Good afternoon. My friends, it is Friday. Let’s figure out the date today is I believe. I believe that today is the first, second, third, 10th, 17th, 19th. Today is June 19th, AKA Juneteenth. So guys we gotta talk masks again. Okay. We got to talk masks again. Okay. And I’m sorry that we have to talk masks again, but we have to talk masks again. I’ve kind of already resigned myself to the fact that 50% of the people are impermeable to education and impermeable to science and impermeable to you know, my teachings. But the thing is that you are my brethren. You are my group. Okay. I need you guys to hang the F in there. People hang the F in there. And the reason why I say that is cause I’m starting to see people’s knees shape. I’m starting to see people start to waver. I’m starting to see people become fatigued, evolve this. Okay. Nothing will be as fatiguing as if you contract COVID-19. Trust me on that. Trust me on that. Okay. So when I hear people talk about things like, well, you know, I can’t breathe in a mask. Well, you know what? I have CLPD and I’m exempt from wearing a mask. I have pulmonary fibrosis and I’m exempt from wearing a mask. I have a medical condition that doesn’t allow me to wear a mask. What is it? I don’t have to tell you.


People wake up, wake up, wake up. Now I recognize that the majority of you are with me. And I recognize that the majority of you understand what I’m talking about. And I recognize that the majority of you have a vested interest in staying safe. Okay. But let me put it to you this way. Okay? If your breathing is so bad that you cannot possibly wear a mask, then you should not be out and about. Okay. And I know that sounds cruel. Okay. I know that sounds cruel. But guys, this is not a judgment based decision. Okay? Yes. It requires either judgment or the lack thereof. Okay. But this is not me deciding, Hey, you don’t deserve to go out. This isn’t me deciding, Hey you know, it’s, it’s too weak. You know, you’re too weak to go out. This is not me deciding, Hey, you’re too much of a wimp to go out.


This is me deciding, Hey, I want to keep you people safe. Okay? I want you to be safe. I want you to be around next year to talk about this. I want you to be around in five years to talk about this. I want you to be around to celebrate the vaccine and the eradication of COVID. Okay. But if you get antsy now and you skimp on the caution, or if you get antsy now and you skimp on the protection, or if you get antsy now and you say, well, you know, I’m just going to do this. Okay? All it takes is just doing it once. Think about unprotected sex. Think about unprotected sex. Think about unprotected sex. Think about unprotected sex. So all you have to do is do it once to get herpes. All you have to do is do it once to get chlamydia.


All you have to do is do it once to get HIV or gonorrhea or anything else that’s out there, right? It only takes one mistake. Only take one mistake. And again, I’m not scared trying to scare the crap out of you. I’m trying to keep you safe. So now if you’re going to go out and I do recognize that some people are going to go out, I recognize it. Okay. And your grownups. Okay. And even if you weren’t grownups, I recognize that people are going to make choices. So you make the choice to go out, understanding that there is potential risk. There not necessarily probable risk, but there is potential risk. You want to see your family for father’s day, this weekend, they have not been quarantining. Okay. You have to understand that there is potential risk. There is it probable risk? Not necessarily, but it is potential.


And again, this is Russian roulette. Okay. So if you have a six gun and there’s one bullet in it, well, guess what? There’s a five sixth of a percent chance, not percent, but five out of six. You’re not going to get the one, but if you do get the one is not going to end well for you. Same with a plane crash, you could take 999 safe flights. If you get one bad flight, it’s not going to end well for you. Okay. And we don’t know who it’s gonna end well for and who it’s not going to end well for. And even if we did okay, if I know it’s going to end well for me. And I know that even if it ends well, for me, me going out and me not taking precautions can harm somebody else. Then for God’s sake, take the precautions in the interest of helping somebody else. Now, that being said, Let’s talk about masks. So the single best thing you can do for yourself, okay? When you go outside is to wear a mask. Now let’s go through masks from least intrusive to most intrusive. Now, why do you have to wear a mask? Does it have to be a mask? No. Is it a face covering? Is it something like that are some better than others? Absolutely. Okay. Some are going to be better than others. Okay. But shit, at least wear something. At least wear something. Anything is better than nothing. If I put this coat


Or my face and I walk around like this, at least as somebody sneezes right in my face, my face,


I can remove the cup and it didn’t go up my nose or in my mouth. Right. So let’s go from little things that are, that are, let’s go from most protective to least protective. Okay. So this is an end 95 mass. Now keep in mind that not all in 95, maths are individually fit. Not all in 95 masks are fit, tested even. And so what that means is that this end 95 masks that you buy at home Depot okay. Is pretty good, but it’s not going to help you. If you go into a room with carbon monoxide, okay. It’s not going to be fully sealed off because everybody’s face is different. Right. We all have little different curves, this and that. And it’s kind of like a space to, okay. If you’re in space and you get a pin sized hole in your suit, that’s it.


It’s kind of like all or nothing. Okay. But let’s put this on. Okay. So important. Quit the top on the top. Put the bottom on the bottom and squeeze this part here so that you have a good fit. So you’re trying to close off as much of the outside air from getting in as possible. Now listen to the naysayers who will say something like, well, yeah, but that’s not foolproof against coronavirus. Okay. You’re right. Okay. So don’t think of Corona virus as like a swarm of bees that swarming around you trying to find every little area. Okay. Every little area to get its way in. No. Okay. But think of it like this Corona virus needs something to transport it. Okay. It needs air. It needs mucus. It needs spit. It needs saliva. It needs something. So guess what? If I am going to simply spit in your face Corona virus or not, would you prefer to have a mask on or a mask off?


I would prefer a mask on because even if you spit in my face as an emergency procedure, I can pull his mask off and throw it away. And your spit didn’t get up my nose or in my mouth. Okay. Now somebody asked isn’t the whole idea to protect others. The idea is to protect both of us. Okay. Anyone who says that? Me wearing a mask, doesn’t protect me. Doesn’t mind being spit in the face. Okay. And I’m going to give you the best analogy that I like the most, because it’s the most clear, imagine we’re both sleeping in a bed together. Not let’s not imagine that. Imagine that neither one of us is wearing pants and I pee on you. You’re going to get a lot of pee on you. Let’s say neither one. Let’s say I’m not wearing pants. You’re wearing pants and I pee on you.


Yes. You can take the pants off. Yes, that’s better. Okay. Yes. That’s better than not having pants on, but you still get wet. Okay. Now, if we’re both wearing pants, then you’re not going to get wet. Right? Cause it’s all going to stay with me. But even so if something comes my way, this is still protective of me. So it’s not as simple as is this different text. You, when I wear a mask, it protects you. When you wear a mask and protects me both protect both. Is it foolproof? Absolutely not. What in life is pull full proof. Okay. What in life? This will grow. But if I said to you, somebody is shooting. Would you like to put on this Bulletproof vest? Most of us are going to put on a Bulletproof vest. And it sounds funny. Okay. And people think I’m overexaggerating or overreacting.


When I talk about a Bulletproof vest, but the idea is a bullet can kill. You COVID can kill you. Okay? We don’t know that every bullet is going to kill you. We don’t know that every case of COVID is going to kill you. But if we have the option of not getting either one wouldn’t you take it. The States are potentially high with COVID. Okay. So imagine if I gave you this cup and it was full of jelly beans, and you love jelly beans. And I said to you happy birthday. Here’s your favorite candy jelly beans. This is one thing I have to tell you. One of the jelly beans in this cup is going to kill you. If you eat it, how many of you are going to have any jelly beans? No, you’re not. So here’s the deal. This is pretty protected here. Watch me breathe. Now I’m coughing. Okay. But watch




And I’m starting to get dizzy, starting to get lightheaded. You know why? Cause I’m I’m feeling I’m going to pass out. Cause I’m breathing in my own carbon dioxide. Right wrong. That’s a myth. People that doesn’t happen. Okay. That’s not going to happen. So don’t worry about that. Or are you worried about breathing in a little carbon dioxide or are you more worried about the COVID? Okay. People who drive through a tunnel with their windows open on a regular basis, have nothing to worry about when it comes to carbon dioxide. But look, I can breathe.




Alright. There’s that? Okay. Then we have cloth, cloth masks or masks like this. Okay. Now this, okay. This space invaders mask. Okay. Is what’s called a vog mask. Now some people don’t will not allow you to wear this for the belief that Corona virus can get into this, this, this, I knew I’d find it eventually, but it’s hard with this backward thing. But look, And again, some people are gonna ask me, well, if air can get in there, doesn’t it mean it’s not, it’s not effective against coronavirus. Okay. Again, is it effective? It’s more effective than nothing. And here’s another thing you could do. What I did when I was on the plane is I took this and put this on over here. And then I took this and I put this on over here and now I have double protection. Look, I can still breathe.




Okay. Now let’s say this is too much or you don’t have one. Those let’s say this thing right here. Okay. And I’m going to show you an extreme example right now. No, I’m not. I just rethought that one, but you get the point. Now let me show you it in a different way. Okay? So look, I now have paint on the front of this, right? But look on the inside. You don’t have paint on it. Okay. That’s just seeping through from the other side, but let’s say this paint is somebody coughing in my face, sneezing in my face. Okay. Someone coughs in my face. My objective here is to get this off my face as quickly as possible. And guess what? The paint didn’t go in my nose where I can inhale it or in my mouth where I can inhale it into my lungs. You get the idea. So this is something that is the lightest weight. Hang on one second.




And these things come in boxes of 50 or a hundred and they’re pretty inexpensive. So you should have several with you. Okay? So that if someone coughs in your face, you’re not out of, you could wear two masks while using oxygen. Okay. You can. So with all due respect, okay. When people say to me, Oh, I have CLPD. I can’t do it. I wear oxygen. I can’t do that. I can’t. You can, you can. You can. Okay. So here’s the deal using oxygen does not make you immune from COVID. So again, risks and benefit, risks and benefit, risk and benefit risk of wearing a mask risk of not wearing a mask. Now here’s the thing. If you have difficulty wearing a mask, guess what else? You can wear a face covering. Okay. [inaudible] look




Can I breathe? Yes. Okay. Is this completely immune from COVID? No, but if somebody coughs in my face and their COVID full mucus lands in my faith, guess what? I can take this off. If it goes into my nose, if it goes into my mouth, if it goes into my mucus membranes. Okay. It’s going to potentially be much greater absorbed then if it goes on this. Okay. And this is a Noah G pop original. Okay. Is this better? Is this better than a mask? No. Is it better than nothing? Yes. Okay. Think about it. If somebody coughs in your face, sneezes your face and you have something covering it, you can go. Oh, done. Okay. And then finally, the last question is what about face shields? Okay. So the idea is this okay. A face shield alone is better than nothing. Okay. A face shield with a mask is perfect.


Why? Because we have three places that this virus can enter. Our system. Mucus membrane was on our face, our eyes, our nose and our mouth. So this mask protect my nose and my mouth, this protect my eyes and with this. Okay. Again, unless you’re spending a tremendous amount of time. Okay. With somebody face to face breathing indoors in an, in an enclosed place, the risk is much less add to that social distancing, add to that frequent hand washing. Okay. But people please do not sleep on Kobe. Do not sleep on Kobe. It is not gone. Okay. As they say, we may be done with COVID COVID is not done with us. Okay. And for the people that have respiratory disease, for the people that have cardiovascular disease, for the people that take medications that immunosuppress them or make them immunocompromised. Okay. If you can’t breathe in a mask, then maybe you should consider going outside.


Now, is that fair? No. Is it fair that you already have a disadvantage that you already have a disability that you already have a condition and now you’re being asked to stay home? No, it’s not fair. But guess what? When an antelope is, is, is, is running on the planes and then it gets torn apart by a pack Alliance. Is that fair? No, it’s not fair, but that is life. And that is nature. And as human beings, we really need to get over ourselves and realize that there are things bigger than ourselves, stronger than ourselves, more powerful than ourselves. And the way that I describe the ocean, when people are not behaving, as I say, the ocean is bigger than you. It’s stronger than you. And it never gets tired. Okay? Corona virus is smaller than you, but it’s much stronger than you. From a impact perspective.


It’s much bigger than you and Corona. Virus is never going to get tired. Which means until we have some form of immunity in the form of a vaccine. And I talked about herd immunity the other night, which sounds like mutual of Omaha, but it’s really vicious until we have some treatment and or prevention, protection vaccine, et cetera, et cetera, et cetera. COVID is dangerous to you. So again, for those of you that can’t wear a mask or say you can’t wear a mask, okay? There’s things you can do. Number one, don’t put on the mask for the first time. The first time you go out, don’t put on a mask for the first time. The first time you put your oxygen on this mask, if you really have trouble, this is the best type of mask. Why? Because you can practice with it. Okay? You can practice with it.


And one of the things that I learned, both in EMS, hazmat training, and one of the things I learned as a rescue scuba diver is you have to learn how to take your equipment on and off, under, under distress, in a distress situation, in an emergency situation. But the idea is you don’t go 250 feet under the water and that’s the first time you practice it. So put your mask on at home, in an air conditioned room where you feel comfortable, where guess what all you have to do. If you get short of breath, is that practice. Okay? Take a breath in, talk to yourself, tell yourself that you’re okay because there is no physiologic reason why this should not allow you to breathe. There’s no physiologically. I know it’s more difficult. I know it feels like there’s more resistance, which there is. I know it feels like it’s more work, but it doesn’t mean you’re not getting enough air.


And it doesn’t mean that you’re not getting enough oxygen because if you weren’t, I can promise you that at least half of the time spent on medical shows about surgery. You would see the people doing the surgeries, passing out on the floor. So you have to do a combination. Think about when you were first diagnosed with COPD. Think about when you were first diagnosed with pulmonary fibrosis. Think about when you first developed shortness of breath, et cetera, et cetera, et cetera. When everything made you shortness of breath, short of breath, what did you do? You learned breathing techniques. What did you do? You practice breathing techniques. What did you do? Your exercise to help those breathing techniques become more efficient to help your body become more efficient, to increase your confidence so that you are able to do those breathing techniques with progressively increasing activity. So if you tell me that you cannot wear a mask, okay. Then in my opinion, you shouldn’t be going outside. Okay? If you tell me you can’t wear a mask because your breathing is too bad, then you are at tremendously high risk. If you get COVID okay. And again, I saw something the other day, somebody posted that they don’t want to wear a mask. They count on other people to keep them safe. Okay.


I count on me. Okay. I don’t want someone else packing my parachute. I don’t want somebody else filling my air tank. I don’t want somebody else checking my life. Preserver, et cetera, et cetera, et cetera. Please be careful. Trust me on this. Okay, so now it’s a nice, beautiful air conditioned room. I’m going to practice one breath.




After the one breath, I’m going to take this off and I’m going to take as many breaths as it takes for me to feel comfortable again and say, Hey, I survived the breath. Now I’m going to do two breaths.




Take it off. Hey, I survived to two breaths. I’m going to try four breaths. Now you get the idea. Okay? But use it, practice it, try it out in an area where it doesn’t put you at risk. If you have a panic attack, because all you have to do is this. It’s like we practice rescue techniques in the pool so that if worst comes to worse and you’re in distress, you just stand up and you’re okay. You get the idea. I’m going to questions.




If you have a portable oxygen in a gin, is it okay to use on borderline on need? And with given the options of buying my own could not get canisters. Is it safe to use? I’ve been using social distancing and Childermass so, you know, the big thing that people worry about with the POC is that somehow Corona virus is going to enter through the air entry and that it’s not filtered enough. You know that it’s not filtered enough and you could potentially contract Corona virus that way. I will say this while not impossible. Okay. Well, not impossible. It’s highly improbable unless you are right up close with somebody and that person is breathing in and out of your filter and your air inlet, et cetera, et cetera, et cetera. So, Donna you know, if you can’t use if you can’t get the canisters, by all means, you can use it super socially distance shield mask.


And the other thing you could do is you could put this around your device, okay. Around it. Now don’t keep it on for 20 hours. If it’s blazing hot, check it periodically. But if you put something like this on and just tape it on that way, if worst comes to worst, some nut runs up to you and coughs right in your thing, okay, you can take this off and dispose of it. You can protect yourself. I have a face mask from tool Harbor. Can I use that and a mask? I don’t know what tool Harbor is.


Is that a a place, if you have a face shield and a mask? Yes. Luckily I’m in an area that has not been greatly affected. Wish, wish these programs were captioned. They are captioned on replays but captioning cost money, which is a good time to say, Hey, if you would like to donate to the pulmonary wellness foundation so that we can help you, if you would like to help us help you Does it matter if the blue side is in or out? Yes. Blue side out just a hundred minute, minute meters from my residents to COVID cases, government is very serious. We have four policemen standing by medical team. Ambulance standby lane is closed containment zone. Absolutely. can you put a mask on a portable concentrator? Yes. You can. You know, again, we don’t know if something’s necessary or not. Right? it’s like you say, any place is walking distance if you have the time. So I could walk to Florida if I have months. Okay. But the idea is


You know,


We don’t know if it’s necessary. It’s only necessary if you come in contact with somebody with COVID. So that’s the thing. Can you wear them effectively with your Kanyola while using oxygen? Yes. I live in Massachusetts and this state has new cases. Every day I wear a mask and gloves and won’t continue for months to come. He said, yes, you can wear them on oxygen. Thanks. Hubby told me blue side in Oh, hubby or Holly. If I get shortness of breath while wearing my mask, I lift the bottom just a bit to let fresh air in and cool down. And then I’m good to go again. Think about what it is. Is a Bulletproof vest uncomfortable? Yes. Does it make it harder for you to breathe? Yes. Does it make you harder for you to breathe then getting shot in the chest? No. Okay. Trust me.


Is a mass potentially uncomfortable? Yes. Does it potentially make it harder to breathe? Does it make it harder to breathe than Cove? It definitely not. Okay. Didn’t know if the seal on the mask with cannula would be sufficient again, you know, keep in mind that this is not a sealed off space. Okay. This is not impermeable. This is not foolproof. Okay. So when somebody says this is not proven to stop Corona virus. That’s right. Look there’s there’s openings here. So is it possible that Corona can get in? Yeah, but Corona’s got to travel on something. It doesn’t have its own car. Okay. It doesn’t have its own car. So the idea is if somebody mucus Loogi is in my face and it goes on my mask, I can take it off and I could wipe my face instead of it going right on my face and maybe directly into my nose or into my mouth.


And then you ain’t getting it out. My friends. Alright. Is K 95 more effective than a surgical mask? Yes. Herbie was worried about that. Great info. Thank you. My friend got COVID-19 India from her mate. She was in ICU. 17 days stream. Listen, guys. I live in New York city. I know 25 people personally who have died, died, including one of my friends and partners, mother, father, and brother. Okay. it’s real. Okay. And you know, for all the people that are in the different parts of the country, God help us look out Tulsa. Okay. For all the people that are in different parts of country, that really haven’t been hit hard yet. Trust me. I hope I’m wrong and I hope you never experienced what we here in New York city experienced. And again, New York city is a little different where super congested we’re super packed.


We’re super tight. Okay. But trust me, we hauled ass to shut this thing down. We stayed home. We stayed home for months. I closed the pulmonary center on March 10th. I closed the pulmonary center more than three months ago. People tell me when you’re gonna reopen the pulmonary center. I’m not okay. I’m not, I’m not until we have a vaccine, if that. Okay. I’m not willing to put my patients on at the risk of dying. I don’t want to hear every, every month, the three of my patients died of COVID because they came out to come to rehab. Okay. There’s other solutions, my friends, other solutions. All right. I hope I drove this point home. Okay. At least to you, my community, my brother and my sister. And okay, please. Don’t you guys get tired. Okay. I see it on TV. I know people are tired. Okay. I know people are tired. Okay. But here’s the thing. Okay. Tired is alive. If you’re, if you’re tired, that means you’re alive. If you’re bored, that means you’re alive. Okay. Being alive is kind of number one without that. Nothing else matters. And if you don’t think so, ask somebody in your family, how they would feel if something happened to you,


All right, my friends stay safe. Please stay safe, stay into listen. And if you know me, I am not a wimp. I am not a worse. I am not a chicken. Okay. I’ve done a lot of things that take a lot of guts going out and rolling the dice against a deadly illness. That’s running rampant. That’s not what I need. And that’s coming from somebody who swam with great white sharks, no cage. Okay. Trust me. This is much scarier. These saved my friends. Have a great weekend.