Just say hi. We dont take breaks on live stream. Youll get extra content and more answers. So right now, lets get to it with dr. Peter chin hong. Good to see you again, doctor. Hope you had a restful weekend. I know its probably difficult but thanks for joining us. My pleasure. Thank you. Weve had a lot of developments over the weekend. One of the stories that i kept reading this weekend was that we are learning more about how coronavirus is transmitted and that theres a greater likelihoodhais true and i like ask you, how much we know about that. What does that mean for how we might take precautions. That sounds more transmissible then. I think that even though its possible, again, everything is a continuous risk. I think what id pose to the community is what the biggest risk. The biggest risk is still, i truly believe, within that threefoot range. Again, as you go for further along, your risk decreases exponentially. Theres a huge dropoff after three feet. Even though theres reports that it may be in an aerosol, i think in the big scheme of things, its probably not the biggest risk. I like, convincing, largescale transmissions that way. I think most of the transmissions are in the traditional way that we think about, which is you come up close to someone thats less than three feet away, that person has infection. Particularly if theyre symptomatic. Theyre coughing and sneezing. It makes sense and thats the highest risk. Whether or not we can academically say that youre standing across the room and can still get it. Again, im humbled by clinical medicine. I cant give you an absolute zero risk. Knowing the nature of this beast, i think the risk is really minimal, if at all. I think people should really focus on whats the highest risk. Not things that i can get it from anything. Because i think there are things that people can do on a personal and individual level that can really substantially decrease that risk. I get it. You definitely want folks to focus on the most impactful actions they can take, right . Lets start with our viewer questions. I want to start with christophers question. Christopher ian garcia asking on facebook. As someone with asthma and fibromal allefibr fibromyalg fibromyalgia, should i stay home from work . Thats a good question. Its allergy season, too. A lot of people asthma is acting up because of a pollen in the air and everything. Id say right now, again, we have a lot of data thats continuing to be analyzed. It seems that everything is were getting data every hour in covid19. An hour in covid19 is a week or o month in regular time. We dont have convincing data that asthma dwifs ygives you an increased risk of covid19. However, people with asthma have harder time with the common cold or influenza. I would think about that the same way. Meaning that, again, try to stay away from crowds or from situations that you can control. If at all possible. Thats the way i think about it. All right. Over the weekend, ive seen a lot of articles about the increasing acceptance of the idea of maybe for everybody to wear a mask, not just those in the health care profession. So heres a question that is being posed by ellie ramos. She says, what can you say about reusingmasks . Inot sure if shes ahey were to reuse it, how would you handle the sanitation aspect of it . I would say, if at all, with surgical masks, we dont like to reuse it too much. Its different than n95 masks. A little more sturdy and more structure around it. With surgical masks, like a piece of high quality paper that you put across your face. You can imagine that even with paper it can get crumpled or the structure can get undone a little bit. If you do have to reuse it, these are the tips that i have for people. You hold the ends of the mask with your hands and not touch the front of the mask. You try to keep the inside of the mask a little bit clean as possible because thats what in contact with your nose and your mouth. Not the outside. The outside is the dirty area and the inside, you want to preserve that at all possible. Even before that, holding it by the ends, by the strings as much as possible, when youre done it, putting it in a bag so at least youre trying to not touch it as much. Those are some of the tips that llright. Lp pele bren asks, after being exposed from someone positive covid19, should i keep myself away from everything for 14 days and then i can go run errands . Thats a great question. I think that in we didnt have shelter in place in california, it probably would be a different kind of answer. But i feel if control the environment, there will be little likelihood that someone would get infected from you. Even if you exposed to someone. If everyone stay away from everything they enjoy because they might have been in touch with someone with covid19, all of a sudden we wouldnt have a workforce out there. Even in the hospital setting, what were advising employees is even if you were in contact with someone, we ask you to watch yourself carefully, the symptoms and maintain community responsibility. All right. You know what, this is an interesting question because ive also read a lot about how Blood Donations are down and that is problematic for the availability of the blood supply. But at the same time, asks with all this talk about sympto carriers, how does the Blood Donation screening address this . Thats a great question. I think we dont think that cvid19 is spread by the blood. Luckily, unlike hepatitis b, p hepatitis c. Theres actually very little when they actually use molecular techniques in the blood, theres very little if at all. Its contrersial whether its a thing. Right now, theres no evidence of blood borne transmission of the disease. Its a traditional coldlike, you breathe or not via the blood. Dr. Hong, well take a short break on air. But well continue the conversation, of course, online streaming on facebook. Then after the short break, well [ siren ] doug give me your hand lo of money with. Liberty mutual we customize your Car Insurance so you only pay for what you need only pay for what you need. Liberty. Liberty. Liberty. Liberty. Could another come aroundot, the corner. Or could it play out differently . I wanted to help protect myself. My doctor recommended eliquis. Eliquis is proven to treat and help prevent another dvt or pe blood clot. Almost 98 of patients on eliquis didnt experience another. And eliquis has significantly less major bleeding than the standard treatment. Eliquis is fdaapproved and has both. Dont stop eliquis unless your doctor tells you to. Eliquis can cause serious and in rare cases fatal bleeding. E or abnormal bleeding. If you had a spinal injection while on eliquis call your doctor right away if you have tingling numbness or muscle weakness. While taking eliquis, you may bruise more easily. And it may take longer than usual for bleeding to stop. Seek immediate medical care for sudden signs of bleeding like unusual bruising. Eliquis may increase your bleeding risk if you take certain medicines. Tell your doctor about all planed medical or dental procedures. Whats around the corner could be your moment. Ask your doctor about eliquis. If you follow us on live stream, you heard the doctor answer a couple more questions. Were going to keep that going now. You know, actually this one comes from me. Im really concerned for you. Those of you working in the hospital setting. At ucsf where you are, what you seen in terms of whats happening now in terms of the infections of both the workers and also whether you guys have all the gear that you need. Id really like to know the rate of transmission within your hospital community. Certainly, our experience reflects the experience of other Health Care Workers across country. Were not really sure. We dont have that level of analysis where they got the infection. We actually think most of the infections that Health Care Workers have were obtained in the community. We cant say for sure. There hasnt been too many documented infections. When we have a t. B. Outbre we can usualrace [ inaudible ] i think the Community Risk is bigger. We can make the hospital a cocoon. You cant control the community. We try to make the hospital as safe as possible. As of friday, you started Wearing Masks . That is a rule. Yeah. I want to address a couple of questions with regard to drugs. Both from ee dora who asked what medications are working for covid19 patients. Lets start there. Then i have a second drug question. Great. I think about drugs covid19 like the olympics. Theres a gold medal, silver medal and bronze and people who dropped out, they get hit in the knees and fell out of the race. Theres no gold medalist, you dont have great data. The silver medalist is ran disvir. Its given intravenusly that people might have heard about. Its developed by gilead. They brought it out to repurpose it for covid19. A lot of people, enthusiastic about it. But i think we need data. Right now, unfortunately, because we have so many cases, were going to get the [ inaudible ] were enrolling people in trials. Theres not a way to get the drug. Its through a Compassionate Use Program through gilead. But its retooled and expanded access for slightly different term nalg, for different way of getting it. Trying to get people in the studies as much as possible to make sure its effective and then what will happen, it will be released to everyone. Because between what the president has suggested about some of those drugs and then celebrities who have gotten sick and announced what their cocktail of drugs was, you know, theres a lot of controversy about what really the message is. Your answer is, were getting the answers. I just want to make one more point. Some of the drugs are dangerous for people to take them. Like the stories in the persons trying to take the supplies color quinn. For the community trying to do the help of primary care or list. Okay, sheila if he leasies yase ian feliciano had mrsa. She took will that work . Mu peer sin is an ointment that some people put in their nose to eliminate the carriage of mrsa. Its a bacteria, though, virus. It probably wouldnt work against covid19, unfortunately. Okay. Thats good to know. Carlos Fernandez Mendoza says if youre type 2 diabetic, do i have to stay home. My ears and nose are stuffed. Is that something to be concerned about . The first question is whether or not you should stay home with diabetes, the answer is no. Again, people with diabetes, i think of them as the same risk of getting it whether or not you get sicker faster is another question. Were still trying to figure out. The second question about what was the second question . I forgot it. He has ear pain and pain and his feels gateson a aer sptsf covid1 i would reassure the community. If you have allergies, its a good thing. Its likely not going to be covid19. We know that with 3,000 patients in china. Adrienne wants to know if you have an approximate time, i going to happen forarea. You know, os the a shelter in place working. Is that surge coming later now . When do you think that might be . Its hard to say if were flattening the curve. I think were optimistic at sf. We dont want to count our blessings too early. Were calling this very carefully. I think that we may have a mini surge maybe with Nursing Homes in the area, et cetera. But whether or not we get a huge surge like what was in new york, im hoping that we dont. I think in my heart of hearts i think that our shelter in place policy will help with that. I certainly hope so. We got to keep it up. We cant relax . We cant be complacent and relax. We have to keep it up. Terry dean has a question. She wants to know how do you care for a loved one if they get sick with coronavirus . She wants to know how to prepare your home, what proper supplies to get . Yes. I think about some ps with helping to prepare your home. Taking care of a loved with covid19 if you didnt have it. Thats making sure you protect yourself. If you are taking care of a loved one with covid19 intimately, of course, you would be as a caregiver, i think in that situation, it would be good to have a mask. You cant control that transmission. When people are discharged to home, they usually are well enough and the clinical criteria we use in the hospital to make sure theyre not transmissible. You probably want to take that extra step in case. The other things like, again, cleaning surfaces, having a place where you can communicate with that person effectively. A lot of people using facetime or ipads. You dont have to come up close to someone all the time. You know, you can keep up that communication. We dont have a lot of time left. A couple of good ones. Hopefully you can get to them quickly. Can covid19 enter through cuts or open wounds and source . Thats a great question. The nature of the beast is a droplet going into your nose or your mouth. Not bloodborne. Like that other question with the blood supply, its not going to happen as we know now. Wh wa somebody on instagram wants to know, is a regular bar of soap as good as antibacterial bar of soap . Totally. Regular bar of soap is great. You dont need a special soap. The main thing is the time. Not the quality of soap. Sing happy birthday twice or some other chorus like africas tune how much time left . Do we have time for one more question . We do. Great. So shouldnt the people being wearing clean masks and gloves in stores since many people are carrying the virus . I know thats a tough last question. I really feel like that is a heated debate from this weekend. Should we be Wearing Masks in transit or in Grocery Stores or just cover our mouths with a scarf . I get that question a lot from the community. I think its a valid question. Again, if you look at new york today, you see a lot of people crowded together. New york has a surge right now. I probably wouldnt be on a subway platform without some protection. You dont have to be swrg having a mask. You can wear a scarf or bandana. Dr. Hong, thank you very much. I know how busy you are. To spend the time with us to answer questions, we really appreciate it. My pleasure. See you again soon. Folks, if you did not have your question answered on air, we are going through the live stream after the show to pull were gngoake ahort n r. Folks, welcome back. The situation for Health Care Workers as weve discussed on ining s the ceo of eally dire on nonpfiwhich has de ptein land ce heidi thanks for joining uss i doing. Look, i know youre always you spent your lifetime supporting other people in need. But now the situation is reversed. Youre in need or at least your children. As a concerned mom of two kids who are doctors, who are in that setting, in the hospitals, i know theyve been talking to you about what critical need they have right now. Can you share that with us . Absolutely. Well, for over 23 years ive been on the frontlines protecting the footsteps of children around the world from the harm of land mines. This week it comes home to me as a mother of four children. My oldest son and his wife are both doctors, Critical Care doctors here in california. They are on the frontline of this battle of the covid phantom enemy. Similar to landmines, this is a hidden killer. It knows no borders. We must as mothers, as physicians, of doctors, of nurses, of medical frontline nurses, be there for them this week. You know, as a mother we bandaged our childrens knees when they fell and got hurt. We would do anything for them. This week im calling upon the innovation of the silicon valley, the greater San Francisco to rally the forces to immediately provide them with protective gear, masks, the necessary ppe tools that are needed for them to do their work on the frontline of this battle. So in addition to folks donating masks as they can and gowns and things like that, theres also an issue of housing, right . I know youve witnessed some heartbreaking stories of doctors who cant go back to their own homes because they dont want to contaminate their loved ones. They need housing, right . Absolutely. My son and his wife have two children, many of the colleagues have children as well. They go out every day on our behalf to protect us on the frontli of the covid19 that th world is facing. When they come home, oftentimes they cant come home because theyve treated patients who are in the icu or those who have died. So they are looking for shelter. Theyre actually this past week has had a terrible cold snap in northern california. Theyre looking for places to stay. Ive heard firsthand stories, theyre staying in garages so they can get a meager might sleep and get back to the battlefield on the frontline of the icu. Our physicians, doctors, children deserve better. My appeal today is from the heart of a mother. Lets rally our troops and rally the innovation of the San Francisco bay area. Th ctions that us to have these conversations lingn your inno necessary face masks, in particular the n95 masks are the best that the doctors can use. As theyre administering the tubes down their throat, they have to get very, very close to the face. Heidi, i know that one of your employees for roots of peace jumped in to secure surgical gloves. We appreciate that. I just want to say thank you for sharing that message. Its not an easy time for you. A mom of two kids in child care and then you have an elderly parent and grandkids. Take good care. We hope to talk to you again soon. Thank you to abc news and all the listeners. Happy National Doctors day. More it. Were coming back on air. Here we go. Time now for a special message from our special a segs note. He wanted to home. Whats really scary times, were still supporting one another. So many people have asked about ways that they can help out while sheltering in place. You can help out food banks, feeding america, no kid hungry or eat, learn, play which is based in oakland. You can donate blood. We have a huge blood shortage. You can call the red cross, make an appointment and safely donate and save a life. You can check with your neighbors, especially those elderly or high risk and see if they need anything, groceries, supplies or medications. You can also call a nursing home or homeless shelter and see if they have any needs or how you can help them. These are high risk areas. You can even volunteer as an online teacher for the millions of homeschooled kids. You can help out with ppe drives and ensure that hospital workers have masks, gloves and gowns. In fact, someone messaged me ona bunch of n95 masks as a donation. Th wanted to help. This is america. Even iar tother thank tet so especially at a time like this when you feel like, gosh, i have so little control, to take that control and do something positive. Thank you so much for joining us today on this experimental interactive show. Well get to more questions tomorrow. We invite you to take part. Well be back here and onl tonight, the number of cases of coronavirus spiking here in the u. S. At least 159,000 cases. Nearly 3,000 dead. The president just moments ago saying challenging times are ahead. In new york city, more than 250 dead in just 24 hours. And the difficult images showing bodies being loaded into refrigerated trucks at hospitals in new york. The Navy Hospital ship, the comfort, arriving in new york city. A Field Hospital going up in central park. The governor just today saying we are now beyond staggering. This comes as president trump, after first suggesting america be reopened by easter sunday, now extends the federal stay at home guidelines until april 30th. And the presid