From Pandemic Parallax View https://ratical.ocr/PandemicParallaxView Dr. Dan Erickson of Accelerated Health Care talks about the impact of the coronavirus on Kern County ABC News, KERO, 22 Apr 2020 video (2 parts), audio (1 part), summaries (2) Source of the above media https://ratical.org/PandemicParallaxView/index.html#DrErickson The following is a raw text transcript of same: okay well thank you everybody for coming out we've really wanted to come together today and kind of just talk about what we've learned over the last couple months here it accelerated and really talked about what's happening in Kern County with our testing what's happening in California with the testing and kind of an ER physician entrepreneur perspective on what's going on and kind of what we think the approach should be going forward and dr. Massey and myself have been dealing with this as you have I'm sure you guys are working from home you're sheltering in place you're isolating yourself and we want to talk about if that still makes sense so we want to we want to kind of take everything we've learned and throw it against the backdrop of who we are you know we both have had extensive classes in microbiology and biochemistry and immunology we've studied this for each of us 20 years and we take everything that we're seeing today and we put that against that backdrop and say does this make sense are we following the science we keep hearing following the science what what is what is science essentially it's the study of the natural world through experiment through observation so that's what we're doing we're studying the disease around us or making observations we're doing testing experiments to figure out exactly what's going on and so this has caused some severe disruption for accelerated as we have people coming in 7:00 in the morning till midnight were reporting to the Health Department or calling patients back and at the same time our volumes have dropped significantly the hospitals there I see yous are empty essentially and they're shutting down floors they're furloughing patients they're furloughing doctors so the health system has been evacuated in certain places in New York the health system is working at maximum capacity in California were really at a minimal capacity getting rid of our doctors and nurses because we just don't have the volume the hospitals as I've met with their CEOs twice in the last week and we don't as well so we're busy with paperwork for coated and we're all focusing on kovat and so one of the things I'd like to talk about is when I talk to ER physicians around the country what's happening well because Co has become the focus people with heart disease people with cancer hypertension and various things that are critical or choosing not to come in based on fear so what that's doing is causing the health system to focus on kovat and not focus on a myriad of other things that are critical because we don't have the staff there and major the major component is fear people are saying I don't want to go get some of my doctor what if I get the co fit so there is a lot of secondary effects to kovat that aren't being talked about and so we'd like to kind of look at how the how we've responded as a nation and why you responded our first initial response two months ago was a little bit of fear we decide to shut down travel to and from China these are good ideas when you don't have any facts we decided to keep people at home and isolate them even though everything we've studied about quarantine typically you quarantine the sick when someone has measles you quarantine them we've never seen where we quarantine the healthy where you take those without disease and without symptoms and lock them in your home so some of these things from what we have studied from immunology and microbiology aren't really meshing with what we know as people of scientific minds that read this stuff every day so that's kind of how we started we don't know what's going on we see this new virus how should we respond so we did that initially and over the last couple months we've gained a lot of data typically in Kern County for instance are we've tested five thousand two hundred and thirteen people and we have three hundred and forty positive Kovac cases well that's six point five percent of the population which would indicate that there is a widespread viral infection similar to flu we we think it's it's kind of ubiquitous throughout California we're going to go over the numbers a little bit to kind of help you see how widespread Cove it is and see how we should be responding to it based on its its prevalence throughout Society or its the existence of the cases that we already know about so if you look at California these numbers are from yesterday we have thirty three thousand eight hundred and sixty-five Kovac cases out of a total of 280 thousand nine hundred total tested that's twelve percent of Californians were positive for kovat so we don't the initial as you guys know the initial models were were woefully inaccurate they predicted millions of cases of death not of not of prevalence or incidence but death that is not materializing but is materializing in the state of California is 12 percent positives well if we we have thirty nine point five million people if we just take a basic calculation and extrapolate that out that equates to about 4.7 million cases throughout the state of California which means this thing is widespread that's the good news we've seen one thousand two hundred and twenty seven deaths in the state of California with a possible incidence or prevalence of four point seven million that means you have a zero point zero three chance of dying from kovat nineteen the state of California zero point zero three chance of dying from kovat in the state of California is that does that necessitate sheltering in place does that necessitate shutting down medical systems does that necessitate people being out of work so that's that's California and that's I also wanted to mention that ninety-six percent of people in California who get Co would recover with almost no significant sequelae or no significant continuing medical problems so that's those are important statistics for the state of California two months ago we didn't know this so I'm gonna bring it to light now because we've shared our own data this isn't data filtered through someone this is our own data we found six point five percent and then California has found twelve percent so the more you test the more positives you get the the prevalence number goes up and the death rate stays the same so it gets smaller and smaller and smaller and as we move through this data what I want you to see is millions of cases small amount of death millions of cases small amount of death and you will see that in every state and if we and since we're talking about following the science we're gonna follow the statistics and follow the science so I want to look at New York State they've been in the news a lot right and they're their numbers are critical let's go over their numbers cases of kovat as of yesterday two hundred and fifty six thousand two hundred and seventy two cases in New York State not in New York City in New York the entire state they did a total of six hundred and forty nine thousand three hundred twenty-five tests that's thirty nine percent of New Yorkers tested positive for codeine 19 that's their ratios this is public data online you can all look it up 39 percent of people were tested which is likely they likely have 7.5 million cases right so we extrapolate data we extrapolate data we test people and then we extrapolate for the entire community based on the numbers the initial models were so inaccurate they're not even correct so is it really a fair and say obviously they're not as bad as they were because those were based on alternative scenarios and some of them were based on social distancing and still predicted hundreds of thousands of deaths which has been inaccurate so in New York they the ones they tested they found 39 percent positive so if that's indicative and they tested six hundred and forty nine thousand people that's a massive test that's accurate data 39 percent so if they tested the whole state would we indeed have 7.5 million cases we don't know we will never test the entire state so we extrapolate out we use the data we have because it's the most we have versus a predictive model that have been nowhere in the ballpark of accurate so they how many deaths do they have nineteen thousand four hundred and ten out of nineteen million people which is a 0.1% chance of dying from kovat in the state of New York and they have a 92% recovery rate if you are indeed diagnosed with Cove in nineteen ninety two percent of you will recover so we're seeing millions of cases small amount of death millions of cases small amount of death and the reason I'm making that point is because we're gonna compare this to flu and say is this significantly different from influenza A and B and if not why is our response been what it is USA this is this is a big one for us eight hundred and two thousand five hundred ninety cases as of yesterday we've tested over four million if you guys have studied globally what's happening that's a double what any other country Germany's at to their populations are lower but the fact that we were able to ramp up and do four million is pretty impressive which gives us a nineteen point six percent positive out of those who are tested for Kovan nineteen so if if if this is a typical extrapolation 328 million people times nineteen six is sixty four million that's a significant amount of people with kovat it's similar to the flu if you study the numbers in 2017 and 2018 we had fifty to sixty million with the flu and we had we had a similar death rate in the deaths the United States were forty three thousand five hundred and forty five similar to the flu of 2017-2018 we had we always have between thirty seven and sixty thousand deaths in the United States every single year no pandemic talk no shelter-in-place no shutting down at businesses know sending dr. song every year per the CDC 30 left due to flu in the United States some years it's even as low as 20,000 some year in 2017 2018 it was 45 to 50 thousand depending on who you read and we don't necessarily report all of our flu tests we do thousands of flu tests every year we don't report every one because the flu is ubiquitous and to that note we have a flu vaccine how many people even get the flu vaccine the flu is dangerous it kills people so just because you have a vaccine doesn't mean it's gonna be everywhere and it doesn't mean everyone's going to take it because we see every year that we have a vaccine and I would say probably 50% of the public doesn't even want it so just because you have a vaccine unless you forced it on the public doesn't mean they're going to take it I want to compare the u.s. to Spain to Spain is number two in the race for the most cases which is not a race we want to win they had two hundred and four thousand one hundred seventy eight cases in Spain nine hundred and thirty thousand total tests so we did four million they did nine hundred thirty thousand they had a 22% of all kovat tests were positive in Spain twenty-two percent of those tested were positive in Spain Spain is 47 million people so that equates to about ten million cases if we extrapolate the data as we've been doing with every state gives us about 10 million cases how many died in Spain 21,000 282 out of 47 million yevon 0 a 0.05 chance of dying from kovat as a citizen of Spain and a 90% chance of recovery from kovat without being on event without being in hospital I want to compare the u.s. of Spain because we're the two we have the two we have the most amount of cases globally so I thought that was important and then when you when you bring up a system of lockdown you automatically have to compare it to a system of no lockdown Sweden and Norway I'm I'm Norwegian Norway has locked down Sweden does not have locked down what happened in those two countries are they vastly different did Sweden have a massive outbreak of cases did Norway have nothing let's look at the numbers Sweden Sweden has fifteen thousand three hundred and twenty two cases of Kovan they have stayed seventy four thousand six hundred tests which is 21% similar to the other countries twenty one percent of all those tested came out positive for Kovac what's the population of Sweden about ten point four million so if we extrapolate out the data about two million cases of Kovac in Sweden they did a little bit of social distancing they would wear masks and separate they went to schools stores were open they were almost about their normal daily life with a little bit of social distancing they had how many deaths 1765 California's had one thousand two hundred and twenty with isolation no isolation 1765 we have more people what I'm getting at is millions of cases very small death millions of cases very small death this is what we're seeing everywhere Norway its next-door neighbor this is where I come from these are two Scandinavian nations we can compare them as they are similar let's look at the data Norway seven thousand one hundred ninety one cases of kovat total Kovac test one 145 thousand 279 so they came up with four point nine percent of all Kovac tests were positive in Norway population of nori five point four million so if we extrapolate the data as we've been doing which is the best we can do at this point they have about 1.3 million cases now their deaths as a total number 182 fairly small but statistically insignificant from 1700 you realize millions of cases small amount of deaths 1,700 100 these are statistically insignificant so you have a point zero zero three chance of death as a citizen of Norway and a 97 recovery their numbers are a little bit better does it necessitate shutdown loss of jobs destruction of the oil company furloughing doctors that's the question I have for you and I think the answer is going to be increasingly clear as we move through this data the next thing I wanted to talk about is the effects of kovat 19 the secondary effects Govan 19 is one aspect of our health sector what has it caused to have us be involved in social isolation what is it what does it cause that that we are seeing the community respond to child molestation is increasing at a severe rate we could go over multiple cases of children who have been molested due to angry family members who are intoxicated who are home who have no paycheck these things last a lifetime this isn't a lot of seasonal flu these are things that will follow these people and affect them in a negative fashion for their life and these are secondary effects from COBIT and these are for me talking to ers talking to my doctors and talking to people across the country and finding out what they're seeing spousal abuse we see people coming in here with black eyes and cuts on their face it's an obvious abuse of case these are things that will affect them for a lifetime not for a season alcoholism anxiety depression suicide I talked to the the the Donna Youngblood and various people in the community I've asked them how are things going suicide is spiking education is dropped off economic collapse medical industry we're all suffering because our staff isn't here and we have no volume these are all real things that I'm seeing every day I don't I don't read about this stuff I'm seeing it in my clinics we have clinics from Fresno to San Diego and these things are spiking in our community these things will affect people for a lifetime not for a season so let's let's make sure we're clear on that so we've gone over the secondary effects we've gone over the statistics now I want to compare flu virus is this significantly different and I just got a little bit of data here so deaths per the CDC 24 into 62,000 deaths each year we get about we had about 45 million total cases in 2017 with about 62,000 deaths or a 0.13 chance of death from flu in the United States as you know our other numbers were 0.02 so the lethality of kovat 19 is much less now you've got hot beds of it in New York but again went over the numbers 0.1% chance of death widespread small amount of deaths it's similar to flu as a matter of fact if we follow the science as we've been asked to do I'm following the science this data is generated by the CDC World Health Organization the testing is generated by what we have done here so we are following the science now I want to talk about the immune system dr. Missy he used to teach for immunology we both had years of microbiology biochemistry and biology studies we've made it our life's work to understand this stuff and here I'd like to go over some basic things about how the immune system functions so people have a good understanding the immune system is built by exposure to antigens viruses bacteria when you're a little child crawling on the ground putting stuff in your mouth viruses and bacteria come in you form an antigen antibody complex you form i GG IgM this is how your immune system is built you don't take a small child put them in bubble wrap in a room and say go have a healthy immune system this is immunology microbiology 101 this is not something this is the basis of what we've known for years so what I'm seeing is when you take human beings and you say go into your house clean all your counters Lysol them down you're gonna kill 99% of viruses and bacteria wear a mask don't go outside what does it do to our immune system our immune system is used to touching we share bacteria Staphylococcus streptococcal bacteria viruses we develop an immune response daily to this stuff when you take that away from me my immune system drops as I shelter in place my immune system draws you keep me there for months it drops more and now I'm at home hand-washing vigorously washing the counters worried about things that are indeed what I need to survive let's follow the science this is immunology folks this is microbiology this is what we've combined together we have 40 years of experience in this this is common sense immunology it decreases your immune system you can't build an immune system by if someone has a reduced immune system you you hide them away cuz they can't build the immune system if you have a normal functioning immune system you need interaction that when the child is in a womb you're in this protected environment when you come out you have almost no immune system you develop that through touching your mouth touching your eyes virus bacterial virus bacteria immune response IgG IgM this is how you build a strong immune system of course they are but that's that's from media telling them to I am telling them sheltering in place decreases your immune system and then as what we all come out of shelter in place with a lower immune system and start trading viruses bacteria what do you think is going to happen disease is gonna spike and then you've got disease spike amongst a hospital system with furloughed doctors and nurses this is not the combination we want to set up for a healthy society it doesn't make any sense initially initially maybe that was true but again I'm going through the numbers I'm not saying who's wrong or right I'm going through the science and through the numbers and I like you have been watching media and studying this for two months night and day well I go to bed at 2 or 3 in the morning every day I read after my shift and I say what's going on here I'm not a I'm not in an ivory tower I'm in seeing patients every day and I'm collecting my own data I didn't have data two months ago I just shared my data 6.5 percent of all pages we tested are positive that's actual unfiltered non-political data I'm not seeing again I'm sharing the data I'm not seeing or write somebody the data the data is coming in no I'm saying you have to give the virus time in from December to now there was tons of hypotheses you have to let the data work let the let the virus rise up then we study it and we see did we respond appropriately initially the response fine shut it down but as the data comes across and we say now wait a second we've never ever responded like this in the history of the country why are we doing this now even more accurate and more timely than what we're getting here in Kern County okay well sorry thank thank you for your question I think your question is valid and obviously dr. pouchy is a world-renowned immunologist and a lot of the data that they originally gave us was theoretical because coronavirus is a new virus we've studied corona virus since the 70s corona virus was but if you let me finish so every year according to your argument that you just made every year have you every year when we get the flu it's a new flu virus correct right but 99% of it is flu correct the way virus has changed the undergo mutations through their DNA deoxyribonucleic acid there are different types of mutations which either cause increased virulence and more likely decrease virulence meaning virulence meaning how dangerous of viruses so when corona virus was we've been studying corona virus since the 70s and this this this this type of corona virus that came out was first and foremost transmissible through through human beings and that was new and I think anytime you have something new in the medical community I've been a doctor for 26 years any time you you you you have something new in the community medical community it sparks fear and dr. I would have done what dr. Fauci did so we both would have initially because the first thing you do is you want to make sure you limit liability and deaths and I think what they did was brilliant initially but you know looking at theories and models which is what these folks use is very different than the way the actual virus presents itself throughout communities and there's different communities we're talking about here Bakersfield a lot more widespread than Manhattan very very different so you can't really theory and reality are not always the same and that's what dr. Erickson is presenting it's not about being right or wrong medicine what they teach us is you practice medicine I'm learning every day so is dr. Erickson we all learn every day it's not about being right who's right who's wrong it's not a basketball game who made the basket who didn't it's about looking at trends and saying hey we're not seeing what they've been what they've been talking about for the past six to eight weeks we've crippled the economy there's a lot of domestic issues going on is social isolation warranted for the healthy you guys have seen different drawing different conclusions from the same data why is that that's nicer because we're actually seeing the patient's doctor if ouchy hasn't seen a patient for twenty years I'm just saying but I'm just saying it's in general a lot of the figureheads are not it's like the the general contractor versus the sub he's not seeing patients he's in an ivory tower and we have a world of respect for him he's a world-renowned immunologists two different things he's in academic we've dealt with academics all of our life I did surgery at USC and Loma Linda all academics but academics in reality is two different things two different things so we're just presenting our data and our opinion as medical professionals in this community well we don't we haven't I have I have a minute Manhattan for 20 years yeah again as as a leader you listen to the people around you and they make decisions on different timelines and so Gavin Newsom has people around him telling him we think this is the best move for now and then i early on we told people the truth changes every two hours because it was as the data moves as we do our own testing I'm giving a different answer now that I would have month ago because I understand the progression of disease in this area I also understand the progression of disease elsewhere because I look at their data I don't have to live in Manhattan to watch their disease process to watch how many positives in the community and to understand how diseases spread for instance nobody talks about the fact that coronavirus lives on plastics for three days and we're all sheltering in place where'd you get your water bottles from Costco where did you get that plastic shovel from Home Depot those are full mites and carriers of disease so you take your family sheltering and placing you think it's safe and you're taking fomites with disease that they've shown that lasts three days are you really protecting yourself from Kovan does that make sense to you it doesn't make sense to me and if I swab things in your home I would likely find coded 19 and so you think you're protected but you've got phone lights coming from you know Home Depot and Lowe's and it's okay for us to be mingling in those situations well we have to not go to work it's okay for us to go to Costco but not to church do you see the lack of consistency here from from a microbiological immunological standpoint that doesn't make sense if you're gonna isolate people you need to shut these all down because that's how the full mites are being transferred when you go to Del Taco and you get a plastic bag or piece on your burrito from someone not wearing on Aska was just wiping their arm on your thing do you think you're protected from covin when you wear gloves that transfer disease everywhere those gloves have bacteria all over them I'm wearing gloves not helping you as your mask that you're wearing for days you touch the outside of it COBIT and then touch your mouth this doesn't make any sense we wear masks in an acute setting to protect us we're not wearing masks why is that because we understand microbiology we understand immunology and we want strong immune systems I don't want to hide in my home develop a weak immune system and then come out and get disease we have both been in the ER through swine flu and through bird flu did we shut down for those were they much less dangerous than kovat is the flu less dangerous than Kelvin let's look at the death rates no it's not they're similar in prevalence and in death rate so we are saying that our response now now that we know the facts it's time to get back to work it's time to test people but again testing gives you a moment in time testing tells you we the nasal swab says positive or negative the blood vial the tiger top with a finger stick gives you IgG IgM IgG being the long-term aim an immunoglobulin we look at for immunity but again it's a moment in time and when someone what's interesting to me too is when someone dies in this country right now they're not talking about the high blood pressure the diabetes the stroke they say did they die from covet there's as you I we've been to hundreds of autopsies you you don't talk about one thing you talk about Co morbidities their vessels were narrowed their lungs were a smoker Kovan was part of it it is not the reason they died folks it is one of many reasons so to be so simplistic to say that's a Cova death because they have Kobin you know how many people died with pneumonia or people that died from flu with flu I should say it's not from flu they're their lungs were compromised by COPD they had a heart attack two years ago they have a weakened body we aren't pressured to test for flu but ER doctors now my friends at itok to say you know you it's interesting when I'm when I'm writing up my death report I'm being pressured to add covin why is that why are we being pressured to add covin to maybe increase the numbers and make it look a little bit worse than it is I think so so this is what I'm hearing from physicians I talked in Wisconsin New York and everywhere they're they're being pressured to add it to their diagnostic list so well it's I don't I probably come in from the administration so they're your administration is saying it's probably coming from the hospital administration I didn't ask them specifically but they said we're being pressured in house to add koba to the diagnostic list when we think it has nothing to do with the actual cause of death the actual cause of death was not Kovan but it's being reported as one of the disease processes and being added to the death list when they died from COPD they had Kovac Kovac didn't kill them 25 years of tobacco use killed is it necessary so my question is is it necessary or are you saying it's only necessary for some individuals to be partying but for helping it's not yeah exactly I mean that's why would you why would you quarantine the healthy if you're young and healthy why would you why would you quarantine yourself it doesn't make any sense you quarantine the ill and when T 5% of patients who have kovat are asymptomatic which is why we advocate for widespread testing in order to open the economy you have to have widespread testing that's number one no question about it but historically if you look at biblical times you look at leprosy Mycobacterium leprae which is the bacteria that causes it they isolated the sick they didn't isolate everybody else so isolating the healthy just doesn't make sense in our opinion I think so well there's two ways to get rid of virus right either burns itself out or herd immunity for hundreds of years we relied on herd immunity viruses kill people end of story the flu kills people Kovach kills people but for the rest of us we develop herd immunity we did we developed the ability to take this virus in and defeat it and for the vast majority 95% of those around the globe this is true and when we look at people that have locked down and people that have been locked down we have massive data it is not statistically significant whether you lock down or not so why are we doing it the lock down yet it would it be safe for people to get outside right now yes I'm outside with no masks are the gloves a mask maybe a little bit too much right now is that kind of what you're saying well again do you do you want your immune system built or do you want it not built the building blocks of your immune system is a virus and bacteria end of story that's how you build it there's normal normal bacteria normal flora there's normal bacteria in normal flora that we have to be exposed to bacteria and viruses that are not virulent are our friends they protect us against bad bacteria and bad viruses so right now if you look at dr. Erikson skin or my skin we have strep we have staff all staff isn't bad call strep isn't bad they protect us against opportunistic infections that's why when a baby comes out of the room for the first three to six months they're extremely vulnerable to opportunistic infection which is why when we see a little baby in the ER with fever that's a one month old you do a spinal tap you do a chest x-ray you do blood cultures you do urine cultures but if you had a fever I wouldn't do that for you why because that baby does not have the normal bacteria and flora from the community whereas it you do because you've interacted with you know you've gone to the gas station you've gone to Home Depot that's the difference normal flora it we all need normal flora dr. Erickson saying is when you are self isolating at home for two or three months you lose that normal flora so if I guarantee when we reopen there's going to be a huge huge amount of illness that's going to be rampant because our immune systems have weakened and that's just basic immunology in biology I had some conclusions but basically our conclusions are that when I look at the the basic tenants that we know of Microbiology and I say do we need to still shelter in place our answer is emphatically no do we need businesses to be shut down emphatically no do we need to have it do we need to test them and get them back to work yes we do the the secondary effects that we went over the child abuse alcoholism loss of revenue all these are in our opinion a significantly more detrimental thing to society than a virus that has proven similar in nature to the seasonal flu we have every year we also need to put measures in place so economic shutdown like this does not happen again we want to make sure we understand that quarantine iing the sick is what we do not quarantine and the healthy we need to make sure if you're gonna if you're gonna dance on someone's constitutional rights you better have a good reason you better have a really good scientific reason and not just theory we're gonna work diligently to find a vaccine and the one of the most important things is wean our hospitals back up we need our furloughed doctors back we need our nurses back as when we lift this thing we're gonna need all hands on deck I know the local hospitals have closed two floors folks that's not the situation you want we're essentially setting ourselves up to have minimal staff and we're going to have significant disease that's the wrong combination so that's that's kind of the gist of what we wanted to get across today and and I've been working with some of the leaders and I've talked to you know the head of the CD pH I've gotten their opinion on this and a lot of the leaders in Sacramento and we're all in agreement but we need to have governor Newsom in agreement with us to lift this ban I've talked to our local head of help the Health Department and he's waiting for that even though they're in agreement with me they're waiting for the powers that be to lift because the data is showing it's time to lift so if we don't lift what is the reason well demand you unless you're gonna grab people from their homes people are afraid they're sheltering in place they don't they're having problems with their diabetes they won't come in do you think they're gonna come in for a test not in your life they're sheltering in homes so a lot of times we've you probably seen our marketing we do coronavirus testing we've called the major businesses you have to have people actually come to perform the test if they're afraid to come in which a lot of people are we can't get the data know the patients but when were they tested I mean that's the most important quit that's the most [Music] interested so I mean if you look at the pending tests within the last 10 days versus the amount of negative and positive cases and counties reporting it seems like it varies maybe 150 to 200 reports coming in today and that large number of just over three thousand three thousand over three thousand five hundred is still there yeah so this idea of let's test everybody even if every single person here there's not a velvety one coffee there's 10.1 billion in LA County so why is current comment as opposed to your no no it's not about a fault this is a discussion we do the majority of testing in Kern County for code we do the majority of testing and our folks we have a couple hundred employees are working night and day to serve this community so we're at full speed we can handle a lot more testing we're seeing about half the volume we normally see we can double our volume and still take care of you know getting the results back unfortunately we don't run them in-house nobody does we depend on major labs that you know huge players in the United States so our job is to evaluate the patient make sure it's a you know they don't have any any other issues tonsillitis pneumonia flu swabbing for kovetz send them to the lab the lag from the time they get it from toe the result is usually two days it's a two-day result which is in line with everywhere else one more time are we've tested 5213 we've had 340 positives now our people get we have people calling back from 7:00 in the morning till midnight we can only speak to our data collection initially the labs were taking 10 to 12 days to get results that was about 6 weeks ago then they refine their process they brought in more analyzer so they automate they were doing things manually they automated the process and now it's one two three days all of our data is followed up on these 5213 these are called back we do between 150 and 200 tests every single day of the week including weekends we have people calling back till midnight every single patient our data has followed up on I can't speak to what la people are doing I know what we're doing here these tests have been followed up on these tests are accurate to date and we're if you look at the pending tests 5213 is a majority of them so I know our process these I don't maybe the hospitals are not saying them stat I don't know but that's our data is coming around one to three days no based on your information would you say it's safe to open up schools sporting events and for people to gather outside again including James yeah I would start I would start slowly I think we need to open up the schools start getting kids back to the immune system you know and the major events the sporting events these are these are non-essential let's get back to those slowly let's start with schools let's start with cafe Rio and the pizza place here because I can go into Sully's right now which I did this morning there was 25 people in there and I can stand in line for 10 minutes but I can't go in Cafe Rio and sit there for 10 minutes does that make sense to you guys and I think I can go into Costco and I can shop with people and there's probably a couple hundred people but I can't go in Cafe Rio so big businesses are open little businesses are not there's no science behind that as we've gone over that is not science there's other factors in play that that we don't have time to go into but it's not science I want to make that clear you think needs to happen or if if someone came to you County is headed what should we do a little bit because you said you need testing an important but are you seeing someone that you're seeing a slow reopening learning with the most essential things and working from there and then how would you propose doing testing well and we've I've met with all the CEOs and all the hospitals as early as yesterday and I've met a couple times and they said what's your capacity we're trying to figure out our capacity so it's an ongoing discussion and from our perspective we've said let's start back opening the businesses up people need revenue they need the food chain for instance your room way your Bolthouse they have thousands of employees well they're all working have they all been tested so our thing is the food start with the food industry and the food chain test them and we're what we're trying to do now is validate a a finger stick test so that we can test people in three minutes they're just coming out so we're actually at noon today we're supposed to meet with a major lab talking about running the tiger top which is the blood tube alongside the finger test doing our self validation over the next week or two getting that rapid test done so that people can test as they go into work boom three minutes negative come and we do that and until we find out who has active disease who's not and we do it we don't have to do everyone but a majority of players and then eventually we treat this like we treat flu which is if you have the flu and you're feeling fever and body aches you just stay home if you have coffee or shortness of breath kovat is more of a respiratory thing you stay home you don't you don't get tested even when people come with flu a lot of times we don't test them we go you have flu here's a medication or if it's been more than two days you don't get Tamiflu it works itself out I this this virus is the same you have kovat go home let it resolve and come back negative they should because they may be negative for the antibody for years they may never get flu we have people in their 50s who have never had flu well if you have no symptoms you should be able to return to work are you an asymptomatic viral shedder maybe but we can't test all of humanity I think one thing I also wanted to add is we're good in this cases sure we're gonna miss cases of coronavirus just like we miss cases of the flu I think one thing that is being televised is that we need to capture every single coronavirus patient no we don't because that's not reality theory and reality are very very different we work in ers for 15 years theory and reality are very different it would be nice to capture every coronavirus patient yes but is that realistic are we gonna keep the economy shut down for two years and vaccinate everybody that's an unrealistic expectation I think so you're gonna cause financial ruin domestic violence suicide rape violence and what are you going to get out of it you're still gonna miss a lot of cases so we need to treat this like the flu which is familiar and eventually this this will mutate and become less and less virulent because a symptom patients who are asymptomatic or silent shedders usually have the the milder version of the corona virus right because it's milder that's why they're not as symptomatic and that tends to spread quicker than the more virulent forms one of them was what sources do you cite about their claims what scientific studies this is too early scientific studies double-blind clinical controlled trials take time years so we're doing the best with the data we have I gave you the statistics this is all common knowledge you can find online this is their countries reporting to these different news entities this is all common knowledge this is not based on double-blind clinical control trials again we've been studying microbiology for twenty years this is our life goal in our 20s and 30s 40s this is what we do we throw this information against the backdrop of knowledge we have both have degrees in this and say is this legitimate I don't need a double-blind clinically controlled trial to tell me if sheltering in place is appropriate that is the that is a college-level understanding of microbiology that's next year next year two years down the line a lot of times in medicine you have to make you have to make educated decisions with the data that you have I can sit up you know in the forties 47th floor in the penthouse and say we should do this this and this but I haven't seen a patient for 20 years that's not realistic we were using the basic data that we have here which we're happy to share with you guys we have all the data this is our data from Kern County and because we're the largest testing center for Kern County we're assuming our data is accurate for this specific area 5,000 we've done five thousand two hundred and thirteen that's okay five thousand two hundred and thirteen and we have three hundred and forty fives at three hundred forty six points five percent I think so I mean sorry to cut you off your vitamin D levels go down you're not outside you're not you know your mood goes down when your mood goes down you're more likely to get sick you get depression going outside is healthy I mean why can't you go to the park and walk around but you can go to Home Depot nobody's wearing a mask it just it doesn't make sense the inconsistencies and congruencies make no sense that's the restaurants after stay-at-home order you might see waiters no it's not it's not we don't disagree with that I mean I think you can look at it from two different ways I think if you're healthy and you don't have significant comorbidity comorbidities and you know you're not on you know you're not immunodeficient and you're not elderly you should be able to go out without any gloves and without a mask I think if you are those things you should either set shelter in place or wear a mask and gloves I don't think everybody needs to wear the masks and gloves because it reduces your bacterial flora it doesn't allow you to interact with society and your bacterial flora and your viruses your friends that protect you from other diseases end up going away and now you're more likely to get opportunistic infections infections that are hoping you don't have your good bugs fighting for you if that makes sense the u.s. is below almost every Western European nation for testing - I think the UK implants and release is like nowhere lower than everybody - [Music] I think we're about 12,500 per million you can prance about 8,000 if you look like Germany and Denmark that are beginning to open up there they're testing rates for governor are three times higher than ours are we've also had their test positive rate is between 3 and 12 percent which is what the World Health Organization so it should be the popular they are closer to 20 percent nationally so what stage do you think we get that adequate testing which you guys are calling for where we can start to take those approaches to get our economy moving and start with me oh well I think you can I think that's an excellent question I think the problem with with wanting widespread testing versus not being scared enough to come to a facility to get white press widespread testing are two different things if you're at home seeing tons and tons of people die I don't want to go to accelerate it I don't want to get testing that fear prevents people from coming in when this this press unknown the unknown always scares us so in my opinion what are the risks what are the benefits of social isolation and we think that the risks of social isolation are too high we have seven [Music] talked to ER doctors who have no arteria motive they have the same viewpoint there's there's a post today from a doctor from Wisconsin I encourage you all to read it I'll share his story with you it is exactly what we're saying and he eloquently displays he's an ER doctor he says I'm walking into this war zone or ICS are empty I'm scared to go to my own place of work there's no patients but we have people and hazmat suits checking my temperature as I walk through the doors he's like something else is going on here this is not about science and it's not even about COBIT when they use the word safe the word safe if you listen the word safe that's about controlling you so when I talk to all my ER doctors who work in a hospital no stake in the game same opinion that's how I'll answer your question we all have the same opinion now for reason of death which would presumably instead of working people [Music] exactly there's something there's something else going on and that's a different discussion we don't know I mean that's we're just here to present that scientific that's a political discussion we're just we're presenting the medical data here I mean what what I when I think about politics is irrelevant we need to we need to stay on things that we are we can answer intelligently which is not why does a CEO of some Hospital Wisconsin do that we need to stay on the topic of do we need to shelter in place and does that make sense from the microbiology knowledge we've known for thirty years the the the the sciences haven't changes we live our life in the life sciences biology biochemistry microbiology so everything that you're asking us goes against that sheet of information why people do things that a hospital is not really our area of expertise so from what we've seen right now it's time to open back up the science says it is the models we have been using from predictions to predict the amount of disease are not accurate this information is accurate it models the flu let's go back to work that's what the data is saying not models data is saying that I mean hospitals there are completely overwhelmed and swamped and that people you know working in the ours are dying from this so I mean there is it that's not just a flu tape situation right look at ileum 2017 hospital systems overwhelmed people dying overwhelmed system from the flu this happens from the flu if you've been working in the ers I've seen multiple people hallways full people dying news media they're stories going on from the flu this does happen this does happen it's not just the fluid that's what I mean that's not that that's exactly what I mean people think it's just the flu with just corner where's what's the difference you're used to the flu you're used to saying it's just the flu FL you influenza is something we've grown up with you're used to it you're used to it right if somebody commits suicide today you're like yeah that person committed suicide it's awful where if somebody dies today from the flu they died from the flu it's awful terrible but we're used to it we're not used to coronavirus not used to something brings fear you know I mean from the things that I've been reading even you know doctors working in the ers in New York City I mean I even heard any one of them saying oh it's similar to a flu outbreak I mean they were pretty impacted by swine flu in New York City but I mean have you heard anybody really say oh it's just like it was you know I mean have you it's giving they're getting hit hard they're a hot zone and we don't ride subways with you know a thousand people in a small car there are this close they had reasons for the disease and coronavirus has shown to be very contagious let's be clear it is contagious we're not saying it's not it may even be from what I've read more contagious and spread more rapid but the actual cause of death and the disease cycle is similar to what we're seeing from the flu with more of a respiratory component you know and they are they were screaming for ventilators what percent of people died on ventilators eighty ninety percent once you're on a ventilator if you understand you're in a bad shape and they're screaming for 30,000 ventilators that they didn't use right they're screaming for a lot of things 30,000 they used five how many hundred percent over did they order how many hundreds of millions of dollars entire companies GM were forced to switch their production lines for what I'm saying the secondary causes of what we're seeing oil shut down we are we have predictable negatives from from from lockdown predictable negatives Korona has one predictable negatives the entire nation you think you know respectively the numbers are low in the ratios figure eventually the fatality verses some people have because we've been social distancing now you don't think it's because since we started doing is that those models that are declining health shows how effective social visits his that's that's all fall but that's why we went over Sweden and Norway I did we went over Sweden Norway because you have locked down no lock down Sweden no lock down Norway lock down that's with that's ten million that's 15 million people we have the day that's why I just went over with you they're not testing everybody the bottom line is from those of us who study it and have a background in this is lockdown a versus non lockdown did not produce a statistically different number of deaths that is the bottom line [Music] yeah it's testing analyzing these numbers in the panel I probably wouldn't perform salaat es without trying to cross references I hear our president I hear out of governor's say social distancing is working and you guys think it's not needed so I guess I guess that's why I'm trying to wrap my head around like why is that it was needed in daylight it was needed initially they actually I completely we both agree with exactly what they did initially because we did it now it was an unknown now it is becoming known initially when you're when you don't know something you're extra careful because you're fearful it's just like when you see a patient and they're very sick you test for everything because you're scared you're fearful but then as you see more of those patients you realize hey I know what to test for right it's shotgun effect versus sniper effect right so initially when when this data came out of a new virus that's causing that sets lethal they they went out they went all out and I think that was appropriate but now that we have the data we're seeing that 96 97 % of patients completely recover and those four patients that died they have over 90 percent comorbidities let's run let's run through that one more time out of a hundred people if 96 do fine the four that die ninety percent of those four have comorbidities heart failure emphysema rheumatoid arthritis lupus they're on immuno modulating medications they're immunodeficient HIV these are the people that are dying you get some healthy people that die but that's an infinitesimal number tiny well I just I think I think we're in the weeds we work with this every single day and the numbers don't make sense to us and they don't make sense to eat our physicians and physicians all over the country it's not just us that question just make sure we get it right I think you guys is 54 for less than your fingers on damn everything that's da n PRI CK som Artin AR TI n mas Shi I'm just looking through to meet sure that I can answer we're not saying we're right we're saying here's the data here's what we understand it's not a year right you're a wrong thing it's the way we interpret data we work in the field and some people that are not working in the field and still getting a paycheck have a different opinion if you weren't getting a paycheck you might have a different opinion if you weren't getting a paycheck if everybody in here is getting a paycheck right Caffe real is not they've all been furloughed when you don't get a paycheck your opinions start switching if you were at home furlough for the unforeseeable future would you be excited about staying sheltering in place well it's also it's at what point who says what's safe are you smart enough to know what's safe for you or is the government gonna tell you what's safe for you who tells you what as soon as they use the word safe that means control we know it's safe for you you're too dumb to understand disease you see we know what's safe and so they're gonna use this model for different things we got a bomb threat from China everybody stay in their home for three months what they are using this to see how much of their freedom can they take from you and will you roll over and stay in your house and it's working and if you notice the way Americans are responding if you go to any gun store in town guess what they're out of ammo none of them have ammo I went to three of them they said we did thousands of rounds have been bought white people are mad they're starting to post on my facebook with their aks going let's roll so what I'm saying is let's avoid all that because if you if you stop on our freedoms that has one ending and it's violence well thank you guys