dr. todd mann, the chief medical officer at san francisco general hospital. i will be very clear i am not just an administrator. i am a practicing physician. i deal with these issues every day. and i think he explained well the difference. we have a great deal of respect for the sheriff's department and the work they do. the real issue is they are law enforcement officers. and they are focused on criminal activity. what we really need is to keep our patients safe and secure. the real scenarios that we run into is when our patients are ill and their medical illness is causing erratic behavior, confusion, delirium, agitation, things that comprise our ability to take care of them at a time when they do not have a decision-making capacity for the short term. examples may be infections or brain injury, that type of thing, where patients really need care. their behavior precludes them from getting the care. not only that, they can be violent and combative, not their fault, but the effect of the illness, and they can harm staff and harm other patients. in that situa