar question is. It's like, um, 654 00:36:33,480 --> 00:36:36,560 Speaker 1: you know, why do people have such different responses like 655 00:36:36,600 --> 00:36:39,920 Speaker 1: you'll see um you know, I know, UM, a couple 656 00:36:40,040 --> 00:36:43,640 Speaker 1: where they both had COVID nineteen and actually several and 657 00:36:43,800 --> 00:36:46,919 Speaker 1: the one of one person the couple got definitely ill 658 00:36:46,960 --> 00:36:49,760 Speaker 1: and the other person did not. And it's really about 659 00:36:50,120 --> 00:36:52,439 Speaker 1: we don't know why. But again, as I said, it's 660 00:36:52,560 --> 00:36:55,120 Speaker 1: about the bodies. How the body responds to seeing this 661 00:36:55,160 --> 00:36:59,640 Speaker 1: new virus and people, and there's variability and how our body. 662 00:36:59,719 --> 00:37:01,839 Speaker 1: It could be based on, um, you know what we've 663 00:37:01,840 --> 00:37:04,719 Speaker 1: been exposed to in the past. You know, it could 664 00:37:04,719 --> 00:37:07,279 Speaker 1: be related to sort of hereditary issues whatever it is. 665 00:37:07,320 --> 00:37:11,239 Speaker 1: But like people respond very differently. We do know that 666 00:37:11,760 --> 00:37:15,320 Speaker 1: when people are older, when they have other chronic conditions, 667 00:37:15,400 --> 00:37:20,319 Speaker 1: that that increases the risk for severe illness. Okay, so 668 00:37:20,400 --> 00:37:23,720 Speaker 1: that's wait right, So diabetes, high blood pressure, chronic lung disease, 669 00:37:23,800 --> 00:37:29,600 Speaker 1: kidney disease, um heart disease, um cancers, all those seem 670 00:37:29,640 --> 00:37:34,240 Speaker 1: to have some association with more severe disease. Okay. Another question, 671 00:37:34,360 --> 00:37:37,239 Speaker 1: with the dearth of lifestyle and chlorods products, what's the 672 00:37:37,239 --> 00:37:39,719 Speaker 1: best way to clean counters and floors or people can't 673 00:37:39,719 --> 00:37:42,279 Speaker 1: get their hands on like the common cleaners, what might 674 00:37:42,280 --> 00:37:45,200 Speaker 1: they be able to use? Oh, that's a question. And 675 00:37:45,239 --> 00:37:49,360 Speaker 1: I think any like alcohol based I mean cleaner. I'll 676 00:37:49,360 --> 00:37:50,439 Speaker 1: look at this, so I don't want to give people 677 00:37:50,440 --> 00:37:55,240 Speaker 1: the wrong information. Um yeah, I believe like soap and water, 678 00:37:55,560 --> 00:37:59,560 Speaker 1: any alcohol based um like cleaners should should work just fine. 679 00:37:59,600 --> 00:38:02,000 Speaker 1: And I'm when people short of access to even those 680 00:38:02,080 --> 00:38:05,799 Speaker 1: things right now. But I can take a note and 681 00:38:06,719 --> 00:38:10,080 Speaker 1: see if the CDC has a link to alternative options. 682 00:38:10,360 --> 00:38:13,520 Speaker 1: Got it, and please stay tuned to the page because 683 00:38:13,680 --> 00:38:16,040 Speaker 1: if there's anything that we didn't answer here or Dr 684 00:38:16,080 --> 00:38:19,800 Speaker 1: black Sack is additional resources, then we will um post 685 00:38:19,800 --> 00:38:23,719 Speaker 1: those on the page as well. How about COVID and kidneys, 686 00:38:23,800 --> 00:38:27,080 Speaker 1: does do you know much about how it's impacting kidneys 687 00:38:27,080 --> 00:38:32,359 Speaker 1: and the impact on people with kidney disease? Um? I 688 00:38:32,400 --> 00:38:35,040 Speaker 1: do know that as I mentioned that, so folks who 689 00:38:35,120 --> 00:38:37,279 Speaker 1: do have renal disease seem to be at higher risk 690 00:38:37,400 --> 00:38:40,960 Speaker 1: for more severe illness with COVID nineteen. And we are 691 00:38:41,040 --> 00:38:44,799 Speaker 1: seeing that people even if they did not have like 692 00:38:44,920 --> 00:38:49,160 Speaker 1: end stage renal kidney disease, are requiring like dialysis, are 693 00:38:49,160 --> 00:38:52,600 Speaker 1: seeing their kidneys fail um while they're in effect that 694 00:38:52,680 --> 00:38:55,759 Speaker 1: they're infected. So it could be that um, you know, 695 00:38:55,800 --> 00:38:57,920 Speaker 1: people like as I mentioned, like diabetes, hypertension, all of 696 00:38:57,920 --> 00:39:03,000 Speaker 1: those things like predisposed to kidney disease, and so having 697 00:39:03,080 --> 00:39:06,920 Speaker 1: like the stress of the COVID nineteen disease is like 698 00:39:06,960 --> 00:39:09,399 Speaker 1: an added stress on the body. And so there may 699 00:39:09,400 --> 00:39:11,839 Speaker 1: be some level of susceptibility that people have any way 700 00:39:11,840 --> 00:39:15,759 Speaker 1: to like worsting renal disease or severe renal disease. UM, 701 00:39:15,840 --> 00:39:18,400 Speaker 1: so that may be UM related to it, but I 702 00:39:18,680 --> 00:39:20,920 Speaker 1: don't have like specific data on it. Just just to 703 00:39:20,960 --> 00:39:24,120 Speaker 1: say that kidney disease is a respective for severe illness, 704 00:39:24,160 --> 00:39:26,240 Speaker 1: and then people are seeing in those a severe illness, 705 00:39:26,640 --> 00:39:31,680 Speaker 1: worst thing, real disease. Shanil Um. The video she's asking 706 00:39:31,760 --> 00:39:33,880 Speaker 1: is they're recording, so the video will be up on 707 00:39:33,880 --> 00:39:35,640 Speaker 1: the Facebook page, is not gonna go anywhere, so you 708 00:39:35,680 --> 00:39:37,399 Speaker 1: can be able to catch it. Um if you miss 709 00:39:37,440 --> 00:39:40,520 Speaker 1: some of the beginnings. What about taking off your shoes 710 00:39:41,160 --> 00:39:44,000 Speaker 1: on the inside after you go outside? Is that um 711 00:39:44,040 --> 00:39:47,520 Speaker 1: a good suggestion? Yeah? But yeah, I think all these measures, 712 00:39:47,520 --> 00:39:49,480 Speaker 1: you know, if it's like a low barrier thing that 713 00:39:49,520 --> 00:39:51,120 Speaker 1: you mean, a low threshold thing that you can do, 714 00:39:51,200 --> 00:39:53,920 Speaker 1: like take off your shoes, particularly for people who are 715 00:39:53,960 --> 00:39:56,640 Speaker 1: in essential field who are having a lot of contact 716 00:39:56,719 --> 00:40:00,600 Speaker 1: with people. UM. Yes, definitely taking off your shoes before 717 00:40:00,600 --> 00:40:03,239 Speaker 1: you go inside would be helpful. That's recommendation for like 718 00:40:03,280 --> 00:40:07,640 Speaker 1: healthcare workers and other folks who may be exposed. Okay, 719 00:40:08,280 --> 00:40:11,400 Speaker 1: And another question is there correlation between COVID nineteen and 720 00:40:11,400 --> 00:40:14,680 Speaker 1: people who had the food shot previously? So I am 721 00:40:14,760 --> 00:40:18,440 Speaker 1: not aware of um any studies that have looked at 722 00:40:18,480 --> 00:40:21,160 Speaker 1: this UM and just to my loud knowledge, they're they're 723 00:40:21,200 --> 00:40:25,120 Speaker 1: different viruses, so I would suspect there is not an association, 724 00:40:25,160 --> 00:40:27,600 Speaker 1: but I don't know. There's a lot that's unknown, and 725 00:40:27,640 --> 00:40:34,680 Speaker 1: we should probably getting more answers as the months go along. Okay, okay, okay, okay. 726 00:40:34,719 --> 00:40:38,520 Speaker 1: Great to see Allison um put the link for the 727 00:40:38,600 --> 00:40:43,040 Speaker 1: CDC website that has more information I'm at around cleaning 728 00:40:43,040 --> 00:40:46,680 Speaker 1: and disinfection. So thank you folks to see that. Yeah, 729 00:40:46,680 --> 00:40:49,840 Speaker 1: it's great, thank you, Allison. Okay, So and you and 730 00:40:49,840 --> 00:40:51,879 Speaker 1: I adapted blackstick. We're talking about this a little bit 731 00:40:51,880 --> 00:40:55,640 Speaker 1: before we started UM recording. She saying, Tisi is saying, 732 00:40:55,640 --> 00:40:58,960 Speaker 1: I'm hearing a bit about amputation being related to COVID. 733 00:40:59,000 --> 00:41:02,040 Speaker 1: Can you speak a little bit to that, right, So 734 00:41:02,120 --> 00:41:05,600 Speaker 1: it seems like UM, the virus causes lots of different 735 00:41:05,880 --> 00:41:10,640 Speaker 1: UM like clinical manifestation. So we're seeing that it causes 736 00:41:10,719 --> 00:41:14,560 Speaker 1: like a higher propensity or likelihood of having like blood 737 00:41:14,600 --> 00:41:19,000 Speaker 1: clots UM. And again this is like all new information 738 00:41:19,000 --> 00:41:22,239 Speaker 1: that people are seeing, and so UM blood clots can 739 00:41:22,320 --> 00:41:25,160 Speaker 1: affect the blood flow to certain parts of the body, 740 00:41:25,200 --> 00:41:27,960 Speaker 1: and so if someone is having blood clots related to 741 00:41:27,960 --> 00:41:29,960 Speaker 1: COVID nineteen and it is affecting the blood float to 742 00:41:30,040 --> 00:41:31,960 Speaker 1: the persnal parts of the of the body, for instance 743 00:41:32,000 --> 00:41:36,440 Speaker 1: a leg um, and that area has been compromised in 744 00:41:36,520 --> 00:41:40,160 Speaker 1: some way, then that would lead to a need for amputation. 745 00:41:40,719 --> 00:41:43,520 Speaker 1: Mm hmm. Yeah. So it really is all about like 746 00:41:43,600 --> 00:41:47,840 Speaker 1: what the clinical presentation looks like. Ye, many different ways. 747 00:41:47,840 --> 00:41:51,400 Speaker 1: It seems exactly right, Like we were talking about the 748 00:41:51,440 --> 00:41:56,120 Speaker 1: COVID nineteen toes, which seems to be like related potentially 749 00:41:56,120 --> 00:42:00,400 Speaker 1: to like inflammation potentially in the blood vessels. And I 750 00:42:00,440 --> 00:42:02,960 Speaker 1: think people, ever, again, all of this has new, and 751 00:42:03,000 --> 00:42:05,960 Speaker 1: I think researchers are trying to like answer these questions 752 00:42:05,960 --> 00:42:09,000 Speaker 1: and really understand all the different ways that thespius can 753 00:42:09,080 --> 00:42:12,680 Speaker 1: present Yeah, and I do thinking that poses an interesting, 754 00:42:13,040 --> 00:42:17,320 Speaker 1: um kind of predicament. Right, So let's say you start 755 00:42:17,360 --> 00:42:21,560 Speaker 1: experiencing some symptoms, because this kind of looks so different. Um, 756 00:42:21,640 --> 00:42:24,799 Speaker 1: you start experiencing some symptoms, some of which we've heard 757 00:42:24,840 --> 00:42:27,080 Speaker 1: are related to COVID nineteen, but maybe some of which 758 00:42:27,080 --> 00:42:29,600 Speaker 1: are not. What are some of the first steps, So 759 00:42:29,640 --> 00:42:32,880 Speaker 1: should we try to like make a virtual telehealth appointment 760 00:42:33,200 --> 00:42:35,319 Speaker 1: with our primary character actor, Like what if we have 761 00:42:35,400 --> 00:42:38,279 Speaker 1: some of these symptoms we can't get a test, Like, 762 00:42:38,320 --> 00:42:41,360 Speaker 1: what are some of the steps people should take? Yeah, No, 763 00:42:41,440 --> 00:42:44,200 Speaker 1: I definitely think if someone has any concerns, they should 764 00:42:44,480 --> 00:42:47,279 Speaker 1: regardless reach out to to their clinical provider and proffitably 765 00:42:47,440 --> 00:42:50,239 Speaker 1: via a telehealth option. I mean, we do know that 766 00:42:50,360 --> 00:42:54,359 Speaker 1: most people tend to present with like fever, cost um, 767 00:42:54,640 --> 00:42:57,440 Speaker 1: shortness of breath, to people have sore throat. We talked 768 00:42:57,480 --> 00:43:00,200 Speaker 1: about lots of taste and lots of lots of smell. 769 00:43:00,600 --> 00:43:03,600 Speaker 1: Older people, um, like the very elderly can present with 770 00:43:03,640 --> 00:43:08,400 Speaker 1: like disorientation and confusion or or or um maybe a 771 00:43:08,440 --> 00:43:11,040 Speaker 1: fall like they may not necessarily have like a focal 772 00:43:11,280 --> 00:43:13,799 Speaker 1: symptom like a cough, um, and so just to be 773 00:43:14,040 --> 00:43:17,040 Speaker 1: aware of that. Um. Yeah, So I think there there 774 00:43:17,080 --> 00:43:19,240 Speaker 1: are presentations that we know are like much more common. 775 00:43:19,280 --> 00:43:21,359 Speaker 1: If someone has like something that like they're not they're 776 00:43:21,360 --> 00:43:24,120 Speaker 1: worried about, I think it's very reasonable to reach out 777 00:43:24,120 --> 00:43:27,320 Speaker 1: to a health care provider and are there certain symptoms 778 00:43:27,360 --> 00:43:29,880 Speaker 1: that would indicate to you like this is absolutely the 779 00:43:29,960 --> 00:43:33,640 Speaker 1: time where you need to go to a hospital. Yeah, right, 780 00:43:33,680 --> 00:43:38,640 Speaker 1: So someone is having substantial difficulty breathing, um, that would 781 00:43:38,680 --> 00:43:41,800 Speaker 1: be an indication of you. If someone is seeing like bluish, 782 00:43:42,000 --> 00:43:45,600 Speaker 1: like tinge or purple, and maybe manifests differently on us 783 00:43:45,600 --> 00:43:49,080 Speaker 1: who are darker brown colored, UM are seeing in your palms, 784 00:43:49,160 --> 00:43:52,239 Speaker 1: you can see bluish color UM. When the oxygen level 785 00:43:52,239 --> 00:43:55,480 Speaker 1: gets low, definitely an indicator UM to get help. If 786 00:43:55,480 --> 00:43:59,520 Speaker 1: you're having a persistent chest pain, definitely get help. One 787 00:43:59,560 --> 00:44:02,640 Speaker 1: thing that we're seeing that's like very unique to this 788 00:44:02,800 --> 00:44:07,280 Speaker 1: byrus is that people can look normal, can look normal, 789 00:44:07,400 --> 00:44:10,240 Speaker 1: not in any distress, and have very low oxygen levels 790 00:44:10,840 --> 00:44:15,279 Speaker 1: UM and then suddenly deteriorate UM. And so that's why 791 00:44:15,280 --> 00:44:18,680 Speaker 1: I'm saying, just like looking for other indicators of low 792 00:44:18,680 --> 00:44:21,040 Speaker 1: oxin level like the bluish color in the hands UM. 793 00:44:21,040 --> 00:44:23,920 Speaker 1: And if people are feeling short of breath like definitely, UM, 794 00:44:24,080 --> 00:44:28,520 Speaker 1: get urgent help or emergent help. And then me, it 795 00:44:28,840 --> 00:44:31,520 Speaker 1: looks like one more question, what are the numbers for 796 00:44:31,600 --> 00:44:34,279 Speaker 1: those who are being diagnosed with COVID nineteen and who 797 00:44:34,360 --> 00:44:36,960 Speaker 1: have diabetes in terms of the survival rate? Do you 798 00:44:37,000 --> 00:44:40,920 Speaker 1: know those numbers? Yeah, I don't know those numbers offhand. UM. 799 00:44:40,960 --> 00:44:46,080 Speaker 1: Just that UM diabetes is increases the risk that someone 800 00:44:46,120 --> 00:44:50,680 Speaker 1: will be hospitalized and and die from COVID nineteen. So 801 00:44:51,320 --> 00:44:53,200 Speaker 1: that's what we do now. So I would suspect. And 802 00:44:53,480 --> 00:44:55,680 Speaker 1: when we were looking at studies of people who have 803 00:44:56,000 --> 00:44:58,720 Speaker 1: been hospitalized or died from COVID nineteen, we are seeing 804 00:44:59,239 --> 00:45:05,640 Speaker 1: high prevalence of diabetes. Okay, So a couple more questions, Yes, 805 00:45:05,719 --> 00:45:07,640 Speaker 1: we have a few more minutes, So get those last 806 00:45:07,640 --> 00:45:11,399 Speaker 1: many questions in UM are they're currently more than one 807 00:45:11,480 --> 00:45:17,440 Speaker 1: strain known? So I was reading that UM, this virus 808 00:45:17,560 --> 00:45:22,160 Speaker 1: UM mutates or changes very slowly UM, and so there 809 00:45:22,200 --> 00:45:24,759 Speaker 1: are multiple strains of it, but I don't but not 810 00:45:24,800 --> 00:45:26,239 Speaker 1: like I don't think, like tons of it. And they're 811 00:45:26,280 --> 00:45:28,719 Speaker 1: also not seeing it change in terms of it's like 812 00:45:28,920 --> 00:45:32,240 Speaker 1: you say, virulence or sort of how you know, deadly 813 00:45:32,520 --> 00:45:35,600 Speaker 1: or powerful it is. We're not seeing those changes like 814 00:45:35,840 --> 00:45:39,840 Speaker 1: some other viruses UM that can change much more rapidly. UM. 815 00:45:39,880 --> 00:45:43,440 Speaker 1: So yeah, so as of now, UM not tons of variation, 816 00:45:43,480 --> 00:45:46,279 Speaker 1: And it doesn't seem like the the virulence or the 817 00:45:46,320 --> 00:45:50,640 Speaker 1: deadly nature of it is also changing very much. Got it? Okay? 818 00:45:50,680 --> 00:45:52,839 Speaker 1: So Naomi has a bit of a different question. She's 819 00:45:52,880 --> 00:45:56,160 Speaker 1: a myth student who's been dismissed from rotations as a 820 00:45:56,200 --> 00:45:59,680 Speaker 1: part of the health systems policy to mitigate transmission by 821 00:45:59,680 --> 00:46:02,040 Speaker 1: removing being all mad students from clinical care. I want 822 00:46:02,080 --> 00:46:03,799 Speaker 1: to stay in tune with all that's going on, but 823 00:46:03,840 --> 00:46:07,000 Speaker 1: it's a bit overwhelming, especially with the shock of getting 824 00:46:07,040 --> 00:46:10,040 Speaker 1: removed from clerkships in a pandemic. What would you say 825 00:46:10,040 --> 00:46:12,759 Speaker 1: are key things to stay abreast of during to stay 826 00:46:12,800 --> 00:46:14,920 Speaker 1: abreast of during this time? How can we best use 827 00:46:15,000 --> 00:46:17,480 Speaker 1: this time to learn for the future, given that this 828 00:46:17,520 --> 00:46:21,319 Speaker 1: will probably not be the last pandemic we encounter. Yeah, 829 00:46:21,520 --> 00:46:23,799 Speaker 1: that's a great question, and I'm sure it's like a 830 00:46:23,880 --> 00:46:28,880 Speaker 1: very challenging time being removed from your clerkships and UM 831 00:46:28,920 --> 00:46:31,600 Speaker 1: and and wanting to be help of help UM and 832 00:46:31,640 --> 00:46:35,359 Speaker 1: not always being able to directly help UM. I think 833 00:46:35,400 --> 00:46:37,160 Speaker 1: you know, I think you know. I think learning as 834 00:46:37,239 --> 00:46:39,680 Speaker 1: much about this virus as possible. Literally, there is new 835 00:46:39,719 --> 00:46:43,560 Speaker 1: information every day. UM. There's a lot of information and 836 00:46:43,600 --> 00:46:47,080 Speaker 1: the clinical um the research literature, but there's a lot 837 00:46:47,080 --> 00:46:50,120 Speaker 1: around like equity issues as well, And so I think 838 00:46:51,000 --> 00:46:53,040 Speaker 1: what might be interesting is to figure out like how 839 00:46:53,120 --> 00:46:57,359 Speaker 1: if Naomi is interested in terms of like one really 840 00:46:57,400 --> 00:46:59,799 Speaker 1: wonderful I think side effect of this is that we're 841 00:47:00,120 --> 00:47:03,960 Speaker 1: in mutual aid like communities coming together really to support 842 00:47:03,960 --> 00:47:06,560 Speaker 1: one another and support the most vulnerable. So UM, I 843 00:47:06,560 --> 00:47:08,880 Speaker 1: think there are ways to like to help there if 844 00:47:08,920 --> 00:47:11,799 Speaker 1: it means like seeing if they're vulnerable members of her 845 00:47:11,840 --> 00:47:14,879 Speaker 1: community that need help with getting groceries or getting their 846 00:47:14,920 --> 00:47:18,520 Speaker 1: medications or whatever, it is like helping to go in 847 00:47:18,680 --> 00:47:20,839 Speaker 1: some of those gaps and be like a safety net 848 00:47:21,120 --> 00:47:24,319 Speaker 1: for people who um, you know, maybe um much more 849 00:47:24,400 --> 00:47:29,360 Speaker 1: vulnerable to this disease and others. M hm, do more questions? 850 00:47:29,440 --> 00:47:33,359 Speaker 1: Do we know which hospitals have clinical trials for hydropsy 851 00:47:33,600 --> 00:47:38,000 Speaker 1: chloroquine now that the preliminary results show increased death, is 852 00:47:38,000 --> 00:47:40,760 Speaker 1: it's still ethical to keep testing in high minority areas 853 00:47:40,840 --> 00:47:46,160 Speaker 1: like New York City. Yeah, I was saying that the 854 00:47:46,160 --> 00:47:49,040 Speaker 1: the NIH had recommended save for chloroquine or a joxy 855 00:47:49,320 --> 00:47:52,640 Speaker 1: chloroquine if anyone, that people only receive it within the 856 00:47:52,640 --> 00:47:55,120 Speaker 1: context of a clinical trial. And I believe someone I 857 00:47:55,160 --> 00:47:59,480 Speaker 1: saw had posted in the chat linked to the clinical 858 00:47:59,520 --> 00:48:02,080 Speaker 1: Trials dot go website. So thank you to whoever whoever 859 00:48:02,120 --> 00:48:04,600 Speaker 1: did that, because that will have um a list of 860 00:48:04,960 --> 00:48:06,840 Speaker 1: the most the most up to date list of clinical 861 00:48:06,840 --> 00:48:09,800 Speaker 1: trials that are happening with respect to hydrae xoxy chloroquin 862 00:48:10,120 --> 00:48:12,400 Speaker 1: and other agents that are being looked at for COVID 863 00:48:12,480 --> 00:48:17,160 Speaker 1: nineteen treatment. Okay, and then one final question. Would the 864 00:48:17,160 --> 00:48:21,040 Speaker 1: blue color be consistent across all extremities at the same time, 865 00:48:21,160 --> 00:48:25,279 Speaker 1: how would you distinguish that from rainw disease? So the 866 00:48:25,280 --> 00:48:28,239 Speaker 1: blue color would be like um in your hands, like 867 00:48:28,320 --> 00:48:32,480 Speaker 1: all of your hands and potentially your lips. Um rain 868 00:48:32,520 --> 00:48:37,520 Speaker 1: noodes is typically the It's like a causes um the 869 00:48:37,640 --> 00:48:41,279 Speaker 1: arteries to to constrict, so tend people tend actually I think, 870 00:48:41,320 --> 00:48:43,560 Speaker 1: lose color and the tips of their fingers and it 871 00:48:43,560 --> 00:48:46,520 Speaker 1: causes pain. So I would say that's like the difference 872 00:48:47,080 --> 00:48:50,640 Speaker 1: that it causes pain and NAL's in nuts. It can 873 00:48:50,640 --> 00:48:53,560 Speaker 1: be painful and it causes like I believe it because 874 00:48:54,040 --> 00:48:57,360 Speaker 1: it affects the blood flow, it would be more like, uh, 875 00:48:57,400 --> 00:48:59,360 Speaker 1: it wouldn't be blue. It might be like white, like 876 00:48:59,719 --> 00:49:02,600 Speaker 1: a light color because it's like no blood flow. Whereas 877 00:49:03,120 --> 00:49:06,919 Speaker 1: when you are called cyanotic, when the oxygen levels are low, 878 00:49:07,200 --> 00:49:10,360 Speaker 1: oxygen the blood is still getting everywhere, it's just the 879 00:49:10,440 --> 00:49:12,920 Speaker 1: level of oxygen is low. And so what that comes 880 00:49:12,920 --> 00:49:16,280 Speaker 1: off as is that um. For people who are darker 881 00:49:16,320 --> 00:49:19,320 Speaker 1: skin colors, we would see like a blueish hue to 882 00:49:19,400 --> 00:49:23,839 Speaker 1: our our palms and maybe like our lips. People who 883 00:49:24,080 --> 00:49:26,359 Speaker 1: have lighter color might actually see their more of their 884 00:49:26,400 --> 00:49:30,400 Speaker 1: skin being blue perfect. Well, thank you so much for 885 00:49:30,440 --> 00:49:33,200 Speaker 1: all of this incredible information, Dr black Zack. I really 886 00:49:33,239 --> 00:49:36,600 Speaker 1: appreciate you sharing with that community today. You people where 887 00:49:36,640 --> 00:49:38,760 Speaker 1: they can find you online if they want to stay 888 00:49:38,800 --> 00:49:41,520 Speaker 1: connected to what you've been doing. Sure, I post a 889 00:49:41,520 --> 00:49:44,719 Speaker 1: lot on Twitter, so um my Twitter handle is at 890 00:49:45,160 --> 00:49:48,000 Speaker 1: d r O and I b E at dr on 891 00:49:48,160 --> 00:49:52,000 Speaker 1: e B. We'll share that for having me Dr Bradford 892 00:49:52,360 --> 00:49:55,000 Speaker 1: desolutely We'll share all of that in the comments as well. 893 00:49:55,000 --> 00:49:57,719 Speaker 1: Thank you again to men i Q for sponsoring this conversation. 894 00:49:57,760 --> 00:50:00,960 Speaker 1: I really appreciate making this happen for our community. Like 895 00:50:01,000 --> 00:50:03,480 Speaker 1: I said, the video will be saying here on Facebook 896 00:50:03,520 --> 00:50:05,759 Speaker 1: so you can catch it. Please share with all of 897 00:50:05,800 --> 00:50:08,080 Speaker 1: your circles so that they can get this incredible information 898 00:50:08,120 --> 00:50:10,399 Speaker 1: from Dr black Stock. Um. I hope that you all 899 00:50:10,440 --> 00:50:13,160 Speaker 1: have an incredible rest of your day in a great weekend, 900 00:50:13,239 --> 00:50:15,960 Speaker 1: and we will see you all next Thursday. Take care, 901 00:50:16,640 --> 00:50:22,200 Speaker 1: stay safe, by bye everyone, By Dr Bradford Bye. I'm 902 00:50:22,239 --> 00:50:24,920 Speaker 1: so thankful for the work that Dr black Stock and 903 00:50:25,040 --> 00:50:29,320 Speaker 1: so many other incredible healthcare professionals are doing. Please remember 904 00:50:29,320 --> 00:50:32,360 Speaker 1: to share this episode in your circles and on Twitter 905 00:50:32,600 --> 00:50:35,080 Speaker 1: or in your I G stories so that as many 906 00:50:35,120 --> 00:50:39,279 Speaker 1: people have the information as possible. Remember that if you're 907 00:50:39,280 --> 00:50:42,279 Speaker 1: looking for a virtual therapist in your state, check out 908 00:50:42,280 --> 00:50:45,399 Speaker 1: our therapist directory at Therapy for Black Girls dot com 909 00:50:45,520 --> 00:50:49,120 Speaker 1: slash directory. And if you want to continue digging into 910 00:50:49,200 --> 00:50:51,560 Speaker 1: this topic and meet some other systerms in your area, 911 00:50:52,040 --> 00:50:54,520 Speaker 1: come on over and join us in the Yellow Couch Collective, 912 00:50:54,840 --> 00:50:57,040 Speaker 1: where we take a deeper dive into the topics from 913 00:50:57,040 --> 00:51:00,440 Speaker 1: the podcast and just about everything else. You can join 914 00:51:00,560 --> 00:51:03,279 Speaker 1: us at Therapy for Black Girls dot com slash y 915 00:51:03,360 --> 00:51:06,239 Speaker 1: c C. Thank you all so much for joining me 916 00:51:06,280 --> 00:51:09,600 Speaker 1: again this week. I look forward to continuing this conversation 917 00:51:09,640 --> 00:51:12,279 Speaker 1: with you all real soon. Take it care