arizona, college amend the scene in phoenix. we are fortunate that he is joining us tonight from miami. doctor, last we spoke we were talking high case counts. a high death toll, and steph exemptions at hospitals throughout the state of florida. what is the situation right now tonight? >> well brian i would say that the staff exhaustion is still there, it's actually probably maybe even worse as you know the case per capita has dropped quite a bit we had the earliest hit if not the earliest in the country, with the delta variant. and it was really really horrible about a month ago. so fortunately relatively speaking it's getting better of course we see plenty of covid patients still but it's not like it was just a few weeks ago, remember the ones who were sick in from the icu, they stay there for quite awhile. there's two ways out of their getting better which often