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welcome back everybody Im dr. Steve silvestro pediatrician and host of the child repair guide and my guest today is dr. Michael Daniel an LA area based emergency physician Mike thanks so much for coming back to the show thanks for having me again good to see it yeah so so we first talked we was March 1st and we talked about coronavirus and what was sort of a burgeoning situation infection in the in the country at the time and I remember at the end of that conversation you had said Steve we have to talk again in a week because this is changing so quickly and were now just about six weeks later this is April 15th that were recording and its a whole different world right now theres so much to unpack yeah so so I know that California in addition to to Washington State were and New York were among the first places that were hardest hit what have these last six weeks looked like for you in the emergency department I mean God Buddhists well like from like a 10,000 foot level view you kno