Of those for dan and rob a little bit later on and ill also add the link to purchase the book right there in the chat for anyone who hasnt already purchased it. We did sell out of our first batch but we will have, we had more on the way already, and for anyone who is not able to sit to the entire event this evening we are recording this and will make it available as well. So quick introduction to rob and dan. Robert meyer has been emergencyroom doctor for over 25 years spent most of his career at the medical center in the bronx. New York Citys most visited one of the nations five busiest. Hes an associate professor of Emergency Medicine at the Albert Einstein College of medicine and grew up in queens and lives in hartsdale New York with his Wife Janice and his children. Dan coppell is a former Executive Editor at the New York times Wire Cutter turkeys written for national publications including wired, outside national geographic and the atlantic and is won an award for student writing. Hes also recipient of national geographic explores grant and has screenwriting classes include Star Trek the next generation of the office book banana, the fate of fruit the change the world. This might be the most eclectic resume of any Author Weve had at any venue for long Philip Reeker lives in portland, maine, with his wife, the writer Kate Thompson and their two young boys. Dan and rob thank you so much for being here. Rob you mentioned you came straight from a ship so thank you so much for squeezing as in for this evening. I could not put this book down. I was peaking at in between customers all the work. I left the store and came out and just plopped myself on the couch and finished it. It is really incredible and its not the book i expected about, about code. We discussed this a little bit earlier but it is completely nonpolitical. Its just what you were saying in the er and you mention an email to me this is actually a little bit of a struggle to write this book and not more of a medical Drama And Adventure story so i would love it to just here a little bit about how this particular book came about. Sorry. You guys are muted. I dont know how that happened. Am i better . Perfect. First i want to say thank you for having dan and i this evening with this group of people. That seems to be the most common question ive been asked over the last 48 hours is how does an er doctor in of writing a book . Trust me when i tell you it was not ever remotely on my Bucket List of things to do. It genuinely started with an innocent text from my carrying cousin, not his brother jim, but dan. Dan cares, not you, jim. He texted a, how are you doing . I said what you really want to know . He said yet. I said its bad. He said on a scale of one to ten how is it . I said it is 100. That yield a Phone Call. You text after that. That Phone Call was a dialogue that i dont think either of us will ever forget and ended with take notes. However you figure it out, take notes. Voice memos, call me. I jumped on it because for me i needed an outlet to talk. I needed someplace other than my kitchen and my wife and kids to process what was going on. So while dan as that eclectic cd cd, hes actually the best therapist i can ever imagine. So he was a venue for me to express what i was going through and he ended that conversation by, we have a book you. I said, well, knock yourself out. You do what you do and i will do what i do and lets see how it turns out. Thats how it came about. I mean, i would add that i like, theres a lot of as told to and ghost written books, which are legit ways to do books. This was really different. It really is robs words from various sources put together by the something about as being related, having known each other all allies, coming from the same place. Robs my Dad Mentorship over rob when he became a doctor. There was a sort of connection that was very sort of telepathic but made it very easy for us to understand each other and relate to each other and to have this Back And Forth that was really unlike anything ive ever experienced in my career creatively. It was very smooth and intense and intimate, and it wasnt hard to get it on to the page. There was no wrestling robs thoughts and words and expenses into prose. It just happened and really happen in the way, the content was hard, the stories were difficult, but the actual work itself was not that difficult. Piggybacking on that for just a second. The feedback ive gotten over the past 48 hours speaks to dans aliens as a writer is that people who are reading it, not for the audio, the audio was a most difficult thing ive ever done because i just couldnt read it without crying and it took many takes to edit out the crime, was dan captured my voice. So people reading it and theyre saying i hear you, and that is dans ability, i mean he would type as i talked. He would record as i talk. He transcribed everything as i talked and put on paper. As i read i am like wow thats me. Wonderful. Not knowing, i wasnt able to know it was your voice but it didnt read like a lot of the Ghost Written Things ive read that Field Sort of tilted and that. It was very much like this is organic and natural and i sort of forgot the dan played a part in it until he comes back in the first perching sort of capacity later on in the book. It really is just an incredible memoir of six months, the slice of time. Im curious about why exactly you chose i have suspicions based on where it went, but why did you choose to end it where you did . It is this six months ending in september. Did you know going in your going to only do that much time, or did you just get to a point in the story where you said this feels right . I dont want to get into, im not a microbiologist, im not a epidemiologist, and im not commenting on where were at right now with respect to the pandemic that there is no end. We havent seen the ended. Im not going to say that we are at the End End of the begin, like churchill said. Im simply saying there was no natural place to break. Dan actually was in the Emergency Department that very day that we noticed a change in what was going on with respect to covid, and its, the volume of patients, he was there that day and witnessed firsthand what was going on and it was i guess weeks after that we said all right, weve captured what were trying to capture in this book. Because we couldve just kept going on. This couldve been been a chronicle through today. Is there going to be an every minute is a day two, three, four, i dont know. I defer that to crown publishin publishing. I think one of the big challenges with this book and i dont know for sure how is going to be a lot of when, what time spent do you cover . When did the book, what do you do it in six months and do it quick . Do you wait ten years and have the benefit of looking back on history . We didnt really know, and we thought about all those options and everything in between. It felt, i i would say it felo us as the summer began that things were easing and that we were moving into a new phase. It wasnt as if covid was over, but it felt as though those first intense few months were changing to something. We didnt know what it was changing into obviously. We did know what would happen but it seemed narratively like it was a good place to end. And we felt it was more that the Story Right as to say we can end here, that as saying lets in here and make a story out of it. It felt like we had a beginning, middle and end, and it was readable and the story was well told at that point so we were able to stop. Its a definitely a well told and very complete story. Id really expected as i was reading it that is going to be angry, that this is going to be a very different book than what it is. And i was just devastated, heartbroken. I felt like i was there. I dont want to say i i felt e i was there because i certainly cant imagine what youve been through but i got a very different experience reading this book and what i was anticipating. I really resisted a lot of the firsthand accounts and sort of threw myself into the site and the politics, and that sort of thing last year. So this was really, was different, and bespoke a little Bit Bit about this before everyone joined us, but can you guys touch on why you chose to keep politics out of it so much and just tell the story that you did . Well, i mean, from my perspective it wasnt, it was a choice to keep politics out of it simply to keep the book appealing to everybody. We didnt feel like Theres Anything we could say about the politics that wasnt being said already, the matter which sid. Its not so much we chose to take politics out of it but we had a realization at one point where what was going to be in this book and what was missing from the public conversation, and it was this discussion of Grief And Loss and morning. We felt that acutely i think. Really as this continued we realize this book had to be about loss and about how these families were unable to mourn properly, and the loss of that very basic grieving thing, that everybody does and that was so must trip from us. It just felt like thats universal. It doesnt have anything to do with politics. As we kept writing we read harder and harder on the idea that the book was actually about Grief And Loss and not necessarily about any disease or any reaction to a disease in terms of medicine or politics or Policy Or Anything like that. It was about the way people shifted their ability to properly mourn. Even though thats not really what the story of the book is, that was a sort of sense that underlay everything that we did, i think. I dont know if rob 100 agrees with that. Dan, its something you dont remember saying to me. As we went through the process, i dont know if you recall it you said rob, covid is almost a backdrop to this story we are telling. That hit me like a ton of bricks because i looked at this as anything first of all im not a political guy. I cant even tell you who ran in the last election, i dont even who are present is. This book had nothing to do with politics. When dad said dan said covid is a backdrop, youre right, this is an experience that healthcare workers are going through, and how we are processing the insanity that was all around us. It was just a place, no place for politics. Ill share an interesting anecdote that when the book was in the making, my wife and i had the occasion to sit down at an outdoor dinner right next to Chuck Schumer, and were talking about at the time who would write our forward. I wasnt struggling with asking him to write the foreword or review the book or look at the book because of anything but i didnt want to add the politics to it. It made no sense. And so i let it go. I just said no, this isnt right. I told him about it. We talked and chatted but it made no sense. I think that was a great move. Its so refreshing because every other book that weve had about covid that is, through the store has ended up either in our Community And Culture which is theres a current Event Section or in politics. Weve had lots of things about pandemics in general and about epidemiology and whats good cod happen next and those kinds of things but this is the first one that really addresses this pandemic without any politics, without any of that. Theres no room for fake news if youre just telling the story of whats happening. Theres no room to argue about whats going on Day Today and its really refreshing to see that because so many people have lost sight of that in that 24 Hour News Cycle certainly. And i want to shift gears a little bit to another part of the book that was really fascinating for me as someone who grew up in the era of er and Grays Anatomy and chicago and all that. I was really fascinated to learn how new the specialty Emergency Medicine is. And do you feel sort of reaching, even where it is now, the last Year And Half changed the face of Emergency Medicine . I would just be interested to know like where is, is a going to be movie that will look totally different . I have to give it to him credit because that section about the history of Emergency Medicine with soul of his interviews with one of the fathers of Emergency Medicine john gallagher. Its incredible how many medical students have read the book and attend to me and said, this book opened my eyes to Emergency Medicine. That is the greatest compliment that i could ever hear. We are the newest specialty. We are not moonlighting nephrologists anymore. It is a board certified residency trained specialty that by definition only sees people at its worst, and geoff to be a very special person to take that on. All we see is death, dying, vomiting, diarrhea, bleeding. So yeah, this Year And Half as either really very, very few people have said ive done and check out, but a lot of people are sadly, i mean if you read our throwaway journals, the number of applications to these residencies and Emergency Medicine has skyrocketed after covid or during covid. Its unbelievable. Im shocked because when we were in the thick of the pandemic people were not coming to the er to exactly say sign me up. Where do i go . How can i help . Wow. That surprises me. I wouldnt have expected that. It seems like theres certainly, like you said it takes a special person to do it and its nice to see that people are being drawn to the especially. Do you think that sorry, im trying to read my notes here and i cant quite make out what i wrote there. But oh, thats what that says. In the book you talk a lot about the overcrowding and just again, all of us outside of hospitals certainly heard about it, the shortages, the overcrowding, but the realities of what that looks like never really crosses my mind. Again it was sort of that images, theres been a disaster on er, and that our people lined up in always. But you talk a lot about what that meant in terms of maintaining patient Confidentiality And Privacy and dignity, and has not gotten easier . Is that something that even with high numbers in Emergency Rooms have you put systems in place in the last year that it made it easier for i guess maybe that is your butt more comfortable for the patients . Or is it still the same sort of just improvising . During covid it was a m a s h unit. Patients Privacy And Dignity was always adhered to 1000 , nine wavering, nonnegotiable that clearly we were overcrowded. It was tight. It was tight in what we call the covid zone, a room for 35 was commonly over 70. No, we never wavered from patient confidentiality, dignity, privacy. But you would be shocked at the way these patients came together in the most dire times. You know, if youve ever been an Emergency Room you hear a lot of yelling at providers, hey, i wish her before him. When am i going to be seen . Whats taking so long . Not a single complaint, never once. No one complained. Thank you. They were scared. They were scared. So no, we did well with that. We honored peoples dignity, confidentiality, privacy. Thank you for that. Just, yeah, its a hard book to read. As much as i read it so fast, it was definitely there were moments where i had to set it aside and just sort of, being faced with a lot of realities that i had never come that had never crossed my my mind, sort of the on the periphery to be in place with low transmission rates and to be fortunate enough to not have anyone in my immediate circle affected by the pandemic. There were just so many things that it never crossed my mind, and one of them you mention the outpouring of support that resulted in free food being sent to the hospital. They didnt eat because they would eat it in isolation and that really struck me, the goodwill from the people on the outside that really have no bearing on what you guys were going through. I would be interested to hear sort of yore, was that an appreciated thing or did it feel like people are just throwing their money away . No. No, we loved it. Oh, we loved it. Now, it was very difficult to eat it. I dont eat during shifts. Baseline precovid i fast during clinical shifts. It slows me down and makes me tired. So it was easy for me but my colleagues, the smell of the pizza coming down the hallway was come even to the masks was intoxicating. You couldnt come when we were in a shortage of ppe, you couldnt waste your you couldnt take it off to eat. A lot of us were taking food home. Some people were taking slices of pizza and walking outside and lifting their masks and eating it. No, it was greatly appreciated. We had actually come it gets a crazy we had to schedule the deliveries of food from the various places that were not just an hour immediate vicinity but were getting food deliveries from westchester, manhattan, queens, begging us, what can we do . What can we bring . Thank you for what youre doing. And, of course, it made us feel awkward, nothing got thrown away. Were getting it to patients. Nothing got thrown away. One i caught up on my own is how can you be a hero if youre so scared. If youre going to sleep at night or trying to focus leave dreading your next shift, fearing the disease, just anxiety and fear, how can that be quick to be any hero and then by people calling you a hero, as you pointed out now i have an understanding is that it makes you live up to a certain expectation and one of the fundamental problems amongst the healthcare professionals was was we didnt talk to anybody. We didnt avail ourselves of therapists, talk to each other or reveal how scared we were. And being put on the pedestal only made it much more difficult to finally talked to dan so it was not Something Iever wanted to hear. It was this transition in manhattan at 7 Pm Everybody would come out on the Balcony And Bank pots and pans and one night another doctor and i wentdown to experience that. And i can always just feeling weird. Like i didnt like it. I didnt feel deserving of it. I want to say whether you want to use that word you see it for example in a character in our book named sean who you mightdescribe as elderly. Hes ayoung guy , hes been in hospital rooms and he never handled bodies before and he was pressed into service and took bodies out to the more with no problem. He saw itas what he needed to do. Thats a unique job to have to do that and he did it. Theres another doctor whose father died of covid while he was working in the Emergency Room and she kept going and kept working because she felt she had to and we would tell thatstory. You can define hero the way you want but there was a lot of bravery, a lot of heroics and i saw that every time i spoke withsomeone or remembered somebody. I think thats a great distinction to make between heroes and heroics. And the actions are not necessarily defining the person as a hero but certainly people went above and beyond what was in any Job Description that year. And it was remarkable to read about, yes, sean was a character who stood out to me. My brother worked in a hospital and it was actually dealing with death was what drove him out of it. That was too much for him so to see someone rising to that , nothing against my brother here but to see someone i think of that its not part of your Job Description and not something youre expecting to do was really remarkable. And again, i guess that speaks to what rob mentioned about the numbers of application for Emergency Medicine increasing this past year. People are seeing the places that they can really fill gaps. And dana, i want to shift gears a little too perhaps whats really the scariest part of the book. It was not covid but you talk about the number of people who receiving routine medical care is Emergency Room care. They dont have dvds, they dont have a regular medical schedule, they just go to the emergencyroom when something is wrong. And a lot of people believe that this year and a lot of people put off doctors visits. Are you already starting to see an increase in some of those preventable or not preventable necessarily but more treatable things if theyre caught early . 1000 percent. Its something dan and i talk about in the book. Ill bring up my own father as an example. The elderly deconditioning is just pervasive. You cant, you just cant sit home and not be acted in those geriatric years. Youve got to keep moving. Youve got to live your life. Youve got to see your doctor. Were seeing a lot of just being hunkered down for a prolonged period of time especially amongst the elderly. Were seeing Stage Iv instead of safe stage iii cancers. Were seeing congestive heart failure. Its everything we thought it would be and more and like you and i im in a different world in the bronx where there is a lack of primary care and of Baseline Patient Population that is a baseline significant morbidity, comorbidities as the diabetes, hypertension, obesity so we are seeing the fallout from staying home for a long time. And dan, i wonder if you would speak about your experiences in npr as patients during not a covid patient but as a patient. I got sick in the middle of this which was very unexpected. And it largely was a sort of Covid Twist to it because when i started showing symptoms of what would turn out to be Bladder Cancer , i went to my doctor in portland and they wanted to have a procedure but because the hospitals were not doing procedures there was a very long line. It certainly wasnt appropriate for me to that line because a lot of other people have to get care as well but it was going to be several months before i was going to be able to confirm that there was a problem and as it turned out it would have been critical several months. So i called rob and he said come down and we will get you checked out the big city hospital, a lot of resources. I drove down there and my drive down was the eerie is to drive down interstate 75. There was never another car. You see these big billboards advertising these Emergency Rooms with zero Minute Wait times. You stopped to get gas and instead of candy the service stations would have giant bottles of Hand Sanitizer and masks piled up in periods. And the next day when i got to robs house i slept over there the next morning i went in and got probed and confirmedthat i had cancer within a couple of minutes. So began the summer of chemotherapy and surgery. I made a full Recovery But Rob got in there at least 8 to 10 weeks before i would have gotten in and so i think i would have been one of those people whose outcome could have been very different because of the Way Covid hamstrung the medical system. I was very lucky and i want to acknowledge im very privileged to have a cousin whos not just a coauthor but also a doctor who could pull some strings for me and get me in. I recognize not everyone has that opportunity and i think that opportunity really was potentially life saving for me so im grateful forthat. How did the middle part of the book come to the while i was out of chemotherapy was entirely different but it did come together ultimately. But yes, i feel for all the people who were left waiting in line unable to get their care and i have no doubt my experience, there most people who suffer because of that and paid and sacrifice because of that. Accu, its nice to have that firsthand perspective of putting a face to the story. I also got to experience montefiore. It was very strange to have gone into the Emergency Room, i wouldnt say sneaking in on them but i kind of snuck in and got to see it as a journalist and suddenly im 10 stories above the er as a patient really experiencing it. And a very different perspective, the ultimate Insiders Perspective and i wouldnt say i was lucky but it was helpful for the book. Theres no end to dans efforts to investigative journalism. I have one last question and i got a few audience questions for you but do you think that the last 18 months that this pandemic is going to fundamentally change the american medical system or do you see things just kind of rolling along the same way they have . I dont know that they will be fundamental changes. I do see in the Healthcare World youre going to see universal masking. Youre going to see preprocedural testing. Telemedicine is going to be huge. But as far as, one of the things that came about from covid is free covids i struggled with our millennial generationsability to connect with people. The whole world now is Texting And Facebook in and to i struggled with my 22yearolds Ability to communicate with patients now put a mask on and their residency to touch people pre covid. Unless im doing something where Theres Stability i wont wear gloves. I touch people, ishake my hands, i feel their rashes. I put my hand on their chest to see if i can feel their heartbeat. This generation coming out of medical school dont believe in that. They put gloves on and now youre putting a mask on. That ability to communicate with a mass and losing half of the facial expressions, there may be the fundamental change in medicine coming our way is everything that we do is based on talking to patients. The history tells you everything. Shut up and listen and then tell you everything you need to know and our millennials dont know how to do that now put a mass on them and i think makes it that much harder. There are changes coming our way. Is not for the best. On a 55yearold guy. Change is hard, maybe theyare for the best, i dont know. But every time i see a medical student putting on a pair of gloves to use their stethoscope, it makes me cringe. That is the end of my questions. But we do have some audience questions. The first is from dave howard. And you discuss themeaning of the title and how it came about . Ill take that from my friend dave howard. I wish i could tell youthe meaning of the title. The title, our publisher Jillian Blake is the ceo of random house came up with the title and i guess when the publisher suggests a title you use it. I think it means time goes very slowly. We had a hard time coming up with the title for this artfully because i dont think, we really know what the book was going to be aboutwhen we started doing it. We developed a proposal very quickly. And jillian came up with this title. At least i think she did so there was the title. It conveys the urgency. But i dont know exactly, i think people can read into it what they want but i think it conveyed urgency, that time moved really slowly. Time moves slowly in the er, ron can answer that question but we had some other alternatives. Thats the title we came up with. People have asked me that and my answer is simple that during the, during the apocalypse as i call it in one minute we did what we typically did and not even a day but in a week. There were times when we would be intimating, people, putting people on respirators 10 to 12 times in minutes that didnt happen four days to weeks in normal circumstances. Thats why i think the title really is great. And you know, i like it. It means something to me. It definitely conjures up that one hour of 12 feels like two weeks in the normal month so one minute is a day. That was a better answer ross, thank you. Before you ask, next question is to monitor, how did the pressure of being an er doctor affect your relationship with your wife and kids and certainly its something you in the book. To a degree. Ive tried to be the top guy, i tried to shield them from my anxiety but they knew that i was going through some rough times. I must have had, i never had covid but i thought i had covid 182 times during the apocalypse. I would come home and my daughter would say that out of it, youre fine or the wife would say youre fine. My wife would say comeon , youre fine. So they were incredibly supportive. They knew when to give me space and they knew when to try and normalize things. I had a ritual, i had a routine. I went to the hospital and came home in something other than what i were at work. Came into the garage, the Shower Butt naked. Showered as hot as i can possibly take it, snorting soapy water and that was my cleansing both emotionally andphysically. And then they normalize things for me. They made me feel like everything was going to be okay. Very very supportive. And only there was one night where i was absolutely convinced i had covid and that was the only night i said let me sleepalone. Other than that my wife my bed with me every night. She never left. I want to say having read this your daughter who is now in med school sounds like just an incredible spitfire of a young woman. We call her one. We do seem to have a certain telepathy. Usually results in us teaming up against my wife and playing jokes on her. We just get each other. And shes got that clinical acumen that you just cant teach. She knows sick from not sick and she just gets it. She gets life, im very proud of. I hope she doesnt go into her clinical years into Emergency Medicine but if she does thats okay to. It seems like from what you see of her in the book it seems like she certainly would be wellsuited for it. Absolutely. Our next question is from linda. Would you discuss the Progression And Type of treatment for Covid Hospitalization at the beginning versus where it is now. Thats a great question i feel like. Its very much in the news today. Right now, ill skip today. Today covid positive patient is really out a red. Its oxygen. Its remdesivir. We have markers we follow whether there is a creactive protein, cat scan. We accumulate data based on that information we have monoclonal antibodies in a Spirit And Effort to keep you on the hospital. We have remdesivir once youre admitted to the hospital. We use steroids at times. We use anticoagulation. We really do feel like we have a handle on the management of covid in the end and i hate to say this in the end its a crap shootand its time and love. We are far, far removed from the Death And Destruction we saw in march and april 2020. Nothing even remotely close to that but we do have some sick people and i have not seen a gap from covid in a long time. This is a question from Aaron Rosenblum specifically for dan. Did you use different strategies to report on healthcare in a pandemic and you do on subjects covered in the past . Normally i cover for more eclectic topics and its rare ive been in the middle of a big News Story let alone above the News Tori but i think the basic checks are still the same. Interviewing the right people , trying to understand the topic and i dont think i need different strategies but we did compress the whole thing so there were many hours that we recorded interviews. Rob and i did the interviews together mostly. A lot of Background Research looking for statistics. Getting the numbers, making sure, checking. I think its fundamentally the same but i guess the big difference is that my reporting tends to be on stuff that happened in the past. This is happening while i was reporting. So things were changing and there was a lot of revisions that had to be done. A lot of looking back and saying that was relevant a month ago but its not relevant now. What do i need to look at now . So it was a new experience for me in a lot of ways and one that i actually found at the time ive been in this to be rewarding because it was so difficult. And does anyone else have any other questions they might ask . I have one more but if anyone else out there has one ive got about10 minutes left here. And so robin mentioned you do not ask Chuck Schumer to write the forward to the book. You guys didnt ask anybody. There is no forwardhere. Thats because we didnt ask anybody. Year out if you were to have a new forward or a new afterword, what would that be . What was it like to add with hindsight . Ill defer to you. This book is is complete to me as it could possibly be. I think the book works really well as a snapshot of that time and i dont even need a lot of hindsight. As it is, i think it works to evoke emotions in the reader. If it works so i dont think it requires any reframing or rebracketing. Not right now. But yeah, thats what id say. As someone who read it and loved it i agree. I was just curious if you felt now there was something missing but i certainly didnt think about. I would rewrite every single sentence because i see all the flaws in it. But no, we were new we were happy with the book. These last 48 hours are any indication of success of this book, at least in my world, in my Healthcare World, two things came about. First thing that dan and i said was he got closer as cousins so once we share that Prosciutto Mozzarella roasted pepper oil vinegar, from players, that was a sandwich and i was the happiest guy in the world. That was great and in todays my colleague was just making me their voice, im done. I feel great. We did just have one more question from helen kim. Ive heard that one in four teachers are thinking of leaving the profession due to pandemic stress. Do you have any sense of possible attrition in the healthcare field. And then a second question, how well do we go through the mental Health Care System at the firststages of the pandemic . That is a fantastic question. So the older doctors checked out. Not a lot but im talking about those doctors in their 60s and early 70s who said no way, im done. It was very few. Very few. The doctors that were both wage comorbidities, they made provisions for this. We protected them. We didnt put them into the zone. They didnt want to be protected but we felt that was our duty. We second question is near and dear to me. Montefiore hospital, they offered us psychiatric help and it was brutally hard for doctors to admit that they needed it. Nobody admittedto needing it , nobody admitted to using it. I did, i said i want to check ins with the 32 doctors i work with and i said guys, i scored. I got the therapist so im telling you, it will make you feel better. And she availed herself of the free therapy offered by montefiore. And that came about after a doctor that was written about in the book, she took her own life. An er document. Thats when i think things really started to snowball with the mental health issues and we became, we were just looking right in the eye of mental health issues and we either availed ourselves of it or we didnt but we had a step up and offeredit in comfort, it was great. So a really powerful part of the book talking about the coming together of the doctors, not in the er but the discussion of those check ins. Its really an incredible thing to read. And again, just this gave us a really different perspective and what we were seeing in the news and thank you so much for sharing it. Giving us this really different book in look into what was going on on the ground. I think Dan And Crowd for giving me thevenue to do this. I think that was it for questions, if Theres Anything else eitherof you would like to say about the book , theres experiences, the next couple of minutes. I think you really covered it all. Thank you all of the people, the friends and strangers who came and recognized a lot of names and i appreciate all the those who showed up. Its been recorded so for those of you who joined us a bit later , it will be made available and im not sure exactly when. I rely on the wonderful folks of the alliance. I said that a list there for a moment. They do a lot of the support at longfellow so it was, i will send out the link to everyone as soon as that is made available to me. But again, thank you. Thank you everyone for coming and you had if you havent already got your copy you can order it. Every time i see thatits so weird to me. Thanks longfellow and fell