i am priya david clemens. we are in for a very dark winter. today weappear to on that doorstep pick america's case numbers are among the worst reported in the world. over the past wee or that 200,000 new cases were reported every single day in the u.s. intensive care units around the coming overwhelmed with patients suffering from covid- 19. despite months ofsocial distancing, wearing, and now fresh like restricions affecting nearly all of california's 40 million residents. while the hope of a vaccine is closer to reality every day. how quickly can we m vaccine? how will hospitals cope until it is widely adopted? >> joining us from san francisco chair the department of medicine at uc san francisco. also joining us's president and ceo of thcalifornia hospital association. they both joined by skype. carmella come i am going to start with you. association represents more than 400 california hospital. has a various the demand on california hospitals right now? >> the numbers we are seeing right now are more than alarming. we have more than 30,000