Perspective From The Front Lines #1

So welcome everybody.

So Hamlet also I saw, obviously Lila so I'll knock out the BIOS actually while we wait for our doctors and as you can imagine, they are juggling incredibly hectic schedules right now. And, you know, we're very happy that they were able to join us. Dr. Johan Abdulaziz

is our newest model of instructor actually, but he's someone that we've all known for a very long time. Dr. Burnham is from Michigan. He went to Michigan State, he studied medicine there. And he is a he is a doctor. He practices emergency medicine in Dallas, Texas, where he's resided for the past couple of years. And so I know that since all of this has really intensified he's been I mean, he used to work crazy shifts anyway. But now he's just really just round the clock at the hospital. And so he messaged me maybe an hour or two ago saying that he was getting off the shift. And he'll be joining us immediately from from that life. And Dr. usif. Yeah, man, Dr. Youssef a man is from

Florida, the Orlando area and he is the founder of absolute health and absolute health out of Ocala. Florida, is really all about functional medicine. And so he'll be talking about how to keep our immune systems high as well as religious staying healthy. While we're in quarantine, we're not really moving around as much as we used to be. Our cities are shut down, it's very easy to get very lethargic, low energy as well as if you're eating food that isn't really healthy and at the same time being inactive. It can be a recipe for disaster and so we want to be able to as best as we can maneuver around all of these things. And so we'll be having Dr. Han inshallah speaking about his

perspective. Oh, he's missing as well as Dr. Use if we see now so now medical doctors if we come to them, how are you doing? I'm doing good. I'm getting a lot. I haven't seen you since we went to Bora together last December. And it feels like

I mean, it feels like a year ago now. It feels like it's there. beginning of March feels like a year ago on a lot.

How's Florida 111? Okay, we're just buckling down and taking things one day at a time. hamdulillah. So let's let's begin with you, Dr. Yusuf, if you could begin and just tell us what you've been seeing as well and what advice you have for people outside?

Yeah, so

what we've been seeing what we've been seeing is with the news, there is a lot of panic. There's a lot of pot, we are really figuring out what what people usually buy at the grocery store, when you see the patterns of things that are there. For some reason, baby foods, not important, but a lot of the frozen TV dinners are worse we're seeing in our practice, we have a functional medicine practice, it's a primary care and a functional medicine practice. But what that is is getting to the root cause of disease but for we also take care of we're using natural approaches along with with medication, but what we're where we take care of primary care, so we're getting a lot of a lot of

people that think that they might have the Coronavirus, where we set up a triage system. There's six providers in the office with two health care educators and we set up an area in the back where we're double mat we're wearing a mask, they're wearing a mask they come in we very quickly check their vitals, assess and tell them what to do. Unfortunately,

I guess there's good news and bad news. But we have not been able to really get test results here in Florida. So I probably got four six providers. We got about 15 kits, the kits. We had to be very careful on who to test the people that we were worried about the most having Coronavirus and the rest. We just have to send them home and make sure see if they have Corona if we think they have Coronavirus or if there's something else like maybe they have the flu, treat whatever we can treat and then just send them home and we're calling them every day and keeping an eye on them. But the good news in that is that if you can't test something, then you can't diagnose it. And my belief is

that we have multiple cases of Coronavirus. And when you're seeing those numbers pop up it's not because we have all these new cases. It's been

Because we now have available availability to test them, and we waited the three to five days for the results to come back.

That's incredibly challenging.

And so if, if, if that's the case, do you see

what what is the most effective method then for when when testing is is limited is in Florida? What are you advising people to do? It's the self quarantine So, so staying at home and understanding how the virus spreads. So, so what I would do kind of to go through this, I guess, number one is avoidance. How do we avoid it, we have to understand how Corona happens in the first place or how you get it in the first place. When we talk when we cough. When we sneeze, you get a little the there's little tiny respiratory droplets, the little droplets of your spit basically, can go out about six feet and then they fall down to the ground. It takes some time but it felt they fell down

to the ground. So if somebody is kind of is talking in someone else's face, and they have the Coronavirus, you could have the virus and not have symptoms yet, that is those little those droplets could stick on on their clothes, it can stick on their face, and if it touches their eyes, their nose or their mouth, then that will cause the infection that will cover that can cause the entrance of the Coronavirus in the body. So if people have if people are older or their state where they have, they have chronic medical conditions where were their higher risk. We are going that and they really want to take good precautions they would pretty much avoid people but put on a mask if they

can even if they have to make some sort of a bandana makeshift mask, it's better than nothing. And then put on some eye protection so that it doesn't go in their eye. And then when they go home, take a good shower, take their clothes, but the clothes put the clothes in a separate hamper. And then after washing the clothes one of the things that may kill the Coronavirus or that can kill it is heat but it has to be it has to be a lot of heat and it has to be over time. So if you're not able, if you don't have a dryer, if you do have a dryer, you might want to do a couple extra cycles of that dryer and putting it in the dryer for 10 minutes. Yeah.

And then dry for 10 minutes. Yeah. Is that what you're doing? Is that is that what we shouldn't be doing? Oh no, no, no. 30 minutes to an hour.

Dry dry dry because the dryer is about 130 to 140 degrees Fahrenheit, which with the Coronavirus. There's previous versions of the Coronavirus. A lot of what we're doing is just based on based on the the older versions are looking at other viruses that are similar. So no, they should dry for at least 30 minutes. And if you have to hang dry them you probably want to wait a week or two before you put that clothes on. I need a week or two. So you mentioned that it's droplets right within six feet. Does it have to be dense enough where a person feels it so for example, in telling me today they're like well, no one's coughing around me. Right. So no, no, no does not have to be dense

enough and you can have the Coronavirus and you could be spreading it it takes average is about four to five days but it could take us simply talking someone space could be enough for that to spread. Yes talking in someone's space. Okay.

Very good to know. Yep. So what I would say I think if people are hanging drying or they're not or they're not using their dryer, use the dryer. And then when you go home, protect yourself Go wash your face Wash, wash your wash your body, take the clothes off.

So then so then wet and for those immunocompromised people if if you're around somebody that is a higher risk for the Coronavirus. I would I would caution people to to to maybe stay away from that loved one space and be careful who you come in contact with. But But definitely take it seriously.

The other thing that I actually am concerned about is the if you look at the cleaning products that they're saying you can use for the Coronavirus. If you actually look at the fine print, sometimes it takes a significant amount of time under that chemical in order to kill the virus. So So when people just wipe it down really quickly and they don't really soak it, it might not kill the virus properly. And the other thing is is what people are going crazy with these Clorox wipes and they're wiping it all over themselves. And I wonder if some of the higher cases are due to people having inhalation damage that there they basically are, are hurting when you take in a lot of these

chemicals. What it does is it hurts your DNA and that will affect your immune system. So it's possible. So it's possible that people are thinking

They're doing a good thing by using all of these, these hand sanitizers, and, and Clorox and, and whatnot. But then if they're not careful, they can actually make the problem worse. I actually made the mistake yesterday, I was at one of the facilities that I work at. And I saw wipes, I didn't realize it was Clorox wipes, I put it on my stethoscope. And then I started to cough. And I started to feel short of breath. And I thought, oh, shoot, I caught it. But I didn't really catch it, it was really I realized that was the Clorox, I rinse that off. So good old fashioned soap and water is actually and just letting it flow might be better than then sitting letting it sit in a chemical,

especially around you. But I'm not saying don't use the chemicals to clean I'm saying, wear your mask and wear protective gear. And be careful because the chemical could actually hurt you as well and can weaken your immune system. So so I know,

I know what you're used to that you have a lot of focus as well on eating healthy, and you've got a wonderful, you know, TEDx presentation on YouTube that actually share in the group. It's called as the gut, the gateway to disease. And we'll share that in a second. But from what you've seen so far, even though obviously, it's just everything is really new. Are there any foods that you would recommend people to be eating? Is there anything that they should be focused on? Is there anything that they should not be eating? Absolutely, how much time do I have?

I would say right now six minutes, we want to give a lot of time to question and answer. So okay, six minutes. So So here, here are the steps that I would say, to take to keep yourself protected. Of course, number one avoidance so if you can avoid it, understand how it happens, avoid it, that's best. So now, the next step is how do you strengthen your immune system this is for educational purposes, only, ask your provider before you utilize any of this. But number one is going to be work on stress management, because when we're stressed, it weakens our immune system, work on getting enough sleep, because that strengthens immune system, work on exercise, probably not at the gym, but

work on exercising because getting that heart rate up high intensity interval training, cardiovascular training, that kind of thing can increase your immune system and boost your immune system. If you're smoking avoid smoking, of course, if you're drinking, avoid drinking, of course, and avoid junk food.

Avoid what I'd also say is avoid foods that you know that bother you. Because there are certain foods that that you know bother you, you can tell they bother you when you eat them, the body may be he may have to have this immune response or undergo immune response when you when you eat them. And and what ends up happening is your body will end up in trying to fight against this and trying to fight against these foods, these bothersome foods. Now the immune system is using up some of its capacity for that where it could be fighting the virus if it invades, so avoid sugar, because sugar will weaken the immune system as well. And in particular sugar will weaken the innate immune system,

which is when you first get in contact with a new virus, the innate immune system is what kills that virus, and if that's not working well, so so Clorox wipes, inhaling Clorox wipes, and eating sugar is a great recipe to not be able to fight these diseases when they when they invade. And now the food. So number one, eat the rainbow. The different colors of fruits and vegetables have different things called phytonutrients. And they help our immune system they help our liver detox, they help our bodies heal. So try to get the different colors. How do you you can frozen is good. Microwave is not good. You can you can if you can eat them raw, or you can or you can steam them apart. So going

into specifics so so specific nutrients, vitamin D is extremely important. We, our ancestors spent more time with our son our skin exposed to the sun. And when you get into sunlight, what happens is as your body changes cholesterol into vitamin D, we we catch so many people with vitamin D deficiency. As a matter of fact, the dose of vitamin D supplementation that most of my patients need is about 5000 units a day, the recommended dose is up to 2000 a day it's 800 to 2000. Don't try to get vitamin D from milk, because because milk, especially the way they make milk, it actually it actually can weaken your immune system. And if you look at how much milk you would need, you need

about 50 cups of milk, you get that amount of vitamin D that is sunlight, you don't have sunlight at least vitamin D supplementation. Zinc is extremely important. It's found in meats it's found in seeds, like pumpkin seeds and, and sesame it's a found in legumes. And zinc is one of the things that I am supplementing with, especially when I'm afraid of catching this. You got to be careful. You can't go more than 50 milligrams a day and if you do zinc

High zinc to long without replacing copper, you can end up getting a copper deficiency and that's another talk. Selenium is extremely important for the immune system a hint for some of our sisters and brothers. If they have autoimmune thyroid disease, there is a good chance that they have Selenium deficiency if they have those thyroid antibodies, but but a lot of times there's a lot of states that don't have good amounts of selenium in the soil. And if you eat fruits and vegetables without enough selenium, and you're not gonna have enough selenium, and you can get thyroid diseases, but you can also get issues with your immune system, vitamin C, but which fruits,

vegetables and bell peppers is actually a great source of vitamin C. But be careful people think that drinking orange juice is good for them. It is not it is eat, you can eat the orange limited to two fruits a day the rest should be vegetables. fermented foods is extremely important because there are cells called natural killer cells that actually help fight against viruses. And, and good bacteria like the bifidobacterium species and lactobacillus species, increased natural killer cells, the old Coronavirus and outbreaks that happened what they found is, is that people that people had lower natural killer cells that ended up getting really sick with a Coronavirus. And the last thing

that and you can supplement you can take eat fermented foods, like like yogurt, like key for like that type of thing. But you can also supplement with probiotics, because a lot of times the food industry doesn't really make food, they don't they, they the way that they handle food, they end up killing off a lot of the good bacteria. Eating the fruits and vegetables will give you those prebiotics to help good bacteria grow. But working on good bacteria will will help you fight against viruses. And last but not least, intermittent fasting. So when we go when the humans go into a fasting state, our white blood cells and our immune cells go down. And what we think happens is that

your body starts clearing out your immune cells, a lot of them may be damaged and may not be working well. And then when you refeed, what ends up happening is, is you get a burst in immune cells, but stem cells, these stem cells come out and you get brand new immune cells ready to just knock out whatever, whatever comes your way. And I'd say the easiest way to intermittent fast is take about in the morning, I'm not talking about the Islamic fasting, although the Islamic fasting would be great, just make sure that you go low calorie at night. But if you're not going to do a the art Islamic fasting, what I would do is I would take a window of time to eat so between five o'clock, and

between, and I'm sorry, between 12 o'clock, and between about seven or eight o'clock, that's when you eat your food. That's when you take in your calories. Otherwise stay hydrated throughout and then try to limit it between 508 100 calories. And if you could do that three days for three days, and then eat healthy foods, eating all the things we talked about nuts and seeds, the the the different colors of the fruits and vegetables of low sugar no more than two servings of fruit and six servings at least six servings of vegetables a day. Lean meats, then you man, the viruses are just going to run. They're not even gonna look they won't even look at you. And that's

scientifically proven. And that's all like

sounds great. Does that go ahead Dr. Youssef already we're getting some amazing feedback and gratitude for what you shared. And I know we have a lot of questions coming in. We do have a lot of questions coming in. So

we will get to the questions in a little bit everybody. But in the meantime, we have Dr. For Han Abdul Aziz Salam aleikum

is an alpha. Can you hear me? Yes, we can hear you very well. And I saw that your your cat sido made a cameo. A second ago, you got distracted by the birds now. So

thank you very much for joining us from the ER. And we've been waiting to hear your perspective and what's been going on? We've seen the pictures of you and the astronaut outfit with the helmet on and all that type of stuff. Hopefully you have some good news for us. Uh, depends on you.

I got I guess I got real news.

Here it was Mila. there's a there's a doctor. I'm also him. He is one of the leading infectious disease experts in the country University Minnesota. And he said we we don't want to scare people out of their wits. We want to scare people into their wits. You know, so there's, there's a certain level of

alarm that shouldn't be present. I think and I don't I'm not here to to minimize or or magnify. I think either way. I'm just kind of sharing my experiences. And you know, I think, you know, first of all, you know, let me just start probably

Not not handed out about even the subtlest amounts that are not why that is, I mean,

there's a couple of things, I think, one being a Muslim, and being in the ER, you know, obviously, there's an ER work that we do. And there's also the spiritual side of what we do. And I think the two aren't separated. They're very much part and parcel of what we do and who we are, you know, as a Muslim and whatever procurement profession that you have, being a Muslim kind of paints a big role

in how you do everything. So,

having said that, I thought it would be appropriate to start start the talk with

verses in the Quran, which are lessons that he sees, which are really profound that that I think a lot of healthcare workers are feeling I think the whole population is feeling and that's where a lot of bacara sort of number two verses 155 to 157.

He says, whenever anyone can be in a home for one

minute, you want to see what

what the sheet is forbidding alladhina either saw, but mostly that's all in

in you know, your do your own hula, you can

be him.

Una.

Also, he says like that, most definitely we will be tested with things of fear and hunger and loss of wealth and lives and crops and give glad tidings of the patient. Those who want to calamity befalls them they say you know to allow what belongs to Him as our returning for those who do that law study he says they are the ones whom upon them as a blessing from Allah and and mercy. And as those who are rightly guided and you know, what we're facing right now. It's an invisible enemy, you know,

we don't see it at work we don't know where the virus is, you know, is on my clothes is on my gown is on my keyboard that I'm typing is on the phone that I'm calling the ICU doctor is in the air, you know, it's it's, it's invisible. And when there's something that's unknown or unseen, it kind of magnifies the fear. People are worried about, you know, their family, people are worried about their children or their parents, their grandparents, their uncles.

So from a you know, from a, from a live standpoint, or less, they will test you with fear. And with hunger and loss of wealth and lives. We're seeing that we're seeing, you know, grocery stores, well, fruits are still available with toilet paper isn't right. But um,

we have, we have issues with the economy right now stocks taking a big hit, people aren't able to work, some people don't have paid leave, right? Even nursing staff like 38% or something like that of nurses in the United States have kids and those kids are now almost everywhere off school and so they they have to be home to be with their with their kids, but they also have to be at the frontlines taking care of these patients. So there's a lot of anxiety and fear and anxiety and this is something that was on a toll this will happen and he said give glad tidings to those who are patient right. And so I thought those eyes were kind of an appropriate start to the talk. Um, and

I'm probably just reiterate some of the things I missed part of Dr. ucits talk so I'm just gonna reiterate some things about what we know about the virus then we'll just kind of jump into what's life like on the ground

and then I also have some some closing thoughts or action items I think that I wanted to share because I just wanted this to be like, you know, a new story or like let's get the juicy inside scoop and what's happening in ER as well. I want some action out of this as well as gelatin. And I'm not if you feel like you have questions in the middle and you want to jump in or you have anything you want to say that you know feel feel free to do so.

But the Coronavirus itself, it comes from a family of viruses. People have heard of the Middle Eastern Respiratory Syndrome, the severe acute respiratory syndrome, SARS, and MERS. These are all from the same family. This this virus COVID-19 or SARS code to was discovered in December on 2019. in, in, in China, um, you know, I checked the stats before I went to sleep at about 2am.

And then I just checked the stats like an hour ago. And in between that that 12 to 13 hour difference of time, the case number worldwide confirmed cases have jumped 24,000 and the deaths have jumped 1300. In the 13 hours. In the US we've had almost 25,000 cases. There's a death rate worldwide of 4.2% of those who are tested. It's believed that number is actually less than normal because we have a lot of people who aren't tested but who actually have the disease.

And the doctor use it was alluding to how it's spread and I think that's something important for people to understand that it's respiratory droplets right it's it can be in the air he talked about it kind of you know being these areas.

saliva particles in the air. And that's, that's a good way to think about it. Um, you know, if you if you see, you know, sunlight coming through your window, and

and you you have, you know, you see those particles kind of floating around, there's thought that that's that's kind of what it's like it could be hanging out in the air and we don't know how long it stays in the air for

even this whole six feet, you know, you know, stay away six feet from people, that's an arbitrary number, there's no data to back that up. But it's kind of like well accepted like six feet, okay, six feet, even the numbers, 50 people, 10 people, five people, these numbers that are coming out, these are just recommendations. There isn't like hard data to prove it. But what we do know is that it is airborne, you know, spreads like the flu. And like you asked me earlier, do you absolutely you could get it without without, you know, knowing it. And then in terms of getting it, you know, you you you can have symptoms and I'm sure people have been following the media and stuff and you've

heard a lot of these things, or you may not have symptoms at all, um, you know, Donovan Mitchell's a great key exit, you know, public example of this, um, he has not had any symptoms today, and he's well into his illness.

And he may go through the whole illness and still not have symptoms, he may go through the whole thing and be fine. Donovan Mitchell for those who don't know the NBA basketball player,

a teammate of Rudy go bear who people are hating on him for getting the virus and touching on the microphones and laptops. But honestly shout out to Rudy go bear man, he might have saved 1000s of lives. Because when he tested positive the NBA suspended their season, that pushed everything in America and to another level, like if the NBA is putting half a billion dollars of revenue on hold, you know, at least just from ticket sales, let alone everything else that comes with it. That you are actually we were actually the first person people to do that the New York Knicks we suspended our season right from the beginning of the season.

The pieces are right there with you, I feel your pain man.

Um, but in all seriousness, Donovan Mitchell is a good example. He's I had symptoms, and then you have other people who, you know, typically five days is the data, you know, that they're saying, but it could be more could be less, could be up to two weeks. Cough is the most common symptom, you can have fever, and about half the time hospitalized patients, they'll go up to almost 90%, shortness of breath, fatigue, sore throat, headache, even nausea, vomiting, diarrhea, loss of appetite, all vague symptoms, right? These are all the symptoms, like the common cold gives you the exact same symptoms, that flu gives exact same symptoms. And that's what makes it challenging, especially because we're

still in flu season, it's not over yet, it's on the tail end of it, but it's not over yet. Um, and then there's this idea of like, like, younger people being invincible, right being these being like, we're healthy, we're young, we don't have any medical issues. And you know, and that may be true, but I can also when we get into the ER side of things, I'll tell you plenty examples of that's not true.

But also, what's also been highlighted over and over again, is the idea that, well, even if you're asymptomatic, you're taking it to people who aren't, who are who are, you know, who are vulnerable to this illness. And so your parents, your grandparents, you know, your uncle's or other people, you know, the, the cashier at the store, they may all have medical problems that you don't, and you could pass it on to them. And again, part of what's scary is that there isn't really any treatment, you know, there isn't as there's there's trials being done Francis doing some some trials of malaria, medication and antibiotics and kind of coupling the two together at even our hospital,

we've tried that, and some of them really, really sick patients.

But there's no data again, there's no hard data to say, yes, this is done or FDA approved medications to treat this is all supportive care. Um, so that's kind of just a quick, you know, background on the disease. Um,

I just want to make a few comments about what we're seeing, right. And before I kind of even get into the ER, I just want to, like, make a few comments. And one is that this whole idea of, you know,

we're well beyond and certain, you know, different localities are different within the US. Specifically, that's what I where I live in, I'm where I'm familiar with, but worldwide as well.

We're well beyond generally speaking, well beyond this stage of containment, we're now at the stage of mitigation, where we're trying to like, Alright, you know, cut our losses or minimize our losses, but containment that's out the door. We've had multiple cases, you know, right here in Dallas, and then across the US, and then again, worldwide, and depending on where your locality is, people who are testing positive, who have no sick contact, who have no travel who have no exposure to somebody who's been to any hot countries where the viruses is known to be endemic. And what I can speak for at least the United States, how we're treating it here is it isn't demick You don't have to have any

of those symptoms we have. We have patients who have none of these symptoms. None of these historical parts of their life have been exposed to anybody who are traveling who are positive for the virus.

Experts are expecting half the country in the United States to get the disease at one point or another, right if you're talking about 327 28 million

In 330 million people, you know, 160 5 million people are going to get this disease, right? And if we're if we're seen as a 1% death rate, we still don't know, right, right now, like, if you go to john hopkins website that's like, 4.2% worldwide, right? If we're just saying 1%, that's 1.6 million people in the United States alone, that would die. Um, and so these are, these are these are big numbers. Um,

and then, so, people have this idea. And honestly, even when it first came out, I had the same thought like, well, the flu, you know, we have way more cases of flu than we do. And who knows what what you know, before all said and done with this, what the numbers will be, but, you know, initially when Coronavirus is just in China or like, and people were, you know, talking about it, and I was I even myself, I was thinking well, the flu, you know, in you know, it kills 10s of 1000s of people in the United States annually. Right. Um, but what's serious about Coronavirus is that it um, it causes number one, it has a higher mortality rate. Number two, um, it, um,

we're seeing people get really sick from this from this illness. And this whole idea of, of flattening the curve, you know, you've probably heard, you know, mentioned in the media and whatnot. It's, it's so, so important. Um, I just came off my shift right now, you know, like, I, I came home about an hour ago, I'm from working in a hospital and hamdulillah today was one of those days where, you know, people actually did what we as physicians hoped they would do. And that is, if you're not sick, don't come to the ER, that was one of my slower days in terms of patient volume. But the patients that came were sick. Um,

this, this, this flattening the curve thing, I pulled up an image from from, you know, that from the CDC and an economist, I'm going to just try and show it to you and explain it to people don't understand it, just so you have an idea of what we're talking about here. Let me just see if I can get it here for you.

Briefly,

okay, so we got, let me see if you guys can see this on the screen. Okay. So what we have here is this curve, the x axis is time, right, you can put months or weeks or whatever you want. And then the the y axis is a number of cases. If we have a bolus of cases at one time, let's say, let's say this, this red graph here is one month, this is given example, one month, you have this many patients coming into the hospital one month, we have a limited finite capacity in terms of our hospitals, and what we can do for these patients, right? We have a limited number of ventilators, we have a limited number of ICU beds. So if we get that bolus, anybody above that dotted line, their

lives are essentially nothing they can do about in Italy, there's their cities in Italy right now, the hardest hit country more than China deaths, that they have said, arbitrarily anybody over the age of 80, we will not do anything for you. If you go into respiratory failure, you will die, we are not going to put a breathing tube down, we're gonna put you on a ventilator, in some cities, 65 years old is the cutoff. I mean, can you imagine that 60 we all know 65 year olds in our in our in our families who are pretty healthy, right? But if you have 60, if you're 65, with comorbidities, and a comorbidity could be hypertension could be, you know, underlying, you know, lung disease,

asthma, hypertension, diabetes, you will be left to die. And those are decisions that you know, workers in Italy are having to make. I'm trying to get this so you guys can see it if we can flatten the curve. And what that means is the same number of cases, what's under the under the red and under the blue, in terms of totality of numbers will be the same. But if we can spread that same amount of illness instead of over one month, over 10 months, you see now that the the health care providers and the hospitals and the

resources that we have, can be used to treat take care of every single patient that comes in the door. And that's our biggest concern. That's why does this whole idea of social distancing and isolating and quarantining and all these things, it's because I'm this this concern that the hospitals will be overwhelmed. Um,

so that's idea what the whole flattening the curve, and it's critically important, it's for survival of many people.

Now, what, what's life like in the ER, right? I mean, just just imagine, and I was just telling some of my colleagues, the last few days that, you know, the last couple days, I haven't seen that many patients like my last shift, which was during the swing day, which is a busiest time of the day, I saw 13 patients, typically, you know, see 20 to 24 patients, so there's almost half but I was still leaving an hour and a half late after my shift. And after my shift, I just felt exhausted. I felt like I had no energy at all. I mean, just imagine being like nine hours into your shift, and you're in this suffocating protective gear, you have a mask on the whole time that literally when I wear

those face masks, like I can get to three words. Before I take another breath. I get short of breath. Um, you have the mask you have like hair, you have a hair cover either a surgical hat, you have a gown, you have gloves.

Have I goggles, so the whole nine yards, so you're sweating a lot during your shift because you're hot, you're exhausted, you're seeing sick people, right? And this goes on for hour one, hour two, hour three, hour four, hour nine, let's say your shifts and 10 hours, and nine and a half hours a sick person comes in, you have to take care of that patient. And that might keep you three more hours after your shift. So you might be saying 12 or 13 hours of your shift.

And then you have to have tough conversations. Let's say I have a patient who's 80 years old who comes in and is often a level of 70%. Now, may they may have an advanced directive that hey, don't put a breathing tube in me like one of my wishes, I don't want to go on a ventilator. Now normally, as a physician, I have other I have other

I have other

treatment modalities I can offer him that could potentially save his life that I don't have but short of putting a breathing tube in the issue now is if somebody comes in with that same scenario, if I put if I do any of those other treatment modalities, I'm putting him I'm putting his family, the other people in the room, my staff myself all at risk for catching what we're presuming to be Coronavirus. And we don't know. And why don't we know because we can't test if we can test if we can and we can for the sicker patients. And we're looking at at least the eight hour turnaround time maybe up to 24 hours for the sick ones. And for the ones who aren't thinking or going home we're

looking at I had a patient today who it's been six days, it's been tested, he's been testing She still hasn't had a results yet. And she came to me because she was getting worse. Um, so just because we have a lot of questions

a lot and so if you could, let me wrap it up the last points inshallah Tada. And, and then we can jump into the questions. It's Allah. Um, so, I mean, working is overwhelming. And if you can imagine that what I just described and the volume of seeing that many people but if you see, you know, a bolus, then that's just overwhelming our system. If I have to another patient, I'm worried about a brain bleed and I have to get them to camscanner. But guess what the cat scanner needs to be disinfected from a previous patient we got a CAT scan on that we're worried about Coronavirus, that piece has to wait one hour or half an hour, whatever the hospital policy is. So you can just imagine

this magnifying and then the room that the patient was in needs to be terminally clean and that's another you know, hour plus process and now the waiting room is getting busier and you have more sick people out there somebody who might have a brain bleed or a GI bleed or whatever it is. So the the the stress level the anx at the hospitals in the ER right now are you know are through the roof and we haven't even hit P is this the busiest you've ever seen ers in your life? No, no at the end because hamdulillah people are taking heat and not coming out if they don't have to, which is which is helping a lot. My concern is when we get that bullets we're about 11 days behind Italy in terms

of the disease progression, we're kind of matching them under some some you know, you could make some discussion about that. But ideas we might get a bullet soon that that um, we might get what soon, like a surge in patience. Okay, patience. In the coming days. That's where we're kind of anticipating and that's going to be a big problem.

Good luck with it. Alright, guys, so let's get to these questions. I'm looking in the q&a box. And if you have a question in particular that you'd like Dr. Yusuf to answer a doctor for him, please just mentioned their names in the question that you have.

So this one, I guess, Doctor behind you can answer we hear a lot of news about hospitals are running short on supplies. Is that true? Absolutely. It's true.

We're running low on the biggest thing that we're running low on is masks, not just masks but sort of surgical masks. And there's n 95 masks and I brought this to show you guys this is a n 95 masks, I'm a surgical mask is the one that it's a little different. I don't have that as an example in front of me right now I have it here somewhere.

And then if I mess is the one that you need to wear for anything you're worried about in terms of aerosolize procedures, like if I'm like the pictures if you follow me on Instagram, and I'm posting some pictures of what's going on. Like when you see me in the astronauts spacing thing, that's when I'm getting ready to intubate somebody. Because that's when you're at a highest risk, you're the air particles are right in front of you. Or you have to wear this n 95 masks with double gown and a mask over that mask and all sorts of things to keep yourself safe. That's the biggest issue as a surgical as many five masks. You know, the whole the CDC thing about wearing bandanas, that's where it came

from is like well, if you don't have masks left because hospitals don't. Then this is a this is a surgical Master's you get a difference in the look. This is why a lot of people have are available, you know online and whatever that you could buy. Well, they're all sold out. Now. This is this is good. If you are sick, you're gonna wear this to prevent someone spreading it to someone else a surgical mask what it is, is a surgeon who's doing surgery and he has somebody belly open and he coughs or sneezes, the idea is is going to get caught in this and not get into the open expose the patient. right this is not something to protect you it's more to protect someone else from you. Um,

so if you're not sick, don't worry these you don't need them. But for for medical providers, we need these in 95 and that there's a shortage of that, among other things, gowns. We're running low, you know, the full like spacesuit things that we were we're basically running low on everything right now. Yeah, we're running low on the those big things that we

So, Dr. Youssef, do you offer online consulting you have people person asking about wanting to consult you on autoimmune disease that they suffer from and also are paired up with another question

you mentioned the Islamic fast will help but at the same time we've been hearing that fasting in and of itself lowers your immune system and so people should avoid fasting they have to have

what is it like your throat has to be wet and all of that that we've been hearing but so what fasting the there's research that shows that Islamic fasting does help with the immune system while you're fasting. The research on intermittent fasting shows that yes, your immune system does go down a little bit when you fast so you take you take a couple of days and you fast and your white cells go down just a little bit, but that's because your body is getting rid of a lot of the damaged immune cells that might be damaged because of all the Clorox people are now inhaling which it's amazing how people that were so natural now are like embracing Clorox like it's nothing but but then

what happens is is that right after that fast then your immune cells go up. We don't we don't do console the console over the phone we have to do a face to face visit in the office first and then after that we can do some phone consults, and then insurance isn't covering for functional medicine phone consults, insurance isn't covering but I would recommend that whoever asked that question find a functional medicine certified functional medicine provider in their area and figure out their prices and whatnot.

So back to Dr. forehand At what point do you want people to come to you at the ER is a headache enough? Is joint ache enough is a fever enough? Is it safe to take ibuprofen

very good questions. Thank you. I wanted to get to that but the time ran out but thank you for asking. Um, when do you need to come to the ER So one thing I will say is, um, as you may have alluded, notice, don't come to the ER if you don't need to, um, because number one, you're exposing yourself to people who really aren't taking resources number three, you might knock out people on the way we've already had providers who get exposed to people who are so what does it mean when you need to when do I need to really get to that but what happens is you can come to the hospital and then you let's say you do have Coronavirus but you're fine you can go home you know you have like a

flu for you are cold. Somebody gets exposed to that wasn't properly properly protected. Now they have to go in quarantine for 14 days and we're down one doctor. And that's happened a lot of places already. So when are you sick? So here's the thing, if you have Coronavirus, a physical exam from a doctor is not helpful. Just being 100% real with you. Your symptoms and your exam findings will be essentially no different than somebody who has a flu or somebody has a common cold. So what I would recommend is a few things.

Number one, I would say

if let me show you guys okay, so I have I have this thing here you can get on Amazon. It's called a pulse oximeter. A Pulse ox Pew LSE pulse like your pulse ox for oxygen. If you turn this on, it's cost like 10 bucks. 15 bucks, you can put on your finger and it's going to give you an oxygen level it's going to give you your heart rate. If you have symptoms of Coronavirus, which we talked about and your oxygen level is low. That would be worrisome. So if you can see this, my oxygen level is 98% of my heart rate is 78. Right? That's fine. If you don't have a history of lung disease or smoking and your oxygen level is low, and what I would consider to be concerning to me would be 92%

or lower. That would be something I would say you need to go to the hospital for. So if you're short of breath, you're coughing, you have a fever, you're worried about Coronavirus, and you're able to check your pulse ox if you have a Samsung Galaxy, you could check your pulse ox by the phone. If it's low that would be concerning. If you're a smoker have lung disease, then anything below 88% would be concerning. That would be a big thing. Now most people don't have Pulse ox is I would say I think it's a good good idea to get one

that you could check your heart rate and your pulse ox. Those are two things that are important. You could count how fast you're breathing in a minute. If you have a blood pressure machine, you can check a blood pressure machine.

Those would be the big things like otherwise if you're sick if you're feeling crummy, you have body aches, fatigue, all that stuff. You've got it you've got it. You've got to nurse it and if you come to the ER room until the exact same thing, as long as your oxygen levels fine. And we're not concerned about pneumonia. You're going home.

You mentioned Motrin. There was a French minister, the Minister of Health he he tweeted something out about Motrin being dangerous for Coronavirus patients. There's no data to support that as a theoretical conclusion that he came to but data does not support that. I would say that if you have a fever, you can go ahead and you can take Tylenol and you can take Motrin, either way to treat your fever. Just like a doctor. He said, I'm not combining a few more questions for you basically people who are living with individuals who are high risk. So if I'm living with my grandpa who's 91 years old, or if my wife is in her third trimester, or my mom is in her third trimester

What advice do you have

For people who are not high risk or living with individuals who are high risk, if they're going out in the community, so it takes about 14 days, it can take up to closer to the microphone. Can you hear me now? Yeah, it can take up to 14 days for you to have symptoms. So what I would say is, is that is that if you've been out in the community, and you have not been taking those precautions, then it's safest to say where that sir the surgical mask that the shift showed you guys, if you guys if you can wear that around that loved one that would be best. And then be careful because of make sure that you clean I don't want people to think I'm against the chemicals because sometimes you

need chemicals to kill the virus. But so I just wanted to kind of clarify that piece. But you when you chemicals are dangerous, and they can cause harm as well and we just have to be careful with them. So if you can't if you can't do it, and I wanted people to realize that the chemical has to saturate the area for for a certain amount of time. And as as brother for Han was was alluding to, a lot of the information we have is based on other viruses so like even the CDC has a list of acceptable cleaning products to get rid of the virus, those that is based on other hard to kill viruses. It's not like we have the good data on the Coronavirus. So then what would you recommend?

We have a question here I'm using water down bleach, mix water down bleach mix to clean my house and kill the coronovirus would that negatively affect my health? And if so, then what do you recommend for people to use? they can they can wear a mask? I would I would take a look at that list. And I would take and run the CDC, the senator list from the CDC, hydrogen peroxide is one of them. Hydrogen peroxide is a lot safer than then than using the chlorinated type of type of fillers. But unfortunately, if you're going to clean something down with with a chlorinated type of or these heavily chemical cleaners, then you probably should stay away from that room for a day or two till

if you smell the Clorox. It could be getting into your lungs. But that's it's not like smelling the Clorox is not good. No, no. It's a double edged sword though.

Okay, because you don't use it you don't kill it. But a lot of people think they just wipe it and they're done and you just eat the CDC will tell you how long it has to be saturated with whatever cleaning product to kill it.

Does that go ahead? You heard a lot of people's feelings by the with the sugar comment. And so

what's going on with the sugar cane sugar is brown sugar, like is there a sugar that we can get away with? Yeah, so So really, it's about it's something called glycemic index. glycemic index is how fast sugar rises. juice is going to rise really fast cane sugar is going to rise really fast. If it's combined with fiber and it's combined with protein, it can slow down the rise. The problem is should when sugar shoots up insulin shoots up and and that actually starts to weaken the immune system. And that that weakens the innate immune system which is that first line of defense if you get infected with a Coronavirus, so maybe this is a good time forget intermittent fasting maybe this

is a time to significantly cut down the carbohydrate content in our in our lives.

So cut down the carbs that you recommended then just fats and proteins. They can have carbs but if you can have more protein than carbs and then get your vegetables in six servings of vegetables in

lack of a better so and wash the vegetables you don't you don't want Corona contaminated vegetables. Not that I've seen people not that we know if people can get it from eating the food but mucous membranes where the point of entry is mouth nose and and and I will wash the vegetables as we went up. Wash the vegetables. really tough question, Dr. Han? Should health care workers self isolate themselves from their families? We don't know where you're at right now. Are you in a basement somewhere you separated What's going on?

It's a good question. Um, it's something that we've all been you know kind of discuss traveling with? Yeah. I think like the use of alluded to if you have patients or family members who are at high risk and you're on the front lines I think that's definitely reasonable. What we're doing now, we're you know, changing clothes at the hospital coming in, you know, leaving coming in, you know, clean pair of clothes home.

People are leaving their shoes in the garage. People are, you know, some of my colleagues yesterday said what I do is I come to my garage, I strip naked. I run into the shower, I take a shower and then I you know, I come out

there there is there's definitely there's inherent there is inherent risk. There's I don't know if it's exact right or wrong answer in terms of vulnerable populations.

You know the elderly are vulnerable. The studies have shown that children actually do very well with Coronavirus. We have zero recorded deaths, anyone under the age of nine.

We have sick kids under the age of nine. We have very, very, very small percentage who got very sick from China that we're aware of. But overall, what's been seen in the US, there has been nobody under the age of 19, who has died from Coronavirus and no, very, very, very rare, serious illness. So kids are pretty safe. pregnancy. We have very limited data. I mean, so we have two studies, one that's that studied MERS and SARS, the Middle East Respiratory Syndrome and the severe acute respiratory syndrome, which is the same family as COVID-19. And that study was actually very alarming there was increased rates of you know, preterm labor and the complications in pregnancy and di C, which is a

disastrous condition that essentially is almost always fatal.

And then you have a study of nine patients, nine patients who are pregnant, who had Coronavirus, all nine had uncomplicated deliveries, all nine had no problems with the pregnancy, six of the nine their breast milk was tested if the virus is being transmitted to the children and all six were negative. But it's a super small study six patients, nine patients you can't extrapolate that for the rest of the people. But pregnancy obviously in general, they are considered a vulnerable population. And then the elderly, and those with other medical problems are considered a

vulnerable population. So that would be up to your discretion discretion, what you would want to do there.

So we've got seven minutes to wrap this up. And we still have more questions coming in. So

doctors, Yusuf, just because this is an interesting point that you brought up with the fasting, would you encourage elders to fast to strengthen their immune system that

I would, I would look at what their exposure is, I would for elderly people, I would first work on the foundations. So getting those vegetables in getting those vitamin D levels of getting zinc levels of getting getting levels of the of the nutrients that we know our body needs in order to in order to fight disease and to fight by viruses, if they want to give it so you don't have to calorie restrict with intermittent fasting. I have my elderly patients intermittent fast all the time, by just taking a window where they skip breakfast, they just hydrate, they have a meal at lunch, they have a meal at dinner and they stop eating. And I would I would I would encourage that every day,

any day. And then just be careful. They have to stay hydrated and make sure they're eating healthy foods. like

Dr. 100, what level of activity are Are we allowed? I mean, responsibly. So kids playing in the park, or families going out and running together or even we have questions here about people being afraid to go food shopping, right? Even if they watch their foods like Dr. Hughes was mentioning, like, what is the recommendation that you would have for people as far as normal activity? Is there any normal activity? Um, I think definitely, the normal has changed for sure. Really, it's a subjective question. Um, for food shopping, I would advocate if you're going out for shopping, I would advocate wearing gloves. You can get on disposable food gloves, Food Handler gloves. You can

get like a big packs for cheap and they're available on the market.

And that way any fomites which are inanimate objects that the virus may sit on, we don't know how long the lasts on these. Just so that we're clear, you're recommending that people don't buy gloves because hospitals need them. But you don't buy masks because hospitals need them. But gloves are okay. Gloves are cool. Yeah, even surgical masks. I don't think there's an issue with surgical masks, which I don't really recommend wearing anyways, I don't think is helpful unless you yourself have thick gloves. Because of the virus. We don't know how long it sits on objects. I would say it's a good idea to wear gloves going outside, if you're going shopping, get getting gas, that kind of

thing. If you want to go exercise, I think exercise is huge. nobody's talking about keeping healthy. And part of keeping healthy is exercise. And I think people shouldn't just lose because gyms are closed. You just still go on exercise. You want to go for a jog. That's fine.

I think that's actually encouraged.

Kids going to the playground, I mean, rarely give or take.

You want to avoid bigger gatherings of other kids are there and other families are there then maybe something to avoid but it's really kind of a judgment call. Kids in general are pretty resilient to this. Something's more judgment call Hold on.

I think the more you stay home the better. I mean, if we It is such a serious thing that the fact that they stopped the flights, the fact that people are being quarantined when they come in the country, and the fact that we've seen the stock market, if you haven't seen it, don't look at it. I think I think the least we can do

is just figure, I guess, read read the Bre learn, I guess, spend time with our children stay home. Just stay home. I wanted to mention you mentioned, brother for Hon, you mentioned the ER doctor for hunting, you mentioned the pulse ox. It might be very hard for you guys to get postboxes because other people are not sure. Well, I have gloves. Good luck. And actually, if you guys, when we have our patients come to the office, we put a if they have any symptoms, we put a surgical mask on them. So that actually can protect us. So if you guys find some surgical masks, mail them to me, please, I'll pay you. But don't gouge the price that's hot on

the pulse of the pulse ox was this little gadget from Amazon. Okay.

Yeah, and the other thing with that you got to if you went once you get one, don't panic, if it's low, you have to make sure that there's a good heartbeat with it. Because otherwise, other might just read the instructions. Otherwise, you might want to go, I must be an app for that. Like, there's got to be like, they have heart rate monitors now. So you said I know that the galaxy, galaxies and new ones, they have heart rate plus Pulse ox. You know how good that is? Doctor 400? How accurate? Totally.

It's been accurate, but I haven't done it, you know, just telling me my dad. Okay. Okay, so we just want to end with, you know, number one, thanking you for, you know, doing what you do, and for putting yourselves and, you know, putting yourselves in such difficult circumstances and challenging circumstances on behalf of your communities on behalf of all of us, may Allah Subhana, Allah bless you and protect you all, wherever your feet carry you, protect you over every Earth and under every sky, you and your families, and combined for you both health and wellness, as well as the reward. And then beyond that, I want to actually just open up the floor for you

to any last words, both for Dr. Yousef and Dr. Hahn, as well as where people can connect with y'all. I've shared Dr. Yusuf 's website, the and and Dr. Han, if you have any. And I'll shout out who actually tell people where they can contact you,

as well as Dr. For Han, and then we'll call it a day inshallah. And everybody I know that the feedback, the feedback, I see that feedback, I'm very happy that everybody's so happy with this session, please make sure to share this information as well share this session, with your friends with your family to get this information out there. That's why we made it a point to do this session. Because this information is really important that everybody learns and understands. I start with Dr. Lisa does that column. So what I would say I first I started to say this, and I kind of in the beginning and I forgot I stopped that. The good news is, is that because we don't have testing,

there are way more people that have the disease than that that have just gotten better. So the percentage of mortality that we're seeing in the states is not as high there's not as many the percentage of people dying or not as much as we get, like I said here in Florida, I still haven't been able, I haven't had one test result positive, or come back yet positive or negative. So after all of this So the good news is it's not as bad, but it can't, it will unfortunate looks like it's going to get bad and we can do things to prevent it. But what I would say I think the most important piece is you have your frontal lobe and you have your basal ganglia, your frontal lobe is the is

that the it's the higher self it's the logical brain it's it's the brain that can override the animal and emotional instincts. I see a lot of people going into animal and emotional instincts and what's happening is is they're freaking out and they're weakening their immune system and they're not doing any good what what what what I would say is if we can be more mindful pull back use that frontal lobe Take a deep breath and just figure out the what is the benefit because the proxy sets us to them said no bad ever befalls a believer the but it is the it how it what are things what are we learning from this and what are we going to do different so if you didn't eat vegetables, maybe

this is just a way of saying start eating some vegetables and if you were like picking your nose and touching other people maybe Allah is teaching us to wash our hands so inshallah we all learn from it and come out of this stronger than then beforehand. Just Aquila for listening and and where can people reach you what's your website just absolute health Ocala calm we have we have the absolute health Ocala Facebook if you want to check that out. I haven't done much with it yet, but I have a it's Youssef it's done. Use of Feldman, MD ifmc P. It's a public figure Facebook, I haven't done much. I'm going to start doing some stuff with it.

Zack okay.

Dr. forehand.

So Oh, by the way, there was one important question that I forgot to ask, which is people who have recovered?

Are they immune from it from the future? We do not know the answer.

If you if you got it, it's a big question. It isn't because we do not know the answer to it. I mean, experts are saying that, you know, China, they leveled off, you know, their numbers, but what they're expecting is now that the lockdown is being lifted and people are going back out to their daily lives. They're expecting a second surge again, not necessarily the same patience, but

that's a question that's yet to be answered. There's obviously generally speaking that you believe that you can build up immunity to it. But we don't know for sure. And Dr. Hunt, you didn't answer? Why do you look like you're in a dungeon? Um, this was I don't know. It's like it's the fireplace. It's got a little column of bricks. So

the backup windows, the windows and the light company, like Florida tell them

yeah, if I if I came this way that it's, I can show you I got my cat sitting here, when they got the windows that mess up the lighting.

Okay, so how can people reach you? And what final parting advice you have for people? Um, so I guess advice I mean, a lot I mean, there's, there's a lot to say honestly, I probably didn't get to half of what I wanted to say. I will say if you if you if you allow me two things. One is about yourself and one's about others in terms of yourself. I just think we do have to kind of build a level of trust in the last panel with Allah you know, there's something that's that we're scared of unknown, it's fearful. It's anxiety provoking, but does remember less than a school use even a marketable load and a homeowner that Allah you know, say Oh, I'm so I sent him that nothing will befall except

what Allah has written for us and he's our protector, wildlife and it's what we know that the believers put their trust in Allah subhanho wa Taala. And so I think part of that is understanding you know, there's another idea you know, unless a man will see but in elaborative Nila woman, you Mila, Alba, right, there's no calamity that befall someone except that it's from the will of Allah. But whoever believes in Allah, Allah will guide his heart. So the scholars comment about what's the relationship between the first sentence of the second that no calamity befalls except for the will of Allah and then the second sentence, but whoever believes in Allah, Allah will guide his heart,

the scholars, they see that, you know, the one who is afflicted with something, and knows it's from Allah, you know, then his heart is content with a decree of Allah because he knows a lot more merciful to him than his own mother loves more more loving to him than his own father. And if you know that Allah loves you more than your own mother, your own father, then no matter what he decrees, for, you know what, there's something in it, that's good, even if you don't see it. So I think that's really important to understand that that one of the principles in our data is that the law doesn't decree something, except that it's good outweighs its bad, right, even if we may not see

it or understand it. And I think that's important to understand. Because of what I started this talk with one epidemiologists are seeing that half the population might get this illness, right. So if you were to less than a HELOC contract illness, and perhaps you already know someone who has, um, it's important to have that proper perspective. Alright, and I think kind of, like branching off of that would be, you know, showing patience and trust in Allah steiners decree, um, you know, saying in that June is the first thing that should come out of your mouth and so mahalo. Mahalo. your loved one gets his diagnosis, make it mentally a point that you see that that thicket of Allah because

Allah says in the Quran that he would like it to be more senses, you know, his his blessings and mercy upon the people who do that. Um, and the second thing related to others, I think it's important is, is this idea of service, when people have been asking me what can we do, and there's a lot that we can do. And again, for ticket time, I'm not going to get into all of it. But I think one key thing we need to do is look out for our less or, or more vulnerable, vulnerable population. And I think in most of Credit Karma model, they have some activities already been started, I know New York, there was a initiative, and perhaps other cities where, you know, like elderly aren't required

to go out of their house and then shopping can be done on their behalf by younger people and volunteers in the community. I think that's huge. And there's a very, there's a hadith the Prophet Solomon, which was the best laundromat he was he was in the midst of doing a calf mission. And he saw a man come into the mess and he sat down and he sees a lock him, you know, even has seen and I see you're very, like depressed and sad, like what's going on? He just saw it in his face. And he so he asked him about it. And the man said, You know, I have some issues that I'm not able to fulfill right now. And so, he said, let me you know, want me to talk to the guy on your behalf. And he said,

if you if you could, that'd be amazing. So but I bet he wears his sandals and he and he walks out of the machine and then the man tells him and I see them I couldn't see like, Did you forget your inactive calf? You can't leave the message.

Right, and even our bass and some others. This is so, so beautiful. He says that he says what I can so this is in mission Nebo he writes, you understand they're next to the grave with a profit center. And he says, Well I can be similar to Sahiba had a solo ad he was sending them when I had to be ready for them for Wi Fi now who are we according he says, I listened to the companion of this great Mohammed Salah I send them he says before his death when it was very close, and his eyes were falling with tears and he said, Man mess if he has it, the fee, whatever fee what kind of higher level minneota caphyon actually seen him he sees that whoever walks and fulfills the need of his

brother with his brother fulfills his need. It's better than doing x a calf for 10 years and then he sees whoever it is or the gaffer one day seeking their word of Allah subhanho wa Taala then Allah would place between him and Hellfire the distance of three trenches each one is a difference between two mountains and Mecca. So basically you you are you are you are completely distanced from Hellfire for taking care of the need of someone. And so I think that spirit right now of being there for others, helping others and you're in your massage that even though the messages aren't getting together and making WhatsApp groups reaching out to massage it and finding out who are these people

in need in our community, and doing your part, I think you know, is critically important to to

attain one of the ways of sending the blessings of Allah and see us through this and help those who are who are vulnerable longtime

knucklehead. With that everybody we reach me if you have any questions. Facebook is for Han. A Aziz, I believe. And Instagram is as easy for Han as Aziz, as very good. Giacomo said to both of our doctors and Allah Subhana data, bless you all and protect you all. This session is concluded you'll be able to watch the replay. And the session is presented by our partners at Islamic Relief and you can contribute to Islamic Relief. They're doing a lot of wonderful work, both abroad and here. We have to remember that all of the problems that happen were happening in the world and all of the difficulties that were people were facing did not stop because we became preoccupied by Coronavirus.

In fact, there are a lot of vulnerable populations both in the United States and abroad that are even more vulnerable because of the Coronavirus. So don't forget them as well. You can visit ir usa.org forward slash motive to contribute something to look at everybody said I might even work below what I got.