facilities are full in all the major cities that i send my sickest patients to, i can t get them there. they will sit sometimes for many hours, sometimes for days waiting on really important stuff like dialysis or a heart bypass surgery and so that s where we re seeing a lot of this this as well. wow. and of course right now we have staff going down left and right as well. you also have staff that s not in the building anymore. what is your take, the supreme court kept the vaccine mandate for health care workers. so i m glad about that. i m disappointed that they didn t uphold the entirety of the law, but i am glad and i will get push back from some of my own colleagues and staff on that, but i feel it s really important to create as safe an environment as responsible for our patients and part of being a physician and a nurse, we have to submit to a whole lot of shots and tests and rules just so that we can keep our patient population safe. so i m all for it.