Thank you for your time today. I like your happy thanksgiving. Happy early thanksgiving. If you have a question the doctor, go to Facebook Live and well try to get them answers. Doctor, the tsa has screened five million travellers since friday. How nervous does that make you, given what were facing right now . It makes me very nervous, kristen, because we know that in previous holidays, even in the united states, memorial day, etc. , it was accompanied by a predictable increase in cases in two weeks. Not only cases but concerningly high hospitalizations. You hook at what happened in thanksgiving in canada, i think the writing is in the wall. Well see increased numbers in two weeks, even above our current surge. Lets try to do our part and one piece of that is having smaller gatherings. Dr. Fauci was asked whether the risk from small gatherings has been exaggerated . What does the data show . Can we do a small gathering without a surge . I think what the contact data tracing shows is it started back on memorial day around graduation time and many events were traced to Multigenerational Families celebrating graduation but in large numbers. I think smaller gatherings, if upheld and people take permanent protection seriously, probably be ok. Again, the biology states that the larger the gathering, the higher the risk. Small gatherings just going by science and biology probably wont pose that much risk but it all depends on the noses and mouths getting together. Are there categories of people for whom you would say no, do not gather, dont even consider it with family not in your household, not even in a smaller setting . Yes. So i think the older you are, the higher the risk is. Its going to be comohr bid situations and immunocompromised situation as well. Conversely, they are some of the people who may really want to have that human contact weighing the risks and benefits. Doctor, the cdc put out guidelines for attending a gathering, if you must. They say virtual is better. But if youre going to do it, they did though out some best practices. If you can talk us through this. Can you see the graphic . Yes. I can. Ok so walk us through these. So bring your own food, krings, plates, cups and utensils. Thats getting at the idea of surfaces. I like the concept but if you have to choose one thing, i would go with wearing a mask. Im not too sure about surfaces as long as you wash your hands or use hand sanitizers. Second one, wear a mask, yes. 100 . If you have one thing to do, thats the thing that i would do particularly until you get to the table. If you can control your environment, youre more than six feet apart from an unknown nose and mouth, i think its ok to remove your mouth temporarily to eat. I dont know if this is overboard, dr. Chen hong. Ive gotten into the hadnt of chews with the mask on. I would pull the mask right back up after taking a bite. It depends on the environment. If youre indoors, thats a riskier proposition and outside, if youre far away from another unknown group, its probably ok temporarily, but yes, the more you cover your vulnerable places that the virus is trying to get to, the nose and mouth, the better it is for everyone. I want to move on to hosting a gathering. The cdc has some suggestions for that so lets go ahead and skip to the next graphic. If you are hosting, keep this in mind. Can you take us through these . Yeah. So having a small outdoor meal, smaller or shorter duration, which will be the better than a long drawnout affair. Have conversations ahead of with guests about, you know, covid values. Are you having the same values as the guests. Do they know how to protect themselves. These are all true and good principles to uphold. Definitely. Putting yourself on the same expectations page, thats very important. I want to ask you, in terms of travel, this is thanksgiving week and some people before they fly, they want to get tests. Tests have been hard to come by in san francisco. If you manage to get one, if you get one and test negative, does that mean its safe to travel and to see relatives outside your households once you get there sn. The testing is really misunderstood. It depends where you are and the arc of exposure. If youve be taking care of yourself and not in high risk environments all along, a negative would be a true negative. But if you got a test, it nay be a false test depending on when you get it. If you get it on day four or higher its probably going to be a better indication because it takes a while for the virus to incubate. The cdc is providing recommendations, is going to, actually, for quarantine so if you had even a known contact you could incorporate quart teen time. If you do travel this week, should you go back to work in an office or go back to school if your schools already in person next week . Thats a great question. It depends on how what the nature of your work is. Like myself youre going to be interacting with a lot of people, sick people, i would say you probably want to come back, its tough for a short holiday, two to three days before you go back to work, then do a test. If youre going to work in a lower risk environment with few people, you might want to consider doing a test a few days after after maybe four or five days. That may give you some confidence considering on who youre working with. I know at ucsf were incorporating testing if people have traveled and are coming back before going be into the health care environment. I wanted to be sure about the ideal testing time. Say you fly back on sunday, which a lot of people do, when should you test . Again, its a continuum. Ideally if you look at the cdc guidance you want to have low risk, you wait a week and then you test, its negative, youre home free. If you want 75 certainty, not a hundred percent, you can wait until day four, do a test, and it depends on what your risk was. If youre going to high risk environment, say like north dakota and youre coming back to the bay area, you might probably want to be more certain rather than less certain. If youre going to hawaii or taiwan and coming back to the bay area, their risk is much lower. I dont think theyll let you into taiwan unless youre citizen. Thats why they have no cases. Exactly. I know. I was just theoretically speaking. Ok. Yeah. California, actually i should say the cdc is considering changing recommendations that people who have been exposed for 14 days to quarantine. Now theyre changing it. Why . Seven to ten days. The longer you wait, the more certain you are. I think it will end up being about seven days. Somebody who has contact with somebody with covid has to selfquarantine for 14 days. I think thats where the guidance is being frustrating with the question of testing. All right. Well take a short break on the air. When we return well show you a risk calculator so you can see if you kwo to a party, ten for members like martin. An air force veteran made of doing whats right, not whats easy. So when a hailstorm hit, usaa reached out before he could even inspect the damage. Thats how you do it right. Usaa insurance is made just the way martins family needs it with hasslefree claims, he got paid before his neighbor even got started. Because doing right by our members, thats whats right. Usaa. What youre made of, were made for. Usaa welcome back. Were here with drrmt peter chen hong. Really disturbing figures. California has hit a new record with 18,3 50 new covid 1 cases yesterday, average test positivity is up to 6 . Can you put that into perspective for us . Is that the worse weve be . Its not the worst weve been. Weve been up to seven, close to ten. Whats different is the rate of up crease, which is breath taking. Remember we were really, really low a few weeks ago. If you had this conversation two weeks ago, some of these kinds of conversations weeks ago, we had different rate of infection. The risk has been so high and thats whats different about the third wave. Given the rate of increase is so high right now, so quick, we want to show you this risk map that georgia tech put together. It helps you look and see what the odds are for, you know, facing covid. If you were going to a party of a certain size. We want to show this to you. Marin county, what do we have this set at . One to 25 people . Ten people. If youre in marin county, its a 5 chance that youll encounter someone with covid. San mateo county, 7 chance. Almeida county, 6 chance. What if you make that a hundred people or 50 people . Lets say if you go to a larger gathering, right in were switching over to how many people is this . A hundred . A hundred people, doctor, talk about the exponential up crease in terms of risk. Walk us through it. I think the best less op we all got to learn is what happened at the rose garden during the swearing in ceremony for amy coney barrett. It was a large group. Even though they had testing, you can see testing has its limitations. The other point it illustrates is the larger the crowd, the more chance the virus has a chance to slip through and evade even a negative test. Thats the exponential power of the risk the larger with the group. Youre playing with russian roulette. The more you do it, the higher the chance youre going to get hit. If you go to a party with a hundred people. This is 25 people in almeida, what is that . 29 chance or Something Like that. You are right. A lot of people are hanging their hopes on the vaccine and they should start going out in december. Of course to Health Care Workers such as yourself. When do you think the rest of us, normal people, civilians will start to get it . Thats a great question. The time line is actually shifting the more and more we get Vaccine Companies showing data that looks promising, so it was one with pfizer, two with moderna and then three with astrazeneca. The more Companies Get on board, the faster the general public will have vaccine available. Particularly because the last Like Astrazeneca doesnt need the super cool temperatures, and so you know, before we were saying early fall. Then we were saying summer. I think right now were looking at late spring, maybe, with the three Vaccine Companies on board. Teresa has a question. She mentioned she read an article that said you could get a bad headache and fevers, so what do you know about the side effect from some of these advantage seeps. So the side effects are so theres so exactly, you know, there are occasional reports of people getting migraines. I dont think its common. The common ones are local and site pain and in some people fever. Some people get symptoms after the second dose but they go away without taking ibuprofen or motrin. The round of side effects, they are probably i would say 50 chance. The first group of folks in the trials have been more than two months when one of the more serious things would occur. Hey, i want to ask you about the changing demographics of new infections. You know, earlier on, latinos were hit particularly hard especially here in the bay area and california. Seems like white people now account for more new cases. Why . Whats going on . Just the reopening in california. So gyms, places of worship. Thats why in the old days it was people who had to work. Now its including people who want to go out because theyre able to. So i think thats really changing the demographics. Not only in marin, where i think it was observed but contra costa, even san francisco, the reports have relatively of latino, which is the highest, is going down slightly because of the reopening of businesses, etc. Ok. So this does suggest that some of the new infections are people who continue hadont have to pus in that situation but they are and theyre getting sick. As you know, we have a purple tier here in the state. Some other states theyre taking more drastic measures. Pennsylvania shutting down alcohol sales as of today. I want to ask you, what do you think is the reason for that . Do you know . Does the link between drinking and transmission risk . Its like a very a lot of different people have strategies to get to the same destination. I think its interesting that pennsylvanias banning alcohol. The idea is that people lose inhibitions with alcohol. But again, you know, you can obviously, you have people who lose inhibitions even without substances involved. So its just trying to target that. Im not really sure. Its an unprecedented move to tell you the truth. We caution to drink moderate, with care during these times, but to ban alcohol, it seems a little draconian. Yeah, yeah. One last question. Debbie wants to know how long after receiving the vaccine will we actually be immune to the virus . Yeah. Thats a great question. Usually its twoshot series. So you get shot one and depending on the company, three or four weeks later, you get shot two. Then it takes about a month to get the full benefit of the vaccine. But youre still getting benefits even from the first. But the longer you wait, the better the bang for the buck. Im going to squeeze one more question. What if you only got the first dose but didnt go back for the second dose, are you still protected or not really at all . Thats a great question. From other vaccines, we dont havent seen the data yet for ma derna or pfizer. But i would say its around 75 chance youd have some level of protection after one shot and then it increases above 90 with shot two. Dont forget. Why would you . Just go back. Put it on your calendar. Id get the vaccine, to tell you the truth. Thank you very much. We appreciate your insight. Happy thanksgiving to you. Stay safe. Same to you. Bye. Well take a short break. Well talk turkey when we return. A Butterball Turkey hotline expert will join us. Welcome back. We are covering thanksgiving tomorrow. That can be stressful as you think about cooking. Joining us to answer all your yr questions, a Butterball Turkey cooking expert. Thanks for midatlanticing time for us today. No problem. Happy thanksgiving. Were just here to help you celebrate the good. Its all about family, good turkey and fellowship on thanksgiving. Tilt your camera laptop a little bit just a little bit. Because we want to see you perfectly right there. Folks, if you have a question for karen, please put it on Facebook Live. I have to imagine that this year there will be more first timers because theyre skipping the trip with grandmas. What would you say about turkey best practices . Thanksgiving is going to look different for almost all of us. Do not be worried or afraid. Call us at 1800butterball jump on butterball. Com. Its all about the t on thanksgiving, thawed. Were a day away. You have to use the water bath method which is easy. You keep the turkey submerged in cold water and change the water every 30 minutes just to keep that going. Dont have to remember this. Just reach out to us. Uhhuh. Also, on the thanksgiving tea line is you need to check the temperature of the turkey. You dont want to guess. You want to use a thermometer to make sure. You check in a few places. You check in the breast area and in the thigh area. Next you want your turkey to go from the river to the oven and that put away within two hours of cooking. Thats just so that your thanksgiving dinner is remembered for the good food. And either consume the turkey or put it in the freezer. Dont remember about remembering all that. Give us a call at 1800butterball or hop on butterball. Com. How do i cook a 26pound trurky because the charts stop at 24 pounds . Is donna going to put stuffing in that . Its going to take follow our charts but the most important thing that you like to do is make sure you taking its temperature. Its going to take every bit of that, oh, five hours or better at 325. But i want donna not to be tempted to keep opening the oven door to baste. Thats an Old School Practice that just pro longs the cook time. Youre not adding value but you are adding time. Got it. Use your thermometer, ok . All right. If you were having two to four people and you dont want a massive turkey, what is some alternatives . I have something with me. A bonein breast. A lot of people are just white meat eaters and theres just two or three people there. About two pounds per person is a good average to purchase your turkey. But dont be afraid to go big. At least if you go big, youll have fabulous left over recipes for anything you might want to try. I cant wait. Donna answered and said, yes, stuffed. Her turkey will be stuffed. So you add about another 45 minutes to an hour on that cook time, so and then for donna tell her to make sure take the temperature in the center of the touching, she wants that to be 165. The breast area 170 and the thigh area, 180. Got it. Thank you so much. And thank you so much for joining us on this interactive show getting answers. Well be here every day at 3 00 and on Facebook Live stream. A note, no 3 00 p. M. Show tomorrow or friday but well be back business as usual tonight, the holiday virus dangers, as america is set to mark thanksgiving in the middle of a pandemic. Millions on the move tonight. On theed radios and in the sky. And Public Health officials double down on warnings to stay home. Dr. Fauci fearful of a surge during a surge. Concerns this could become a humanitarian crisis. A 15th day of record hospitalizations. 2,300 americans dead in 24 hours. And the new emergency restrictions. Also new tonight, president elect joe biden addressing the nation, predicting a long, hard winter ahead and urging americans to make sacrifices now for the greater good. Calling it an act of patriotism and saying, were at war with the virus, not one another. Breaking news from the white