called out as special privileges that required individual doctoring, and so we have simplified that. the division of cardiology has simplified that and lumped those that are more considered to be core cardiology privileges into the core section and only are falling out four special privileges which require individual proctoring as opposed to proctoring for a general type of procedure. are there any questions about the cardiology privileges? >> dr. horton, i think my only question, and it's actually my

ignorance is the prerequisites, is that -- these are the specialty boards from abim and not -- not the primary board, then, is that right, that we're asking for? >> it's the specialty boards for interventional cardiology. is that your question? >> yes. as the thing for specialty board for cardiovascular disease, which is different from just getting a regular abim, right? >> right. that's my understanding is specifically, it's the interventional cardiology board. >> right, right. no, that's what i was trying to clarify. >> right. >> because if i remember now, they have a number of different specialties which are added boards, right, on top of the regular boards. >> yes. >> yes, thank you. i have no problem. move for acceptance. >> there's no one on the public comment line for this item.

any other questions on this, commissioners? okay. so there's a motion. is there a second? >> second. >> second. >> thank you. any other discussion? all right. so i will do a roll call vote. [roll call] >> all right. thank you very much, dr. horton. >> you're welcome. >> commissioners, item 15 is other business. yeah. any other -- okay. there's no public comment on this item, so we can move onto item 16. sorry that agenda item is incorrectly done on that slide. 16 is a consideration for a closed session. >> is there a motion to move into closed session? >> so moved. >> second. >> mark, we need public

comment? >> yeah. there's no public comment on this item. i'll do a roll call vote. [roll call] >> okay. so just a reminder to everybody, laguna honda folks, you're going to be first, so dr. hu, please sign out of this. everyone has to go to the closed session. s.f.g. folks, please stay out -- i'm going to notify kim and dr. ehrlich that we're done, and they can join the

>> announcer: you're watching "coping with covid-19." >> hi, i'm chris manus and a you are watching "coping with covid-19." today joining us is susan girardeau of the california pacific medical center. and mow to cope with emotional stress of a major daf. she's here today to talk to us about how to help young children cope with this ongoing pandemic. dr. girardeau, welcome to the show. >> thank you very much. >> let's start by talking about some of the issues that 5 to 11-year-olds might be facing. what are some difficultties they might be experiencing during this pandemic? >> the biggest difficulties that all children experience is

fear and anxiety and it's displayed in a variety of different ways. the kids have a fear of a family member getting sick or themselves getting sick. they have a fear of separation. obviously with our quarantine, all of us at home, children still have a fear of separation in own home, which means from room to room, that they cannot be home alone without a parent. it is very difficult and even at night to sleep in their own bed can be a problem and an issue that is under the umbrella of anxiety. the other parts that play into it is the anxiety of when will this end?

as we know currently, we don't know and that is the most difficult. and all kids, their peers, are an important part of their development. so it is often asking when can i go to school? at this point, they are very tired of online school. when can i take my friends and when can i see extended family? >> right. what kind of indicators are there that a young child is struggling right now? >> particularly behaviors that are really across the age spectrum of 5 to adolescence is sleep disturbances and increase in nightmares and in the younger kids, night terrors. woe see across the age speck trup, fear of the dark. the other behaviors that we are

seeing is the regression in their normal developmenttal tasks. for the younger child and as i referenced sleeping in their own room. other types of behaviors that parents or caregivers might see are meltdowns over relatively minor issues. often we're seeing a decrease attention and focus, especially with online school. we're also seeing headaches, stomach aches that we typically see when there is stress and trauma. >> i see. let's say we've realize add child is having difficulties. are there specific ways we can talk to them to get them to open up, perhaps phrases or ways to ask questions that will encourage them to share their concerns? >> there are a number of ways. number one, the biggest thing that parents can do is to really listen to their child.

often times we're rushed. we are working parents, plus as well as now teachers online as well as playmates. so, to pause and really listen to what their fears are. as parents, we often don't get down to a younger child's physical level, look at them and listen to them and talk to them directly. i often use the technique of nailing a feeling and kids often times -- they're not going to, especially in times of stress, come up with this feeling that they can name. so, i recommend to parents always of naming three feelings. happy, sad and mad. and you've been through those three. not frustration. but just nailing it to those three.

another technique that i highly recommend is to use the third person. in a way such as i have heard other kids say that they're scared and they don't know why they're scared. do you think that happens with you sometimes? this is a way that kids feel much safer in talking about their feelings because they don't feel like they're on the spot, but other kids are feeling that same way. >> i understand. do you think that there is secondary concerns for kids as concerns are gradually lifted? i know one small child frightened to go outside right now. >> yes. and we're seeing that already right now. because with -- as one -- as restrictions are lifted and we're able to go outside, you know, people are wearing masks

and that can be very frightening. even if halloween. many kids won't wear a mask. children under 2 do not wear masks. under 7, they don't have to. but over the age of 7, it is highly recommended by the c.d.c. that kids wear masks. that is going to be difficult. so, what i've recommended is for kids to make their own masks. they can make their own designs on the paper surgical masks. and so it is there. they can't put [inaudible] on it, whatever makes it feel a lot safer for them. other things that i have heard are kids are afraid to go outside. i heard this from a number of families because they haven't really been able to do so so they're afraid they will get sick. i recommend that families start very small steps and the first

step is take a ride in the car. that is the first way to go outside, windows down. and if you have a sunroof, open the sunroof and unbuckle the seat belts or car seat and be able to stand up and that is a small step to feel like the outside might be safe. so, it has to be in small steps for the fear it is going to be exacerbated. >> absolutely. so, could you tell me a little bit about your book, disaster shock? >> yes, "disaster shock" has been originally written for the 1989 earthquake in san francisco. this has been a number of disasters since then and families in 1989 gave us the feedback that it was extremely helpful because there was really no literature available

on how to help children and families that haven't talked to them. unfortunately our natural disasters increased with tornadoes and the last wildfires affecting northern california. it has been updated again for the pandemic. >> right. and finally, what would you say to parents about how to talk to their kids in general? could you suggest some good ways to re-assure them? >> a few ways that i have been suggesting is, number one, you have to be honest. about what you know. and be able to explain in developmentally appropriate terms what is happening. and that we are all learning. we don't know. there are many things we don't know. but that parents need re-assure the kids that they are safe, that the family will be together. but they need to be able to get

the kids a little leeway, so to speak. and i'm not saying not disciplined, but what your discipline techniques may have been before may need to lighten up a little bit because these are very unusual circumstances for adults, but as well as for kids. but i always suggest and recommend that parents be honest with the kids because that is the trust that children have in their parents. parents must be really aware their kids will hear, they will read their body language and understand the anxiety we all feel, but the parents need to be honest that they -- the kids will be safe. >> i understand. well, thanks for coming on the show, dr. girardeau. i appreciate the time you've given us today. thanks again. >> you're welcome. >> and that is it for this episode. we'll be back with more

pandemic-related information shortly. thank for watching. - >> tenderloin is unique neighborhood where geographically place in downtown san francisco and on every street corner have liquor store in the corner it stores pretty much every single block has a liquor store but there are impoverishes grocery stores i'm the co-coordinated of the healthy corner store collaboration close to 35 hundred residents 4 thousand are children the medium is about

$23,000 a year so a low income neighborhood many new immigrants and many people on fixed incomes residents have it travel outside of their neighborhood to assess fruits and vegetables it can be come senator for seniors and hard to travel get on a bus to get an apple or a pear or like tomatoes to fit into their meals my my name is ryan the co-coordinate for the tenderloin healthy store he coalition we work in the neighborhood trying to support small businesses and improving access to healthy produce in the tenderloin that is one of the most neighborhoods that didn't have access to a

full service grocery store and we california together out of the meeting held in 2012 through the major development center the survey with the corners stores many stores do have access and some are bad quality and an overwhelming support from community members wanting to utilities the service spas we decided to work with the small businesses as their role within the community and bringing more fresh produce produce cerebrothe neighborhood their compassionate about creating a healthy environment when we get into the work they rise up to leadership. >> the different stores and assessment and trying to get them to understand the value of having healthy foods at a

reasonable price you can offer people fruits and vegetables and healthy produce they can't afford it not going to be able to allow it so that's why i want to get involved and we just make sure that there are alternatives to people can come into a store and not just see cookies and candies and potting chips and that kind of thing hi, i'm cindy the director of the a preif you believe program it is so important about healthy retail in the low income community is how it brings that health and hope to the communities i worked in the tenderloin for 20 years the difference you walk out the door and there is a bright new list of fresh fruits and vegetables some place you

know is safe and welcoming it makes. >> huge difference to the whole environment of the community what so important about retail environments in those neighborhoods it that sense of dignity and community safe way. >> this is why it is important for the neighborhood we have families that needs healthy have a lot of families that live up here most of them fruits and vegetables so that's good as far been doing good. >> now that i had this this is really great for me, i, go and get fresh fruits and vegetables it is healthy being a diabetic you're not

supposed to get carbons but getting extra food a all carbons not eating a lot of vegetables was bringing up my whether or not pressure once i got on the program everybody o everything i lost weight and my blood pressure came down helped in so many different ways the most important piece to me when we start seeing the business owners engagement and their participation in the program but how proud to speak that is the most moving piece of this program yes economic and social benefits and so forth but the personal pride business

owners talk about in the program is interesting and regarding starting to understand how they're part of the larger fabric of the community and this is just not the corner store they have influence over their community. >> it is an owner of this in the department of interior i see the great impact usually that is like people having especially with a small family think liquor store sells alcohol traditional alcohol but when they see this their vision is changed it is a small grocery store for them so they more options not just beer and wine but healthy options good for the business and good for the community i wish to have

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>> recognition of all veterans this coming veterans day,

december 5. >> that's great. >> i am a carpenter supervisor. >> we're here with public works. >> division manager of operations. >> material manager for the substance lab. >> i am the coordinator for the wireless and surface mounted mobility program. >> i am currently supervising the alley cleanup team program. >> financial analyst for a couple bond program projects. >> my name is a 5310 survey assistant. >> i am a construction inspector. >> i am one of the construction engineers at the state moscone project. >> i served over 20 years in the marine forces reserve. my special was a logistics for various combat units. >> i went in the navy on my eighth year, i went to desert storm. then i went to four years in the air force. i was at travis air force base.

>> i'm a desert storm veteran. >> my service started in the united states marine corps, and i discharged in 2015 as a sergeant. >> on board u.s.s. enterprise with the u.s. navy, i was deployed to 13 countries. i was also part of the iran hostage situation 1978-80. >> sergeant in the marine corps. i was an m-1-d-1 tank mechanic, and proud to serve. >> i served six years in the u.s. navy, the majority of which was on board the u.s.s. bunker hill. went onto deployment to the gulf. >> joined the united states air force right out of high school. went in as a generator mechanic, and then through that i've gotten placed in a civil engineering squadron. >> got drafted in february

1971. i was assigned to batallion in hamburg, germany, and i was in the u.s. army. >> veterans day today means a lot to me, especially since i served. >> it's not just a three-day weekend. >> we celebrate the participation and the historic role that the military plays in the security of this country. >> it's really great to take time out to recognize those who have served, those of us that like serving. >> it's a day to celebrate and remember what people have accomplished and sacrificed for this country. >> actually, i recognize veterans each and every day of the year, but i'm proud that we as a country come together and recognize all veterans for their service. >> it's about paying respect to the ones that have fallen. >> i always reflect on my connection to people that i have

served with. >> i think being a veteran gives me some pride in knowing that i did help out somewhere. >> i feel very, very proud to be a member of public works and also the u.s. navy. >> coming to public works give me another opportunity to help the public. >> you have to know the people that you're supervising. i think that ensures they go home better than when they arrived to work. >> all of that comes into play here. >> it was about discipline, it was about following instructions, and these are things that i've learned to do in my adult life. >> when i was in the marines, i saw camaraderie, a big part of our organization, and i see that in public works. we help each other, work with other departments, and do what it takes to get the job done.

>> good team work, family oriented. they're all here to get the job done. >> you're all here serving your community and trying to give back and make the world and your

>> good evening, everyone. this is march 20th, 2020 meeting of the san francisco police commission. i apologize to everyone and we were experiencing quite a few technical difficulties to log on to the meeting so i'm sorry that we're getting started a little bit late. and i'm sorry that you guys can't see me right now but i'm placing my hand over my heart and if everyone else on the commission and the staff would place their hands over their heart so we can recite the pledge of allegiance. i pledge allegiance to the flag of the united states of america, and to the republic for which it stands, one nation, under god, indivisible, with liberty and justice for