. >> commissioner mondejar: so this seems like a problem for the e.r. >> this is a problem for the e.r., but i think a really impressive shift in work flows -- i mean, i remember the day being on the hospital incident command call and hearing when the first person came into p.e.s. with symptoms and tested positive, how quickly the s.f.g. shifted their work flows and figured out how to dedicate space and staff in the medical e.r. so that people could be screened before they go to p.e.s. >> supervisor mandelman: so my suspicion -- because it does seem like lived experience of san franciscans is we are seeing a lot more people who are in psychosis on the streets. it feels like one possible thing that may be going on is that people who might otherwise be brought into an emergency room or p.e.s. are not being brought in because the system knows it doesn't have space for them, and we are seeing that people don't stay for the full 72 hours, that that need to get people out of there is greater, so the cycling problem -- it seems plausible to me that the cycling problem could be worse during th