READ IT: Rabbi Dr. Glatt COVID Update- Bungalows, Shofar Blowing, Vaccines & More

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I thank all of you that asked me to continue writing these updates, which I will do as I have time and as there is sufficient new information to impart.

I will Iy”H continue our motzei Shabbos Zoom talk addressing common COVID-19 questions that might be applicable to all. We will move up the start time to 9:30 PM this week, and as Shabbos ends earlier, move to earlier times going forward. You can join the session via:

Zoom at Meeting ID 980 3243 6809; Password: SUMMER2020;

or by phone: 929 205 6099

or via YouTube link obtainable from [email protected].

 

How are we doing regarding new cases in our area?

While the number of new COVID-19 cases nationwide has begun to slow over the past few weeks, the United States is still recording more than twice the number of new daily COVID-19 cases than in June.

Unfortunately, and most importantly, we are seeing increased cases in selected NYC and Long Island locations, related to travel, camps and other risk behaviors. The Nassau County Executive and Commissioner of Health informed me that Lawrence and Cedarhurst currently have the highest new case totals in all of Nassau County. This should be of great concern.

The NYC DOH also called me regarding troubling increases specifically after two “super-spreader” events, a wedding in Brooklyn and a weekend sheva brachos in the Catskills. I am called every day by physicians, schools, patients and the DOH regarding similar exposures and how to handle them and the quarantine concerns they create. The DOH has stated that such new cases have the potential to put school openings and Yomim Noraim minyanim in jeopardy.

The most common problem I am asked to help with, but cannot easily answer, is what to do for the person with an unclear exposure – usually when the parties were not wearing a mask. I am unable to provide guidance in such situations, and sadly, the default position is to quarantine for 14 days.

Likewise, the city, state and county DOH are imploring people to work with them, not against them in trying to appropriately identify who was exposed and who should be quarantined. This has the potential to be a huge kiddush Hashem, or heaven forbid, the opposite. Ultimately the DOH will do what they deem necessary to address such exposures from weddings, weekend gatherings (sheva brachos, family reunions), camps, that have been the cause of some of the most recent exposures in communities that “have no COVID” anymore. Various branches of the DOH have asked me to remind everyone that if you are quarantined, you absolutely must adhere to the restrictions mandated, and that the DOH takes this very seriously. They will use every measure at their disposal to ensure that spread of illness is curtailed.

What is new from the CDC?

1) We are learning more about COVID-19 in children every day, which is so critical as we start the school year. While there are fewer cases of COVID-19 in children age 0-17 years compared to adults, the number and rate of cases in children in the United States have been steadily increasing. The incubation period is the same for children as adults, 2-14 days with an average of 6 days.

Signs or symptoms of COVID-19 in children include:

 

  • Fever
  • Fatigue
  • Headache
  • Myalgia
  • Cough
  • Nasal congestion or rhinorrhea
  • New loss of taste or smell
  • Sore throat
  • Shortness of breath or difficulty breathing
  • Abdominal pain
  • Diarrhea
  • Nausea or vomiting
  • Poor appetite or poor feeding

 

 

Children may have many of these non-specific symptoms, may only have a few (such as only upper respiratory symptoms or only gastrointestinal symptoms), or may be asymptomatic. The signs and symptoms of COVID-19 in children are similar to other infections and noninfectious processes, including influenza, streptococcal pharyngitis, and allergic rhinitis. The lack of specificity of signs or symptoms and the significant proportion of asymptomatic infections make symptom-based screening for identification of COVID-19 in children particularly challenging. Evidence suggests that as many as 45% of pediatric infections are asymptomatic.

Boruch Hashem, hospitalization rates in children are significantly lower than in adults, as children have less severe illness from COVID-19. The rate of hospitalization among children is very low (8 / 100,000) versus adults (165 / 100,000), but hospitalization rates in children are increasing.

2) The CDC updated its isolation guidance acknowledging that people can continue to test positive for up to 3 months after a COVID-19 diagnosis yet are not considered infectious to others after 10 days with resolving symptoms. Therefore, retesting in the 3 months following initial infection is not necessary unless that person is exhibiting new symptoms of COVID-19 and the symptoms cannot be associated with another illness.

Thus, all people with COVID-19 should be isolated for at least 10 days after symptom onset and until 24 hours after their fever subsides without the use of fever-reducing medications.

There have been more than 15 international and U.S.-based studies recently published looking at length of infection, duration of viral shed, asymptomatic spread and risk of spread among various patient groups.  Researchers have found that the amount of live virus in the nose and throat drops significantly soon after COVID-19 symptoms develop.  Additionally, the duration of infectiousness in most people with COVID-19 is no longer than 10 days after symptoms begin (up to 20 days in people with severe illness or those who are severely immunocompromised). CDC will continue to closely monitor the evolving science for information that would warrant reconsideration of these recommendations.

What is new from the FDA?

FDA  issued an emergency use authorization (EUA) to Yale School of Public Health for its SalivaDirect COVID-19 diagnostic test, the fifth saliva test so authorized, but the first that uses a new method of processing saliva samples. FDA Commissioner Stephen M. Hahn, M.D. said this authorization will “create innovative, effective products to help address the COVID-19 pandemic and to increase capacity and efficiency in testing.”  Assistant Secretary for Health and COVID-19 Testing Coordinator, Admiral Brett P. Giroir, M.D. said: “The SalivaDirect test for rapid detection of SARS-CoV-2 is yet another testing innovation game changer that will reduce the demand for scarce testing resources.”

Several unique features make this SalivaDirect test very promising.

  1. A) Eliminates nasopharyngeal swabs that make other tests difficult and uncomfortable;
  2. B) Saliva can be collected in any sterile container, by the patient;
  3. C) Does not require a separate nucleic acid extraction step so less prone to shortages and testing delays;
  4. D) Rapidity of results (hours);
  5. E) Ability to easily batch tests
  6. F) Less expensive;
  7. G) Potential for DAILY testing for schools and work;
  8. H) Uses common reagents and instruments, meaning the test could be performed in most labs;
  9. I) Does not rely on proprietary equipment and uses commercially available testing components.

What mask should I use?

We have discussed numerous times the extreme importance of wearing a mask that covers the mouth and nose whenever in close proximity to others not living in their household. This is one of the best ways to prevent your transmitting Covid-19 as well as getting Covid-19, and as mentioned, not being in an insoluble quandary after a questionable exposure.

New data support wearing either a standard three-ply surgical mask or a three-ply cotton face covering as optimal. While data are limited, these appear superior to single or double-ply cloth face coverings, and are certainly better than a bandanna, “gaiters” or scarfs covering the mouth and nose, which I do not recommend that people use. N95 or KN95 masks are usually worn only by healthcare workers in close proximity to selected patients with COVID-19. They require fit testing to be worn properly.

Masks that have air vented outside should absolutely not be worn. While they offer some protection to the wearer, they put everyone else potentially at risk from breathing the exhaled air through the vent.

What still needs to be done upon return from camp or bungalow colonies?

We all need to be vigilant about potential spread of COVID-19 when people return from camp, bungalow colonies, and trips to other communities. Certainly, there have been cases identified from all these venues, and each scenario needs to be individually assessed for the risk it poses. I again stress that if the DOH recommends quarantine, be it for an individual case or from general travel, quarantine must be adhered to in order to prevent serious illness spreading. I recommend a very careful evaluation of each camp or bungalow situation with appropriate testing and quarantine as indicated by the particular circumstances. When in doubt, I favor caution, testing and quarantine.

What are best ideas for safe Shofar blowing?

In general, outdoors poses less of a risk. However, if appropriately distanced with all listeners wearing masks, indoors can be safe as well. Testing for active COVID-19 is not a routine recommendation I make, but is something left to the discretion of the local shul based on local incidence and concern. Such testing is not fool proof or without cost and effort. Prior COVID-19 infection or bona fide presence of antibodies is helpful but not a requirement for safety.

To optimize safety, I recommend as many of the following as possible. Have the blower be a person with prior COVID-19; blow as far away as possible from others; have the end of the shofar (where sound comes out) covered with a mask; blow into an open window; blow into an enclosure; blow in another room or outside (with the sound able to be heard in the room where the people are). All of these have been discussed and approved by HaRav Mordechai Willig, shlita. Blowing in chodesh Elul, is less risky as it is only a few blasts at the end of davening, but I still recommend using the above ideas as possible. Public outdoor gatherings on Rosh Hashana for women and others to hear the 30 sounds should also follow these guidelines. I am actually more concerned with the ensuing public gatherings than the shofar risk!

Any data on safety of Shofar blowing and singing?

There are limited data. One local ophthalmologist put dye in his shofar, blew into paper, and used a split lamp to look for traces of the dye, but didn’t find any.

A paper entitled “COVID-19 Transmission Risks from Singing and Playing Wind Instruments – What We Know So Far” conducted experiments measuring airflow while playing wind instruments. From evaluating the Vienna Philharmonic Orchestra they noted that normal breathing showed a cloud of fog of approximately 50 cm emitted from the nose and mouth. This was unchanged for string instruments while playing versus while at rest. For winds, “aerosols” were not reported or were “hardly visible” from the opening at the end of the wind instrument, with the exception of the flute. They conclude that a musician’s exhaled air is not expected to expand by more than approximately 80 cm, which is within the 6 foot distance recommended for distancing.

Spahn et al. conducted a risk assessment on data from wind players and singers with the Bamberg Symphony Orchestra. They concluded that a minimum of 2 meters (6.5 feet) distance between musicians (including winds) was sufficient, as no additional movement of indoor air during playing was detected at this distance. Therefore the risk of droplet transmission, if distancing is followed, was very low. Similarly, the authors provided similar recommendations for singing (2 meters apart).  Of note, the authors proposed a number of preventive measures to mitigate the potential risk of COVID-19 transmission during musical activities, including reducing the duration of the activity to allow for regular airing out of the space and applying cloth protection to the bells of wind instruments where feasible.

These studies are NOT definitive, and clearly much more needs to be assessed before declaring no risk. However, utilizing the guidelines I suggested, I do not think that shofar blowing will be a significant mode of transmission, be’ezras Hashem. And davening and singing should be curtailed as possible according to the each shul’s Rav, dependent upon local physical considerations and local COVID-19 incidence.

Is it better to daven indoors or outdoors for the Yomin Noraim?

Outdoor minyanim at this time of the year remain optimal, very viable and safe venues for people concerned about indoor shuls and longer than usual davening. Same applies to shofar blowing.

 

However, as long as indoor minyanim are properly supervised, meaning appropriate masking and distancing, indoor minyanim in low COVID-19 incidence areas can be equally safe and may offer advantages regarding comfort and kavanah that outdoor minyanim may lack because of environment or weather. Ultimately, it is a personal choice.

 

Any more exciting news regarding vaccines?

Health and Human Services Secretary Alex Azar reported there are currently six vaccines under contract with the US government with good safety profiles and with studies documenting neutralizing antibodies at a level at or above what people recovering from COVID-19 produce in their own bodies. Very good news indeed, with still the hope that one or more of these vaccines will receive emergency use authorization from the FDA before the end of 2020. In addition, large clinical trials of vaccine in China, Russia, Pakistan and other countries are also underway.

Many people have expressed a concern that any vaccine approval will be rushed and therefore not as safe as our vaccines usually are. To address this, FDA officials will use the regular tried and tested guidelines whether and when a vaccine can be made available. Commissioner Stephen Hahn, MD, and other senior FDA officials insisted that they would maintain “unwavering regulatory safeguards” in evaluating COVID-19 vaccines. Before any approvals are granted, they promised, the agency will convene its vaccines advisory committee to review candidates, and all traditional standards for efficacy and safety will be respected.

According to an AHRQ-funded modeling study in the American Journal of Preventive Medicine, based on a model that simulated the spread of the COVID-19 virus through the U.S., for a COVID-19 vaccine to end the pandemic without social distancing measures, it would require about 75% of the U.S. population to get vaccinated. This does not take into account natural immunity, and obviously depends on vaccine efficacy and the long term immunity generated.

We at Mount Sinai South Nassau, as well as other academic centers in the NYC region, are moving forward with vaccine trials. More information to follow….

Any proven cases of getting COVID-19 a second time?

Cases are still being assessed, and I personally have little doubt that some cases will be proven, especially as we move further away from March and April. It still remains very reassuring, that with upwards of 20 million COVID-19 cases worldwide, there are very few proven reinfection cases. This is critically important for herd immunity, and partially explains why certain communities have very few new COVID-19 cases despite not adhering to masking guidelines.

What new information was published?

1) Dr. Anthony Fauci, Director of the National Institute of Allergy and Infectious Diseases recommended against routine temperature checks to screen for COVID-19, despite the fact that this is still a policy guideline for hospitals and schools in many jurisdictions. “Temperatures are notoriously inaccurate, many times, and are especially unreliable on hot summer days.”

The Occupational Safety and Health Administration states that temperature checks are most beneficial when employees take their temperature at home and act accordingly based on the result, versus employers testing employees upon arrival at work. In schools, the CDC has recommended daily temperature screenings of staff and students, if possible, but does not specify whether tests should be conducted on site or before arriving at the location.

2) A study in JAMA identified no COVID-19 infections (asymptomatic or symptomatic) among community health workers after the addition of face shields to their personal protective equipment. Previously, there were infections when just wearing masks. Face shields may have reduced ocular exposure or contamination of masks or hands, and  /  or may have diverted movement of air around the face. This study supports what I have been recommending that teachers of pre-school and younger children unable to wear masks, wear a mask plus eye protection. It is unknown if a face shield is superior to goggles at this time.

I hope many people are planning on following the advice of the Mateh Ephraim to say 10 chapters of Tehillim every day during Chodesh Elul. In this merit of reciting sefer tehillim twice during Elul,

may we all have a kesiva vachatima tova.

Have a great Shabbos.



22 COMMENTS

  1. Masks, goggles for teachers? One would think you were discussing a disease that doesn’t have a 98.9% recovery rate. Do you suggest we do this for the flu too? It kills more kids than covid
    It’s crazy how easily you are going along with this, I’m underwhelmed

  2. To Sora: are you forgetting what we went through since March? All the people we lost in this community? At least 160,000 people dying, and people in this town have no respect for others by wearing a simple mask.

    If, as per JAMA research letter, we use face shields, we can help prevent transmission and maybe prevent a death in an older person.

    Flu comparison is irrelevant. Baloxavir just came out. Have those treatments for covid?

    Covid, even if you survive, the overwhelming majority have remaining symptoms persisting at least 2 months after symptom onset (NEJM research letter).

    I can go on, but please refrain from making inaccurate assumptions about this virus unless you are keeping up with the scientific literature.

  3. Maybe anonymous and Sora are in your 20s or 30s, but us older folks in the community might die if we contract this virus.
    Yet, you decide you know more than R’ Glatt, a community Rav and doctor.

    The selfishness in this community is disgusting. People can’t cover their noses for 5 mins while in a shop on central avenue.

  4. I’m in My 40s and see the stupidity of the masks very clearly. It’s a control tool . Wearing a mask? Read the box of masks! It clearly states that they don’t protect from covid , so why are people told it does? Ahh…because Dr Glat said so . Good reason. Keep following the fools like a bunch of sheep. They are using you, and want to see how far they can abuse you. Will you all wear goggles , like dr Fauci recently suggested? It’s good to see who is seeing clearly and who falls for this fraud. Keep on your masks forever … it will save you from…umm ..nothing ! Great job dr glat.

  5. Yes, they are controlling you. They plant chips in every mask to track you. Seriously?
    Yes, the mask alone will not prevent covid from entering. That’s the reason everyone needs to wear masks. N95 are meant for standalone infection control, but obviously surgical masks are not up to that par. By stopping droplet particles, which masks and 6 feet do, transmission will slow.

    Yes, I won’t in a healthcare setting and do wear a face shield. I don’t know if you have had covid, but many of those your age who recovered wouldn’t wish it upon their worst enemy. But your right, all the scientists across the globe are working with fauci to mind control you. I don’t know about you, but I believe the research in the NEJM and JAMA.

    It’s odd because it’s due to people like you that we can’t get life back to normal by lowering transmission rates.

    One last thing, if you have such disdain for R’ Glatt, why don’t u agree to the following: if you catch covid, you will not seek out any medical treatment from Mt Sinai South Nassau, or any hospital for that matter. Save the resources for people who actually took the virus seriously. It’s sad to think that after all the deaths, we still have people like you. Who else needs to pass away for you to realize?

  6. Absolutely shocked that the frum community is publishing let alone reading this. With any due respect given that the writer has two hard earned titles, at least, while he should be a leader his words sound more like those of a sheep. I’ve had covid. Badly. I have family members who were taken by the virus. We’ve all suffered the many associated effects of endless (mindless, too, I might add) quarantining, and I simply cant get on board with this. What is extra disturbing is the references to Fauci as though he holds any credibility at this point for anyone with a thinking, non leftist/pharma brainwashed mind, how shocking that a smart rabbi and dr can be so blind. There must be something in it that is of personal benefit to this man to make him go to such lengths inducing fear, endorsing control, and worst of all, supporting the Vaccine effort. Let me tell you that you will have to take at least half the frum community (at least!, all streams..) kicking and screaming to get any vaccine that comes out. I’d sooner pull my kids from school than be forced into such. But we’ll all come watch you and your grandkids get the vaccine if you want. Nebach that this is what’s becoming of our leadership. Truly moshiach times. But sadly, some don’t realize that even with moshiach coming closer, they are on the wrong side of this history in the making. Time and Hashem will tell.

  7. You know that your dentist and surgeon wear masks to keep their germs from being breathed on you. You wouldn’t ask them to take off their masks. The same idea goes here: the masks keep the virus from being breathed onto other people. That’s it. No politics. Science—which Hashem created and gave us the ability to use.

  8. Let’s go around with forms. Anyone opposed to community efforts to limit transmission will not seek out any medical care in hospital setting. I’ll take your arguments seriously if you would agree to that, but I doubt you would.

    And no, this community will be vaccinated, and if not, like the other anti vaccers, they don’t be allowed in schools. You can sue, others did, but they lost.

  9. As I observe this thread let me humbly suggest that we should be careful to respect each other’s opinions as we need HaShems rachamim now. I hear both sides and believe that indoors it seems like a good idea to wear masks in public places. Most importantly And the Best news- not one person here seems to realize that this virus is both preventable and treatable with No need for hospitalization ! Doctors and patients have proven the efficacy of zinc together with Quercetin to prevent and treat but must be started at first sign of any symptoms up to first 5 days! Communities can stay healthy with this safe and effective info that none of our leaders ever address! Dr Zelenko and many other wonderful doctors use combination of zinc, hydroxychloroquine and an antibiotic which kept most of their patients out of hospitals with full recovery! Quercetin and hydroxychloroquine work the same way which is why I suggested it as a natural alternative!

  10. I would be happy to work with schools to implement these immune boosting ideas so that all can feel less anxious and stay in good health!

  11. Actually, no. HCQ is not effective. Look at NEJM studies. HCQ and z packs, and HCQ as prophylaxis seem to have no statistically relevant effect on outcome.
    HCQ while does work in vitro, does not translate to efficacy in vivo, which is what we care about. I think everyone would be very happy if it were to be effective, but unfortunately, it is not.

  12. I have read all the studies including NEJM
    The conclusion of these studies were wrong. First of all they studied patients who were already past the first 5 days when the virus had become out of control. Second they treated without the addition of Zinc which is the most important factor! Hydroxychloroquine acts as a shuttle for the zinc to get into the cells so it is useless without the zinc! In order to get a vaccine approved for use there has to be no available treatment. Perhaps that is why they prefer that people don’t have the info that has saved thousands of lives and could have prevented thousands of deaths! I can write a book with all the proven cases I have heard from personally ! Will any Leader or school have an interest in getting life saving info to parents and communities
    ? I’m happy to help!

  13. Yes dear ‘Anonymous’. I’d sign in a heartbeat not to use any hospital services. In fact, I think I’d have to be near my last breath Cv’s in times like this to go near any NY hospital at all! How pathetic and worrisome that you don’t realize how many of the deaths that occurred during the peak were due to hospital mismanagement, absolute ignorance, and keeping family banned. Oh wait, and denying proven to work medications. Enjoy your hospitals and sheep leaders while I enjoy what’s left of my Gd given and Always and only Gd inspired freedom. My kids will NEVER get one of the covid vax and I am not an anti vaxxer, they had all their scheduled vax. However I will not give a covid vax. I’ll move across the globe before I have to do that, and with the current state of America that’s probably going to be a double whammy anyway.

    From the GETGO the publishing Dr/Rabbi here has been a source of fear based Information. I distinctly remember the first zoom and phone lives he did and even back then could not believe my ears. It was a clear sign of how lost we are, even in the frum world. He is not an authority I would go by medically, scientifically or hashkafically in these current times and I hope enough people out there remember that we do NOT have to be mindless followers. Even (especially…) in the frum world.

    I’d like to know at the end of the day what is truly behind the writer’s motivations here. My gut is rarely off and it doesn’t feel remotely pure. But that’s between him and HKBH on Yom Kippur.

  14. Are you sure you read the study correctly? It was within 4 days of high-risk exposure. But they put them on hydroxychloroquine for 5 days, which didn’t work.
    Just because it works in-vitro, doesn’t mean it works in-vitro. The current studies don’t show any efficacy for HCQ and questions continued trials of HCQ.
    HCQ works w/o zinc in-vitro. This is what we call pseudo-science.

    For a vaccine to be approved, it needs to pass safety reqs and show at least 50% efficacy. Whether or not there is a treatment available, vaccines will still be approved. Your point is ludicrous. We still have annual flu vaccines, yet at the same time, we have and are still furthering flu anti-virals.

    This HCQ business, while originally having some potential, has been taking resources away from performing trials on other drugs with possible potentials. I am on the same page as you, i want a miracle cure, but unfortunately, HCQ is not it, but perpetuating it takes attention away from different drugs to trial.

    All your “proven cases” you heard personally would pass zero standards of validity in the world of scientific research. I’m surprised people keep perpetuating HCQ while ignoring the literature.

  15. Dear “Alana.”
    I think you’ll be running to the hospital when you develop dyspnea. There is no atheist in a foxhole.
    Are you so ignorant to realize why family visits were banned?
    I don’t deny proven drugs, remdesivier was shown to shorten recovery time. FDA approved

    HCQ was shown to have no statistically relevant effect. Studies done by people a lot smarter, braver, and actually dealing with the crisis proved this. HCQ, unfortunately, did not save the lives of those in these studies. Is the NEJM not “good enough” for you? Or your google search is superior?
    And by the time a vaccine is widely available, I’d assume the state/yeshivas will make it mandatory. Or you could join gila jedwab in Sweden.

    The saddest part is that its due to people like you that we will never get out of this pandemic. The sooner people listen to medical authorities (do they plant chips in vaccines though) we will return to a better life sooner.

    And yes, unfortunately, we are in a terrible time, there are fears of death, persistent symptoms, due to covid. ignoring it will not make them go away

  16. If you had an actual name, (or is it anonymous Ben/bat anonymous’?) I’d offer a misheberach for you at the same time as making one for our current state of society. If you knew my credentials (real ones, beyond the standard letters after my name) you might step back in your parroting of (as you infer, likely googled) medical information. I worked on the frontlines during the peak. I wonder if the same could be said of you. Regardless, I wish you health (of body and most especially mind) as you continue to navigate through the fears you face. I have seen it all, and I mean all, and know that the only place my fear can ever be placed is the same place my faith is. Upstairs. That’s all. Be well.

    PS: I have no clue who Gila you mention Is but find it rather low of you to go name dropping of people on a post that wasn’t written or posted by them, so goodness only knows what your point was.

  17. Hi! I doubt you have any credentials, or worked in any hospital. Look at your previous post, you made it pretty clear that you have nothing to do with a hospital.
    And if you, in some other universe do, why don’t you stand up for what you believe in? Why do you take a salary from them if you disagree with them? – so don’t you enjoy them too
    Aren’t the sheep leaders you’re bosses?
    Proven treatment? if its so great, why didn’t you try to give it to dying patients. if you’re worried about being fired, imagine all the non-jews that saved jewish lives during the holocaust. you could’ve saved lives too!!!
    “go anywhere near a NY hospital.” – thought you were there.

    all in all, you’re a joke. thankfully, you are in the minority, but midvar sheker tirchak. maybe you should’ve put more thought into your first post to make it seem like you know anything about working in a hospital/scientific research/medical knowledge before you claim you do later on to advance your convoluted opinions.

  18. I agree with open your eyes!! Iam 60 And prefer Not to be a sheep. Unfortunately we have no real leaders today. And doctors today have a script they must read or jeopardize their jobs very sad

  19. How narrow your views are. There are/were plenty of frontline workers who do not work in hospitals. While it’s absolutely not my f/t job (imagine that, I volunteer outside of a f/t job with a family to care for too..), and I received no pay at all, I was front and center with helping people and their families amid the crisis in NY. But I certainly don’t need to prove that to anyone, least of all an anonymous online babbler. Speaking of midvar sheker tirchok, you are 100% percent correct. We should distance ourselves (much more than the requisite ‘6 feet’) from those who thrive on fear, fear mongering, and other falsehoods that are tantamount to sheker and far from the real truth.. And with that I humbly bid you farewell and truly wish you and yours well.

  20. I am also a physician and I am writing to say thank you to Dr. Glatt for trying to educate and pass on the latest recommendations to the community that are sound and based on scientific fact and data. Please continue to do so

  21. People who were sick were not given any info as to how they can try HCQ plus zinc to treat it . Even if one thinks there’s not enough science for them, it was helpful to thousands of patients who had the info. That was cruel and disturbing! As for science.. Lancet the top science literature had to retract the pseudo studies that tried to prove that HCq plus zinc is ineffective when it became clear that the studies were full of lies.. that was huge news and shows just how sick the people in power with their narrative are. No wonder most of us distrust .. I am happy to discuss these proven treatment and prevention on Zoom so that people can learn All options.

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