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From YouTube: Let's Talk - COVID-19 Treatment Options
Description
Let's Talk is a live production from Buncombe County featuring a discussion from local experts and County representatives followed by a Q&A with the viewing public. This topic was treatment options for COVID-19.
B
Good
evening
welcome
and
thanks
to
everyone
for
tuning
in
dr
jennifer
mullendore,
the
medical
director
for
buncombe,
county
health
and
human
services,
and
I'm
excited
for
us
to
share
information
tonight
about
coven
19
treatments
that
are
available
in
our
area.
This
discussion
comes
just
before
national
public
health
week,
which
starts
next
monday
april
4th
this
year.
The
theme
for
national
public
health
week
is
public.
Health
is
where
you
are.
It's
intended
to
pull
focus
to
the
many
ways:
public
health
systems,
organizations
and
staff
work
round
the
clock
to
keep
communities
safe
and
healthy.
B
B
We
just
have
a
few
housekeeping
tips,
so
we
do
have
interpretation
in
spanish
and
american
sign
language,
so
you
may
know
that
we're
talking,
maybe
a
little
slower
and
we
do
hope
to
have
time
at
the
end
to
address
some
audience
questions.
So
if
you
have
questions,
please
submit
them
in
the
chat
and
we'll
do
our
best
to
get
to
them.
B
B
So
we
have
dr
stephanie
call
she's
the
chair
of
the
department
of
internal
medicine
at
mayheck.
She
is
running
the
internal
medicine
residue
program
and
has,
over
the
last
two
years,
been
working
with
patients
infected
with
covid,
both
in
the
hospital
setting
and
outpatient
settings,
and
she
developed
and
now
runs
the
coven
19
infusion
program
at
mayheck.
B
B
C
Yes,
so
they're
implicated-
or
you
know,
they're
approved
for
people
who
have
mild
to
moderate
illness
with
coven
19,
and
so
you
have
to
test
positive
to
get
that
treatment
and
you
have
to
have
symptoms
of
coving.
C
Obesity
is
a
risk
factor
as
well
and
then
chronic
illnesses
like
chronic
kidney
disease,
chronic
lung
disease,
chronic
heart
disease
and
don't
forget
with
heart
disease,
high
blood
pressure.
So
those
are
the
folks
that
we
tend
to
think
of
and
there's
other
illnesses
as
well.
So
your
doctor
can
let
you
know
if
you
have
high
risk
factors
that
would
indicate
you
should
get
treatment
if
you
get
covered.
C
Most
of
the
medications
are
approved
for
ages,
12
and
older.
However,
with
the
pills,
especially
malnutrition,
it
is
18
and
older
cannot
be
pregnant
and
take
those
so
there's
a
few
things
that
have
been
identified
and
anyone
prescribing
would
know
those
factors
and
let
you
know
what
is
appropriate
for
you.
C
C
We
don't
treat
well
and
above
so,
keep
in
mind
those
as
you
look
for
someone
and
then
these
are
also
treatments
that
have
to
be
given
in
a
certain
time
range,
so
people
that
qualify
for
the
pills
have
to
be
within
the
first
five
days
of
treatment
and
for
antibodies
within
the
first
seven
days
of
symptoms.
C
B
Thank
you
grace,
and
so
so
that's
kind
of
the
broad
overview,
and
so
let's
get
into
some
of
the
specifics
about
the
treatments
and
so
we'll
start
with
the
two
that
come
in
pill
form
because
that's,
I
think,
how
most
people
are
used
to
taking
medication
so
grace
since
you
you
kind
of
mentioned
on
one
of
them.
Can
you
talk
to
us
a
little
more
about
these
oral
antiviral
medications.
C
Interestingly
enough
is
actually
a
combination,
medication
and
so
there's
two
types
of
pills
that
come
in
the
package,
very
important
that
you
take
both
of
those
and
then
multnoperavir
is
a
single
pill,
but
you
take
multiple
of
those
for
each
of
your
dosing,
so
these
are
taken
by
mouth
over
a
five
day
period
and
there's
a
few
sort
of
important
factors
that
you
have
to
be
aware
of
as
a
provider
prescribing,
and
so
we
rely
on
you
as
a
patient
to
tell
us
all
these
things
so
that
we
can
make
sure
you
get
the
right
medication
so
pac,
let's
start
with
pax
sloven.
C
You
know,
as
I
said,
there's
two
pills
in
there.
One
of
them
you
take
two
of
and
the
other
one
one.
You
take
them
together,
three
pills
at
one
time,
however,
some
folks
with
kidney
disease
might
may
be
told
to
take
a
little
bit
less.
So
your
doctor
needs
to
know
if
you
have
any
kidney
problems
and
the
way
that
pax
logan
works
is
essentially,
it
prevents
the
virus
from
making
more
copies
of
itself
and
the
two
pills
in
there.
C
One
is
doing
that
the
other
one
is
preventing
the
first
one
from
breaking
down
too
quickly,
so
that
it
can
work
longer
in
your
body.
So
it's
very
important.
You
take
those
two
together,
so
you
get
the
best
treatment
possible
pax
love.
It
is
88,
effective
and
decreasing,
or
preventing
hospitalization
and
deaths,
so
very
effective
medication
again
intended
for
12
and
older
cut
off
of
88
pounds
again
five
days.
You
have
to
start
within
five
days
of
symptoms
and
take
that
full
five
day
prescription.
C
Now
people
ask
about
well
what
are
the
side
effects
and
there
are
some
rare
ones.
Some
muscle
pain,
change
in
taste,
diarrhea,
high
blood
pressure,
but
those
are
very
rare.
The
more
important
things
with
pax
love.
It
is
that
there
are
quite
a
few
interactions
with
medications,
so
it's
absolutely
important
that
you
tell
your
provider
who's,
prescribing
it
to
you,
everything
you
take,
even
if
it's
an
over-the-counter
or
supplement,
because
it
could
cause
problems
with
pax
lopez.
So
tell
your
doctor,
those
things
and
then
again
we
talked
about
kidney
disease.
C
Liver
disease
is
also
very
important.
We
don't
want
to
give
people
with
severe
liver
disease
pax
load
either
because
of
the
way
it's
processed
in
the
body.
It
could
be
a
problem
for
for
you,
but
otherwise
a
very
effective
medication,
helping
lots
of
people
really
minimize
the
symptoms
and
get
better
faster
monopura
beer
also
works
by
stopping
the
viruses,
ability
to
reproduce
in
the
body
and
it's
30
percent
effective,
so
not
as
high
as
pax
love
it
but
still
effective,
and
I
would
certainly
recommend
it
for
those.
C
If
that's
the
one
that's
recommended
by
your
provider,
this
one
is
18
and
older,
can't
be
pregnant
and
take
this
because
of
problems
to
defeat
us
if
you're
taking
this
and
it
can't
yeah
and
all
these
medications
are
again
not
intended
for
people
in
the
hospital
need
to
be
started
quickly.
So
you
don't
end
up
there
or
reduce
your
chances
of
ending
up
there.
Pax
love
it
very
rare
as
well
to
have
side
effects,
diarrhea,
nausea,
dizziness.
C
So
just
the
precautions
about
pregnancy,
even
for
males,
if
there's
a
chance
that
your
partner
could
get
pregnant
while
you're
taking
the
medicine
or
even
for
three
months
after
making
sure
you're
getting
using
good
contraceptives
with
these.
So
that's
the
nuts
and
bolts
on
on
those
two
pills
that
are
available.
B
Thank
you
grace,
and
I
know
early
on.
We
had
in
this
in
this
area
and
I
think
across
the
country,
mulnu
piravir
was
the
main
one
available,
but
unfortunately
that
was
the
one
that
was
less
effective,
but
recently
you
know
during
march
we've
seen
more
and
more
of
the
pax
love
it
come
into
pharmacies
and
and
provide
our
offices
in
the
area.
So
that's
really
good
news,
since
it
is
the
most
effective
one.
B
A
Absolutely
so
one
of
the
treatments
is
the
monoclonal
antibody
infusions.
There
have
been
several
of
them,
they
have
been
around
for
over
a
year
now,
but
we
have
been
through
an
entire
alphabet:
soup
of
monoclonal,
antibody
infusions.
A
Our
current
two
infusions
in
use
are
cetrovanab
and
bebtulovamab,
which
I'm
still
struggling
with
pronouncing,
and
these
will
probably
continue
to
change
as
the
virus
changes.
So
I
don't
think
we're
done
with
the
new
agents
in
alphabet
soup.
How
do
they
work?
These
are
infusions,
so
they
are
given
usually
iv.
Some
of
them
have
been
available,
intramuscular
injection
in
the
past,
but
our
current
two
are
available
iv.
A
They
work
because
they
are
antibodies,
so
your
body
naturally
makes
antibodies.
It's
how
you
fight
all
infections.
In
this
case
this
is
a
synthesized
antibody
that
has
been
made
that
is
focused
and
specific
to
copin,
19
and
really
giving
you
this
antibody
gives
you
an
early
ability
to
attack
the
virus
antibodies
attach.
A
So
who
is
eligible
for
these,
as
grace
mentioned
right
at
the
beginning,
people
who
are
symptomatic,
but
not
so
sick
that
they
need
to
be
in
the
hospital
and
people
that
are
at
higher
risk
of
getting
sick
and
getting
hospitalized
or
dying.
And
so,
as
grace
mentioned,
it
is
older
patients,
individuals
that
are
greater
than
65
years
of
age.
People
who
have
obesity
defined
as
a
body
mass
index
or
bmi
greater
than
30
people
with
chronic
medical
conditions,
diabetes,
cardiovascular
disease,
liver
disease,
lung
disease
and
several
other
factors
and
conditions
that
go
into
this.
A
A
These
are
indicated
within
seven
days
of
your
initial
symptoms
or
tests
and
the
side
effects
are.
There
are
some
side
effects
that
there
can
be
some
side
effects
at
the
local
infusion
site
so
where
the
iv
is,
there
can
be
some
redness
tenderness,
soreness
and
there
are
very
rare
but
significant
allergic
reactions
and
in
the
different
antibodies
studies.
These
happen
as
low
as
one
in
a
thousand,
so
very,
very
rare,
but
something
that
is
what
causes
us
to
monitor
each
person
for
an
hour
after
the
actual
infusion.
B
Thank
you,
dr
call.
Dr
parsons.
A
party
also
offers
remdi
severe,
which
is
another
covid19
treatment.
Given?
Can
you
talk
to
us
a
little
bit
about
that.
D
D
More
recently,
there
was
a
large
clinical
study
trying
to
determine
whether
it
was
useful
for
patients
who
were
not
in
the
hospital
using
a
three-day
course
of
treatment,
so
that
involves
an
iv
infusion
similar
to
the
monoclonal
antibodies
and
lasting
about
a
half
an
hour,
and
that's
one
one
infusion
per
day
for
three
days
total
the
this
is
a
little
different
than
the
monoclonal
antibodies
because
it
is
fully
fda
approved.
D
So
you
do
not
have
to
wait
after
your
infusion
for
an
hour
under
observation,
but
that
study
demonstrated
that
it
can
reduce
your
risk
of
hospitalization
and
death
by
about
87
percent.
So
the
value
of
this
three-day
treatment
is
just
as
good
as
the
monoclonal
antibodies.
D
It
also
reduced
your
need
for
subsequent
medical
visits
and
it
significantly
reduced
the
time
to
resolution
of
your
symptoms,
and
so
it
really
was
a
useful
tool
for
us
in
addition
to
the
monoclonal
antibodies.
D
It
has
been
approved
by
insurance
companies
and
it's
available
at
the
party
infusion
unit
currently,
and
it
is
most
effective
if
it's
given
within
five
days
of
when
your
symptoms
start,
there
are
really
no
specific
medical
conditions
that
would
make
you
not
eligible
for
remdezevir.
D
There
was
some
concern
early
on
that,
if
you
had
kidney
disease,
that
rendezvir
might
build
up
in
your
system
and
actually
it's
there's
a
component
of
these
infusions.
D
It's
called
an
excipient,
but
essentially
it's
not
the
drug
itself,
but
something
that
comes
with
the
infusions
that
can
build
up
in
patients
with
poor
kidney
function,
but
fortunately,
in
information
has
been
recovered,
which
suggests
that
patients
with
poor
kidney
function
can
still
receive
this
three-day
treatment
of
rem
deserver
safely.
B
Thank
you
and
then
party
also
offers
a
medication
that
can
be
given
to
prevent
covid19
infection
in
certain
individuals.
So
what
we
would
call
pre-exposure
prophylaxis.
Can
you
tell
us
a
little
bit
about
that
medication.
D
Sure
the
name
of
that
medicine
is
evasheld
and
it's
a
combination
of
two
antibodies
in
a
single
treatment
and,
unlike
the
other
monoclonal
antibodies
you've
been
hearing
about
here.
D
This
evasheld
was
studied
in
a
situation
to
determine
if
it
could
be
used
to
prevent
covet
19
infection
rather
than
treating
an
active
infection,
and
there
was
a
very
large
study
called
the
provent
study
which
patients
who
received
two
intramuscular
injections,
and
so
this
is
not
like
the
other
infusions
where
you
need
an
iv.
D
But
this
is
given
more
like
a
shot
like
a
standard
vaccine
in
your
in
your
arm
or
in
your
thigh,
potentially
so,
patients
who
received
two
injections
at
the
same
time
of
this
these
antibodies
there
was
about
an
80
reduction
in
risk
for
infection
compared
to
patients
who
received
the
placebo
in
the
study,
and
then
the
good
news
was
that
they
looked
out
over
a
six-month
time
time
frame
after
a
single
treatment
and
the
degree
of
protection
against
infection
was
still
very
good,
actually
over
80
percent
at
six
months.
D
So
it's
quite
helpful
in
the
right
person
for
preventing
infections.
D
Typically,
those
are
folks
receiving
medications
for
various
diseases
that
affect
their
immune
system,
patients
with
cancer
or
patients
with
organ
transplants,
the
eligibility
for
patients
really
depends
on
on
the
individual
and
and
their
degree
of
how
well
their
immune
system
works,
and
so
we
can
always
evaluate
you,
know,
patients
that
can
be
considered
for
this
treatment
to
see
if
it's
right
for
them,
eva
sheld,
is
these
injections
are
currently
offered
at
the
pardee
infusion
unit
in
the
party
cancer
center,
and
so
patients
can
be
referred
for
treatment
with
those
injections.
D
It's
not
known
entirely
how
well
it
prevents
infection
with
the
newest
forms
of
covin-19.
Those
are
the
omicron
variants
and
it's
not
meant
as
a
replacement
for
vaccines,
because
we
think
that
the
vaccines
likely
work
much
better
long
term
to
prevent
infection,
especially
with
the
new
omicron
variants.
So
it's.
This
is
not
meant
to
be
a
substitute
for
a
vaccine.
This
is
meant
really
for
people
with
poor
immune
systems
or
people
who
are
at
high
risk,
who
cannot
receive
vaccines.
B
Thank
you,
yeah,
that's
what
I
was
going
to
say.
That's
like
the
the
message
I
don't
want
people
to
take
is
it's
some
other
some
medicine
I
can
take
to
avoid
getting
a
vaccine,
but
it's
it's
really
for
those
people
who
yeah
like
you
said
the
vaccine
would
maybe
not
be
effective
and
am
as
effective
in
them
because
of
their
weakened
immune
systems,
or
they
have
some
medical
reason
that
they
can't
get
the
vaccine
so
yeah.
Thank
you
for
emphasizing
that
all
right.
B
so
where
and
how
could
I
access
them
and
or
where
could
I
go
to
get
more
information,
and
so
I'm
going
to
put
this
to
all
of
you,
since
you
can
speak
to
your
own
particular
clinics
and
then
we'll
see
if
there's
anything
else
left
to
say
so,
let's
start
with
grace,
do
you
want
to
start
start
us
off
with
this?
How
how
would
people
access
these
medications
may
be
at
mercy
or
in
general,.
C
C
But
you
can
look
up
tests
to
treat
and
the
locator
will
direct
you
to
the
closest
place
you
can
get
both
tested
and
treated,
and
it
should
end
and
there's
indicators
that
tell
you
what
medications
are
available
at
these
different
places
at
mercy,
urgent
care.
We
provide
antibodies,
so
cetrova
map
and
beptilovam,
and
then
we
also
provide
the
oral
pills
so
monoperivir
and
paxlovin.
C
So
those
are
the
medications
that
we're
focused
on
providing
for
the
community
and
anybody
can
go
to
our
website
and
fill
in
a
request
to
to
come
for
for
that
treatment.
You
can
go
on
our
website
to
sign
up
for
an
appointment
to
get
tested
and
if
you
test
positive,
you
can
request
treatment
for
that.
Typically,
we
can
give
you
the
medication,
the
pills
same
day,
sometimes
for
the
antibody
infusion.
C
B
Thank
you
and
I
know
early
on
you
know
many
places
required
a
provider
referral,
but
the
perk
of
mercy
was
well
you're
in
urgent
care
and
it
was
sometimes
people
were
able
to
self-refer
right
and
get
like
you
said,
tested
and
and
get
the
treat
from
you
and
now
officially
test
to
treat.
So
that's
great.
C
That's
correct
and
you
know
there
were
a
lot
of
restrictions
you
know
placed
by
the
federal
government
initially
so
that
they
could
get
the
medications
to
people
who
needed
it
the
most
and
because
there
was
such
a
low
supply.
Now
that
supply
has
improved,
we
can
give
more
patients
these
treatments.
So
a
very
good
thing
also.
We
were
required
to
do
a
clinical
test.
Now
we
can
accept
a
home
test,
of
course
check
with
your
provider.
They
may
we
still
require
that,
but
at
mercy,
urgent
care.
If
you
have
a
home
test,
that's
positive.
B
And
that's
really
good
news
because,
as
we
know,
home
tests
are
much
more
available
now
and
many
like
I
myself
have
used
stone
tests
in
my
family.
So
that's
that's
really
good
news
to
hear
that
those
are
actually
being
accepted
now
and
in
places.
So
thank
you,
dr
carl.
Do
you
want
to
talk
a
little
bit
about
mayhex
process.
A
Yes
and
I'd
also
before
I
talk
about
mayheck,
highlight
three
things:
one
is
this:
does
change
rapidly
as
the
pandemic
changes
and
as
grace
mentioned,
you
know
when
we're
very
busy.
This
becomes
a
scarce
resource
and
things
change
and
criteria
change
and
the
one
thing
I
would
say
I
moved
here
two
years
ago
right
at
the
beginning
of
the
pandemic
and
one
of
the
things
I've
been
most
impressed
with
is
the
collaboration
across
sites.
A
So,
if
we're
really
busy-
and
we
can't-
we
tell
you-
you
know-
mercy's
got
this
or
party's
got
this.
So
that's
been
really
impressive
about
working
in
the
region,
something
that
I
very
much
valued
is
the
collaborative
efforts.
So
it
is
worth
if
you're
lost
calling
any
of
us
and
we
will
try
and
direct
you
to
the
place
that
has
the
most
x
y
or
z.
A
The
other
thing
I'd
highlight
is
the
role
of
the
primary
care
doctor.
Your
primary
care
doctor
is
your
best
advocate
and
can
point
you
in
the
right
direction
and
help
guide
you
to
what
you
might
have
that
meets
specific
criteria
or
specific
considerations
towards
specific
therapies
and
then
refer
you
to
a
site.
And
then
the
last
thing
I'd
highlight
is
the
north
carolina
department,
health
and
human
service
website,
which
is
really
great
for
up-to-date
information
and
has
a
fine
treatment
section
which
can
be
really
helpful.
A
We
we
have
very
much
at
mayheck,
depending
on
where
we
were
with
the
pandemic,
been
able
to
offer
open
resources
and
then
scale
back
a
little
bit
right
now
we
are
able
to
serve
the
wider
community
in
a
testing
venue
and
then
refer
you
to
treatment.
So
we
can
do
test
and
treat.
We
can
also
take
direct
referrals
from
physician
offices,
primary
care
doctors.
A
We
have
a
lot
of
information
on
our
website
if
individuals,
just
google,
mayheck
and
covid
you'll
come
to
our
website,
and
it
has
both
the
referral
process,
the
phone
numbers
and
how
to
make
appointments
again
for
testing
our
treatment.
We
offer
the
monoclonal
antibodies
and
the
testing
and
then
prescribe
the
oral
medications,
but
don't
have
them
on
site
at
this
point
in
time,.
B
Yeah-
and
I
think
you
make
that
good
point
about,
if
you
have
a
primary
care
provider
reach
out
to
them-
I'm
communicating
with
primary
care
providers
information
when
it
comes
to
me-
and
you
know
hopefully
they're
all
aware
of
you
know
that
website.
B
If
you
want
oral
antivirals,
they
can
write
a
prescription
and
you
can
take
that
to
a
pharmacy.
That's
on
that
list,
and
we
have
many
like
angles:
cvs,
walgreens
and
some
more
independent
pharmacies
now
are
stalking
one
and
now
many
are
stalking
both
of
those
oral
antivirals,
and
so
they
that
primary
care
provider
can
help
you
with
that.
But
then
we
have
our
urgent
cares
and
these
more
specialty
covet
focused
clinics
that
can
that
help
you
out?
B
If
you
don't
have
a
primary
care
provider,
dr
parsons,
can
you
talk
to
us
a
little
bit
about
the
process
for
party.
D
D
And
much
like
what
dr
barnwell
and
and
call
just
said,
we
accept
referrals
from
primary
doctors
and
test
results
from
home
or
any
other
location,
and
the
party
unit
offers
infusions
with
monoclonal
antibodies
for
right
now
that
is
bebtalovamab.
D
That's
the
newest
monoclonal
antibody
that
dr
kaul
was
referring
to
that's
really
the
only
one
active
currently
against
all
of
the
existing
types
of
covet
19,
including
this
new
ba2
type
that
has
emerged
over
the
last
several
weeks
and
and
now
comprises
the
majority
of
infections
in
the
u.s.
D
In
addition
to
that,
we
do
offer
rem
deservier
as
an
alternative
and
once
again
the
difference
there
is
that
with
the
monoclonal
antibody
infusion,
that's
a
one
time
appointment
and
with
room
deserve
that's
a
three
a
three
day
course
of
treatment,
and
if
you
have
questions
about
which
treatment
is
right
for
you,
then
your
primary
doctor
is
always
the
best
resource,
but
you
can
also
get
in
touch
with
members
of
our
infusion
center
using
that
phone
number.
I
gave
you
a
minute
ago,
so
it's
694-4322.
D
D
And
as
dr
barnabal
mentioned
earlier,
the
oral
therapies
are
very
effective,
taxable
bit
in
particular,
but
even
legendreo
can
be
as
well,
especially
for
patients
who
are
vaccinated,
for
example,
or
maybe
a
little
bit
lower
risk.
B
A
question
that
has
come
up
recently
and
that
I
don't
know
that
any
of
us
on
this
panel
are
going
to
be
able
to
fully
answer,
but
it's
a
question
that
I've
been
getting
more
and
more
frequently
from
other
providers
is
so
the
federal
government
program,
the
the
program
that
was
paying
for
testing
treatment
and
vaccination
for
uninsured
individuals
has
run
out
of
money
and
has
not
been
allocated
any
additional
funds
at
this
point
by
congress.
B
So
the
question
comes:
how
are
uninsured
patients
going
to
be
able
to
access
these
treatments,
and
so
one
thing
is
so
the
medications
themselves
are
still
free
right.
So
so
the
pills
the
monoclonal
antibodies,
I'm
not
going
to
say
from
this
severe
but
the
others
are
are
free.
And
so
the
question
that
I'm
still
trying
to
get
answered
is,
you
know,
are
pharmacies
charging
a
dispensing
fee
for
those
for
those
pills?
I'm
not
sure.
B
I
don't
know
if
anybody
on
the
call
knows
that
answer
yet
we're
actively
trying
to
get
that
answer
today,
and
so
I
don't
have
the
answer
right
now,
but
that
would
be
maybe
the
only
cost
if
there
is
any
cost
to
uninsured
patients.
You
know
for
getting
the
med,
I
mean.
I
can't
speak
to
what
a
provider
visit
my
cost
right,
but
I
don't
know
if
any
of
you
has
that
come
up
yet
for
any
of
you
or
have
your
clinics
kind
of.
Are
you
trying
to
work
it
out
now?
B
Do
you
have
any
thoughts
about
what
we're
gonna
do
for
our
folks
who
are
uninsured
and
it's
okay?
If
the
answer
is
you
don't
know
yet
because,
like
I
said,
I
don't
know
yet
and
we're
working
we're
in
contact
with
the
state
to
see
if
they
have
any
ideas,
because
this
just
came
about
quickly
within
the
last
week.
So
I
don't
know
if
anybody,
if
any
of
you
have
anything
to
say,
feel
free
to
unmute
and
and
let
us
know.
D
It's
chris
here,
at
least
for
the
time
being.
I
do
not
believe
that
uninsured
individuals
are
charged
a
dispensing
fee
from
the
party
pharmacy,
at
least
for
the
oral
medications,
the
details
of
how
that
works.
Moving
forward
yeah,
none
of
us
really
know
beyond
that.
B
Yeah,
and
so
I
would
say
anybody
who
is
uninsured
and
listening,
I
would
again
just
encourage
you
to
reach
out
to
your
primary
care
provider
this.
This
isn't
as
it
has
been
since
goodness
last,
you
know
two
years
ago.
It's
an
ever-evolving
situation.
I
feel,
like
I've
said
that
a
thousand
thousand
times-
and
so
you
know-
I
like
dr
call
said-
we're
very
collaborative
community-
a
very
engaged
community
of
providers,
and
so
if
we
find
out
what
the
answers
are
to
this
we'll
share
that
broadly.
B
But
just
if
you
meet
the
criteria
for
treatment,
don't
hesitate
to
reach
out
for
treatment,
and
hopefully
we'll
have
answers
at
that
time
and
get
you
what
you
need
so
that
insurance
is
not
a
barrier.
Cost
is
not
a
barrier
so
more
to
come
more
to
come
on
that
all
right,
so
treatments
are
wonderful
and
we're
really
glad
we
have
them,
but
they're,
not
a
substitute
for
prevention.
B
So
let's
talk
a
little
bit
about
that.
So
dr
call,
we'll
start
we'll
start
with
you
like.
What
are
your
recommendations
on
how
to
prevent
copin
19.
if
anybody
needed
reminders
of
this,
but
let's,
let's,
let's
bring
it
back
to
prevention,
which
is
our
ultimate
right?
That's
what
we
want
to
do
prevent
well.
A
And
I
think
it's
important
as
we
talk
about
prevention,
that
it
that
it
is
about
protecting
yourself
and
protecting
those
around
you,
our
community.
So
this
is
something
that
we
can
all
play
a
role
in
for
ourselves
and
then
for
everyone
else
in
our
community,
our
loved
ones,
our
friends,
the
people
that
we
run
into
on
the
street.
So
a
couple
of
really
important
things.
A
One
is
follow
public
health
guidelines
and
those
change,
so
so,
keeping
up
with
public
health
guidelines
masks
distancing
that
changes
based
on
how
common
covit
is
in
your
community
and
and
people
are
very
thoughtful
about
making
those
recommendations
so
keeping
up
with
them
and
then
really
complying
with
those
is
important.
A
Vaccination,
including
booster
shots
and
again
those
recommendations,
change
and
so
getting
your
one.
Your
two,
your
three
and
your
four
as
that
comes
out,
is
really
important:
testing
early
and
getting
treatment
early,
the
number
of
people
that
we
have
all
seen
that
have
had
a
little
bit
of
a
sniffle
or
a
little
bit
of
a
viral
syndrome
and
thought
you
know,
I
don't
think
I'm
really
sick,
but
I'm
kind
of
sick.
A
But
I'm
not
really
sick
and
and
wait
so
staying
away
from
others
if
you're
not
feeling
well
and
then
testing
if
you're,
sick
and
seeking
treatment
early.
If
you're
positive,
I
think,
is
so
important
being
even
more
careful
if
you
are
immunocompromised
or
if
you
live
with
immunocompromised
or
unvaccinated
individuals
and
then
again
seeking
treatment
early.
If
you
are
tested,
positive
and
staying
away
from
others,
I
think
are
a
couple
of
the
things
I
would
think
about.
C
I
would
just
say
that
I
think
we
all
have
a
role
of
you
know
talking
with
co-workers,
family
and
just
you
know
those
around
us
and
encouraging
them.
You
know
if
you
feel
poorly,
you
know
please
get
tested,
you
know
and
remind
them
that
treatment
has
to
be
early.
So
that's
another
reason
to
get
tested.
C
Besides,
you
know
preventing
the
spread,
so
you
know
having
those
conversations
early
and
helping
people
really
formulate
a
decision
ahead
of
anything
happening
really
can
help
when
that
does
occur,
to
encourage
people
to
stay
out
of
the
workplace
or
get
tested,
get
treated
quickly
and
and
help
the
whole
community
reduce
the
spread.
B
Yeah
and
I
can
speak
from
the
public
health
perspective
of
I
can't
I
can't
even
count
the
number
of
you
know,
clusters
and
outbreaks
of
covet
that
we
investigated,
because
somebody
went
to
work,
sick
or
went
to
a
family
gathering,
sick
or
a
party
sick.
I
mean
it
was
entirely
preventable,
but
we
just
didn't
follow
the
guidance
that
was
given,
and
I
would
also
say
that,
especially
with
omicron.
B
B
The
vaccines
kept
them
out
of
the
hospital
vaccines
kept
them
from
dying,
but
you
know
those
people
still
like
these
treatments
are
for
you
as
well
right,
if
and
so
just
be
mindful
of
the
wide
spectrum
of
things
that
can
prevent
and
then
also
help
you
recover
and
so
don't
hesitate
again
reach
out
to
your
primary
care
provider,
reach
out
to
a
provider
and
ask
questions
if
you're,
if
you
have,
if
you
have
any,
I
don't
know
if
dr
parsons
has
anything
to
add
for
that
one.
D
All
that
all
that
information
is
so
important,
I
would
just
add
a
couple
of
comments,
first,
about
vaccines
that
we
learn
more
and
more
about
how
helpful
these
vaccines
are.
You
know,
month
to
month,
and
just
a
couple
things
to
mention
that
have
come
to
light
a
little
bit
more
recently,
but
if
you're
vaccinated
in
and
boosted
that
dramatically
reduces
transmission
to
those
directly
around
you,
including
the
household.
D
So
the
existing
data
indicate
that
even
with
a
newer
variance
household
transmission
of
coping
19
is
reduced
by
up
to
40
percent.
So,
as
dr
barnwell
mentioned,
about
being
aware
of
you
know
who
you're
around
maybe
family
friends
who
have
immune
system
problems,
you
know
being
vaccinated
yourself
is
really
helpful
for
those
people.
D
The
other
thing
that
we're
not
touching
on
in
this
phone
call
about
long
coved
or
the
more
long-term
effects
of
there
covet-19
several
studies.
Now
that
indicate
that,
if
you're
vaccinated
and
then
get
infected
later,
the
chance
of
you
having
lingering
symptoms
even
as
far
out
as
six
months
is
dramatically
reduced.
D
So
it's
quite
likely
that
these
vaccines
prevent
you
know
the
long-term
complications
of
of
covid.
We
don't
have
all
that
information
yet,
but
that's
where
the
information
seems
to
be
beheading,
and
the
last
thing
I'll
say
is
that
everybody
is
sort
of
getting
away
a
little
bit
from
using
masks.
D
I
would
say
that
if
you
know
you
can't
get
vaccinated
or
you
have
immune
system
problems-
or
you
know,
you
know,
you're
gonna
be
in
a
crowded
area,
and
you
happen
to
you
know,
be
somebody
who
who
has
significant
medical
issues.
Then
there's
no
doubt
that
masks
still
prevent
infections
and
since
people
have
been
taking
off
masks,
you
know
we've
seen
more
other
colds
and
and
viral
infections.
So
I
guess
I'm
making
giving
you
a
little
bit
of
inner
strength.
B
A
B
I
personally,
you
know
we're
in
a
low
community
level,
but
it's
it's
been
kind
of
a
I'm.
I
don't
know
a
shock
to
my
system,
I
guess
sometimes
to
like.
Can
I
really
walk
in
here
without
a
mask
on
into
this
grocery
store
or
into
the
store?
And
I
just
listen
to
like
what
am
I
comfortable
with
you
know?
What's
it
matter,
if
it's
more
comfortable
for
me
to
walk
in
with
the
mask
on,
then
I
don't
you
know
until
yeah,
just
I
think
people
need
to
again.
B
That's
the
message
right.
You
need
to
evaluate
your
individual
risk
and
do
what's
best
for
you
and
those
around
you
and
so
yeah.
Thank
you
for
giving
that
that
support
to
those
who
want
to
keep
wearing
their
masks
so
we'll
wrap
up
with
this
last
question,
which
is
basically
a
summary.
So
if
our
audience
could
take
just
one
piece
of
information
from
this
event,
what
would
you
want
it
to
be?
And
so,
let's
start
we'll
start
with
grace?
B
I,
like
it
doctor,
call
any
last
words.
B
Yes,
you're
here
I
don't
know
if
we
have
any
here.
We
go
no
question.
So
if
this
is
the
time
for
those
of
you
watching,
this
is
the
time
to
reach
out
and
put
your
questions
in
the
in
the
chat,
yeah
and
I'll
I'll
fill
some
time,
while
we're
waiting
for
that.
B
So
we
talked
about
boosters
and
how
things
change,
and
so
you
know
this
week
right,
the
fda
authorized
and
the
cdc
put
out
information
about
second
booster
doses
for
certain
individuals-
and
you
know
if
it's
confusing
to
you,
it's
not
because
I
mean
it's
because
it's
confusing,
because
you
know
the
guidance,
there's
different
vaccines
and
different
time
frames
for
them
and
different
recommendations
so
again
reach
out
to
your
primary
care
provider.
You
can
go
to
the
cdc
website
and
try
to
interpret
it.
B
We,
the
state,
did
just
send
out
standing
orders
for
health
departments
and
providers,
so
we
should
all
be
now,
as
providers
able
to
administer
the
second
boosters
to
those
who
are
eligible-
and
you
know
again,
I
think,
getting
as
up-to-date
on
your
vaccine
as
you
can,
but
also
like
talking
with
your
primary
care
provider.
If
you're,
if
you're,
not
sure
about
timing
or
if
you're
the
right
in
the
right
group
to
get
those
second
boosters,
don't
you
know
it
doesn't
hurt
to
ask?
B
But
we
really
want
you
know
the
more
people
who
are
up
to
date
on
their
recommended
vaccines,
the
the
better.
We
are
right
as
a
community
and
keeping
people
safe
at
the
hospital
and
out
of
the
grave,
as
I
say
so,
thanks
to
those
of
you
who
have
who
have
stepped
up
to
get
your
vaccines
and
we
have
the
spring
into
summer.
That's
the
state's
campaign
right.
B
So
we
got
summer
camps
coming
up
for
for
children
and
we
knew
we
had
some
out
some
clusters
and
cases
and
outbreaks
at
camps
last
year,
so
we're
hoping
that
we
can
get
all
those
kiddos
and
counselors
vaccinated
so
that
they
don't
end
up
needing
these
treatments
and
therapeutics
that
we
just
talked
about
and
we're
still
waiting
on
information
about
vaccine
for
young
kids.
B
B
Does
anybody
have
anything
else
that
they
would
like
to
say
otherwise
I
think
we
can
wrap
this
up
early,
all
right,
so
thank
you
so
much
to
our
panelists.
Thank
you,
dr
call,
dr
parsons,
and
grace
for
spending
your
time
with
us
and
sharing
your
knowledge,
and
we
hope
everybody
out
there
watching
and
listening
found
it
beneficial
and
that
you
now
have
the
information
you
need
to
take
the
best
care
of
you
and
your
family
members
and
again,
oh
wait.
Question
just
popped
up.
B
Let
me
see
all
right,
I'm
just
gonna
read
it
and
you
all
can
one
of
you
can
answer
it.
The
question
is:
is
a
healthy
65
year
old
person
more
likely
to
have
a
serious
complication
after
a
coven,
19
vaccination
or
a
serious
side
effect
after
taking
a
covet
19
drug,
such
as
an
oral
medication,
monoclonal
antibodies
or
rem
disappear?
B
B
C
Yes,
I
would
certainly
agree
that
they're
less
likely
to
have
problems
from
the
medication
and
much
more
likely
to
benefit
from
taking
them,
because
remember
that
65
and
older
increases
your
risk
of
complications,
so
getting
the
vaccine
is
going
to
reduce
that
risk.
If
you
end
up
with
covet
whether
you've
had
the
vaccine
or
not
and
you're
65
and
older,
your
next
line
of
protection
is
going
to
be
taking
those
medications
to
try
to
prevent
that
severe
illness
or
hospitalization.
C
D
That
that,
in
the
vaccine
trials,
older
patients
were
actually
less
likely
to
have
complications
of
the
vaccinations.
So
we
tend
to
see
you
know
less
issue
with
patients,
65
and
older.
B
Yeah
excellent,
all
right,
so
the
message
stands:
get
your
vaccine
and
if
you
get
sick,
get
tested
early
and
get
treat
treatment
all
right.
So
thank
you
again
to
all
of
you
participating
and
we
hope
that
you
have
a
safe
and
healthy
spring
and
we'll
have
future.
Let's
talks,
probably
about
new
and
new
changes
and
updates
to
covet
guidance.
So
thank
you
all
very
much
have
a
good
evening.