other factors so there are workforce staffing shortages affecting hospitals and they affect the places where we send patients so we send patients to nursing facilities and rehabs. if they don t have the staff, we can t discharge patients from the hospital and you get a backlog. in addition there s also a delay in people who didn t get care during the pandemic who are now seeking care for their procedures or other illnesses and so all of this together has created this situation where we re just seeing elevated high levels of hospital capacity. i couldn t believe it but the new york city health department actually put out a statement telling people they should be wearing masks again in indoors or in crowds outside. they cite covid and these other issues related to hospital capacity and so is that really where we re at? is that what you would recommend? that s a great question and i think there s a lot of controversy and a lot of people tired of wearing masks for sure but i think they