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  • ♪ ♪ ♪ >> Stephen: WELCOME BACK,

  • EVERYBODY.

  • MY FIRST GUEST TONIGHT IS THE CHIEF MEDICAL CORRESPONDENT FOR

  • CBS NEWS.

  • PLEASE WELCOME, DR. JONATHAN LAPOOK!

  • DOCTOR THANK YOU SO MUCH FOR BEING HERE.

  • >> GREAT TO BE HERE, STEPHEN.

  • >> Stephen: PEOPLE SAY WE'RE AT WAR WITH THIS VIRUS.

  • THEY'RE USING THAT METAPHOR A LOT.

  • >> YEAH.

  • >> Stephen: WHEN YOU GO INTO A WAR, CERTAINLY YOU HAVE A GOAL

  • OF WHAT VICTORY IS.

  • YOU HAVE AN EXIT STRATEGY.

  • WHAT'S OUR EXIT STRATEGY FOR THIS VIRUS?

  • >> YEAH, WELL, ULTIMATELY, THE EXIT STRATEGY IS THAT THIS

  • VACCINE IS WIDELY GIVEN.

  • SO AMAZINGLY, WHEN THEY CAME UP WITH A VACCINE, WHEN THEY MADE

  • THE VACCINE FOR SARS, IT TOOK 20 MONTHS.

  • WHAT THEY'VE DONE SUBSEQUENTLY IS FEWER AND FEWER MONTHS TO DO

  • IT.

  • SO TONY FAUCI EXPLAINED THIS ALL TO ME.

  • IT TOOK ABOUT TWO MONTHS-- I THINK IT WAS 63 DAYS FROM THE

  • MOMENT THEY GOT THE SEQUENCE OF THIS NEW VICE, THE NOVEL

  • CORONAVIRUS, UNTIL IT WAS A VACCINE THAT WAS TO BE TESTED.

  • BUT IT'S STILL GOING TO TAKE ABOUT A YEAR, A YEAR AND A HALF,

  • FOR IT TO BE ADEQUATELY TESTED.

  • BY THE WAY, I THE WAY THEY DID THAT WAS ABSOLUTELY AMAZING.

  • THEY HAD A ZIKA VACCINE THAT WAS ALREADY INVENTED.

  • THEY BASICALLY UNSCREWED A PART OF IT THAT WAS SPECIFIC FOR ZIKA

  • AND SCREWED ON A PART FOR THE CORONAVIRUS.

  • >> Stephen: DID THEY USE CHISPR TO DO THAT?

  • >> THEY DID NOT USE CRISPR, BUT THAT WAS A REALLY SMART

  • QUESTION.

  • >> Stephen: THAT'S WHAT I SPECIALIZE IN, SMART QUESTIONS

  • THAT ARE NOT APPLICABLE.

  • >> AND YET, A SMART QUESTION NEVERTHELESS.

  • I THINK ULTIMATELY WE'RE ALL GOING TO BE MORE RELAXED WHEN WE

  • HAVE A VACCINE THAT WE KNOW WORKS, WANT MILLION-DOLLAR

  • QUESTION.

  • >> Stephen: WHY DOES THIS TAKE A YEAR TO A YEAR AND A HALF?

  • IF WE HAVE SOMETHING THAT IS POSSIBLE VIABLE IN TWO, TWO AND

  • A HALF MONTHS, WHAT IS GOING ON IN THE YEAR, YEAR AND A HALF

  • THAT WE'RE WAITING?

  • >> TESTING.

  • SO THE FIRST PHASE IS TO SEE WHAT YOU KNOW, IS IT SAFE?

  • DO PEOPLE GET IT-- SMALL NUMBERS?

  • AND DO THEY HAVE SOME HORRIBLE REACTION?

  • THEN A LARGER NUMBER OF PEOPLE IN A PHASE TWO.

  • THEY MAY COMBINE IT WITH PHASE THREE, TO SEE ARE THERE ANY

  • UNEXPECTED SIEFNGS?

  • YOU KNOW, STEPHEN, MEDICINE IS AN ETERNALLY HUMBLING

  • PROFESSION.

  • SERIOUSLY, IF YOU HAVE BEEN A DOCTOR AND YOU DON'T UNDERSTAND

  • THAT, IF YOU HAVE ANY HIEWB LIS LEFT, YOU'RE IN THE WRONG

  • PROFESSION.

  • LOOK AT THALIDOMIDE, DRUGS THAT HAVE TERRIBLE SIEFNGS.

  • WE'RE HOPING, WE'RE CROSSING OUR FINGERS THAT THIS IS GOING TO BE

  • SAFE AND FIESKT BUT YOU DON'T DEBT BIT ON IT.

  • THIS IS NO TIME TO THROW OUT SCIENCE.

  • IT'S A TIME TO EMBRACE SCIENCE AND MAKE SURE WE'RE DOING THINGS

  • THE RIGHT WAY, EVEN THOUGH THERE'S SUCH A PRESSURE TO SAY,

  • "LET'S GO AHEAD AND TRY IT."

  • >> Stephen: WHEN CAN WE EMBRACE EACH SNRG WHEN CAN I GO

  • OUT ON A STREET AND HUG STRANGERS.

  • >> YOU KNOW WHEN YOU GET HUGGED, YOUR OXYTOCIN, THE FEEL-GOOD

  • HORMONE, GOES UP.

  • NOT ONLY DOES IT MAKE YOU FEEL GOOD, IT ACTUALLY HELPS REGULATE

  • YOUR IMMUNE SYSTEM.

  • AND OF COURSE WE NEED OUR IMMUNE SYSTEM IN ORDER TO BEAT THIS

  • VIRUS BECAUSE IT'S SOMETHING WE DON'T HAVE ANY KNOWN TREATMENT

  • FOR FOR.

  • SO NOT ONLY DO HUGS INCREASE OUR OXYTOCIN, MAKE US FEEL GOOD.

  • BUT THE SOCIAL-- THE SOCIAL-- BUT THE SOCIALIZING, GETTING

  • TOGETHER MAKES US LESS ANXIOUS.

  • IF WE'RE LESS ANXIOUS, WE CAN GET BETTER SLEEP.

  • IF WE GET BETTER SLEEP-- GUESS WHAT HAPPENS WHEN YOU SLEEP IN

  • YOUR IMMUNE SYSTEM IS REPAIRED, AND WE NEED THAT.

  • >> Stephen: SPEAK OF NO KNOWN TREATMENT FOR THIS, SOME PEOPLE

  • ARE PUSHING THE IDEA OF HYDROXYCHLOROQUINE AS THE

  • ANSWER.

  • THAT WOULD BE GREAT IF THAT'S RIGHT.

  • OTHER DRUGS THAT HAVE BEEN PROMISING HAVE BEEN KEVZARA, AND

  • REMDESIVIR.

  • >> YES, REMDESIVIR.

  • >> Stephen: HOW CLOSE ARE WE TO KNOW IF THESE ARE VIABLE

  • TREATMENTS?

  • >> AGAIN, THIS IS A MOMENT WHERE YOU HAVE TO EMBRACE SCIENCE.

  • AND YOU HAVE TO BE REALISTIC.

  • IN THE HOSPITAL-- THIS IS WHAT'S GOING ON INSIDE THE HOSPITAL IN

  • THE TRENCHES, WHICH IS PEOPLE ARE SICK AS HELL.

  • AND DOCTORS WANT TO TREAT THEM WITH SOMETHING, EVEN IT'S NOT

  • PROVEN, EVEN IF IT'S NOT PROVEN.

  • SO WHEN A PATIENT COMES INTO A HOSPITAL, INTO MY HOSPITAL,

  • N.Y.U. LANGONE, THEY'LL GET A COCKTAIL.

  • THEY'LL GET HYDROXYCHLOROQUINE, ZITH ROMAX, ZINC,ST STEROID

  • ANTI-COAGULATION, AND IT'S HARD TO FIGURE OUT WHICH IS THE

  • PERFECT STUDY TON WHICH OF THOSE HELP?

  • THERE'S THAT.

  • ON THE OTHER HAND WE HAVE TO DO THE CONTROLLED TRIALS.

  • AND I THINK IT'S GOING TO BE VERY HARD TO DO THOSE TRIALS IN

  • THE HOSPITAL WHEN PEOPLE ARE SO SICK AND YOU JUSTUE JUST-- YOU

  • WANT TO BE SCIENTIFIC BUT YOU HAVE TO GIVE THEM SOMETHING.

  • AND I THINK THE TRIALS THAT ARE UNDER WAY RIGHT NOW-- AND THEY

  • ARE UNDER WAY RIGHT NOW-- ARE LOOKING NOT ONLY AT THE SEVERE

  • DISEASE BUT AT PEOPLE WHO HAVE MILDER DISEASE AND PEOPLE WHO

  • ARE-- HAVE BEEN EXPOSED TO PEOPLE WHO HAVE COVID.

  • SO MAYBE IF A DOCTOR HAS COVID, AND HYDROXYCHLOROQUINE IS GIVEN,

  • OR OTHER IMMEDIATES ARE GIVEN TO THEIR RELATIVES OR CLOSE

  • CONTACTS, MAYBE THAT WILL HAVE A ROLE.

  • BUT RIGHT NOW, WOE DON'T KNOW.

  • AND, REALLY, STEPHEN, THERE'S NO REASON TO PLACE A BET ON IT.

  • YOU DON'T TO HAVE A DOG IN THE FIGHT.

  • WE WANT THEM ALL TO WORK.

  • WE HAVE TO TRY THEM ALL.

  • AND HOPEFULLY WE'LL COME UP WITH SOMETHING.

  • RIGHT NOW WE DON'T HAVE ANYTHING THAT'S PROVEN.

  • >> Stephen: NOW, WE ASKED OUR AUDIENCE OUT THERE, WHO ARE

  • FOLLOWING US ON TWITTER, WE ASKED OUR TWITTER FOLLOWERS TO

  • TWEET US THEIR QUESTIONS ABOUT CORONAVIRUS FOR YOU.

  • I CAN-- CAN I PASS ON-- SOME OF THESE ON TO YOU?

  • >> ABSOLUTELY.

  • >> Stephen: OKAY.

  • THIS IS FROM...

  • >> YEAH.

  • SO THERE WAS SOME INTERESTING STUFF.

  • IT COULD BE ON CARDBOARD FOR A DAY OR SEVERAL DAYS IF IT'S ON

  • PLASTIC OR METAL.

  • BUT HERE'S THE GOOD THING-- THIS VIRUS HAS A MEMBRANE THAS A

  • LIPID MEMBRANE, AND IT DISSOLVES LIKE THAT WITH SOAP.

  • SO JUST TAKE YOUR CLOTHES OFF, THROW THEM IN THE LAUNDRY, ON

  • WARM CYCLE, WITH SOAP, AND THAT SHOULD TAKE CARE OF IT.

  • >> YEAH.

  • SO, THAT'S ONE OF THOSE THINGS WHERE YOU DON'T WANT TO GO-- YOU

  • DON'T WANT TO GO DOWN THE RABBIT HOLE.

  • YOU'RE TRYING AS HARD AS YOU CAN, BUT I THINK YOU HAVE TO

  • BECOME ALMOST AN EPIDEMIOLOGIST AND SAY WHAT'S THE WORST-CASE

  • SCENARIO?

  • THE PERSON WHO DELIVERED THE FOOD HAD VIRUS ON THEIR HANDS

  • AND NOW THE VIRUS IS ON THE BAG.

  • WHAT I HAVE BEEN DOING IS I HAVE THE BAG LEFT OUTSIDE THE

  • APARTMENT-- ORT HOME-- I TAKE IT OUT OF THE BAG EYE TAKE THE

  • STUFF OUT OF THE BAG, I PUT IT IN THE SINK.

  • IF IT'S GOT PLASTIC AROUND IT, I'M GENTLY SUDSING OFF, SOAPING

  • OFF THE PLASTIC CONTAINER.

  • AND THEN-- AND HERE'S THE KEY THING-- I MEAN, YOU CAN DECIDE

  • WHETHER YOU WANT TO THEN-- EAT IT IN THE PLASTIC OR TRANSFER IT

  • FROM THE PLASTIC TO SOMETHING ELSE.

  • BUT THE KEY THING IS THIS: IF YOU WASH YOUR HANDS-- AND I MEAN

  • REALLY WASH YOUR HANDS FOR 20 SECONDS, AND YOU DON'T TOUCH

  • YOUR MOUTH, NOSE, ORIZE BEFORE-- EVEN IF IF YOU HAVE VIRUS ALL

  • OVER YOUR HANDS, YOU'RE NOT GOING TO INFECT YOURSELF.

  • IT DOESN'T MAGICALLY GET TO YOU.

  • THE WAY WE GET TOUR HANDS TOUCH SOMETHING, IT'S GOT VIRUS ON IT,

  • AND THEN, OF COURSE, 23 TIMES AN HOUR WHEN THEY SECRETLY VIDEOED

  • MEDICAL STUDENTS IN AUSTRALIA, 23 TIMES AN HOUR THEY TOUCHED

  • THEIR FACE.

  • WE ALL DO THAT.

  • THE KEY THING IS TO WASH YOUR HANDS A LOT, TO SNEEZE INTO THE

  • CROOK OF YOUR ARM, OR INTO A TISSUE, AND THEN THE SOCIAL

  • DISTANCING.

  • SO ALL THIS STUFF THAT SEEMS SOICISM CELL REALLY IMPORTANT.

  • >> Stephen: THAT QUESTION WAS FROM THE REALLY ALEX.

  • >> YOU BET.

  • AND THIS IS THE QUESTION WE'RE ALL ASKING OURSELVES, RIGHT?

  • IT'S COLD, FLU, AND ALLERGY SEASON.

  • WE'VE ALL HAD SNIFFLES, A COLD, ANY OF THESE SYMPTOMS.

  • IT'S EXWRG EXWG FROM, LET'S SEE, NO SYMPTOMS-- ASSISTMATIC-- TO

  • HORRIBLE PNEUMONIA AND YOU'RE ON THE VERGE OF DEATH.

  • EVERYTHING IN BETWEEN A LOT OF US ARE WONDERING IF WE HAD.

  • THE WAY WE'RE GOING TO KNOW THAT ULTIMATELY IS SOME ANTIBODY

  • TEST.

  • LET ME QUICKLY GO OVER IT.

  • THERE'S THE P.C.R., TEST IN YOUR NOSE AND THROAT TO SEE IF YOU

  • HAVE ACTIVE VIRUS NOW.

  • THEM THERE'S THE BLOOD TEST.

  • IT'S A SIMPLE BLOOD TEST.

  • IT'S LIKE THE SAME TYPE OF BIOLOGY AND TECHNOLOGY FOR THE

  • MEASLES, MUMPS, AND RUBELLA TEST THAT A LOT OF US HAVE EACH YEAR.

  • YOU TAKE THAT, VERY QUICKLY, YOU CAN FIND OUT WHETHER YOU HAVE

  • ANTIBODIES.

  • THE REASON WHY ANTIBODIES ARE SO IMPORTANT IS THEY DON'T TELL YOU

  • IF YOU HAVE THE INFECTION.

  • THEY TELL YOU IF YOU HAD THE INFECTION.

  • AND HERE'S WHAT WE DON'T KNOW FOR SURE: IF YOU DO HAVE THESE

  • ANTIBODIES WHAT, DEGREE OF PROTECTION DO YOU HAVE AGAINST

  • FURTHER AND FUTURE INFECTION IF IT ACTS LIKE A LOT OF OTHER

  • VIRUSES HAVE, IT SHOULD BE FOR A YEAR OR TWO.

  • WE'RE NOT SURE.

  • WE'RE STUDYING THAT RIGHT NOW.

  • THE ANSWER TO HIS QUESTION IS YOU NEED TO HAVE THAT ANTIBODY

  • TEST, YES, ABSOLUTELY.

  • A LOT OF US, I BELIEVE, IT WAS PROBABLY AROUND JANUARY AND

  • FEBRUARY.

  • >> Stephen: WAIT A SECOND, IF YOU HAD IT AND YOU ACHIEVED

  • IMMUNITY BECAUSE YOU HAD IT, IF YOU TAKE YOUR BLOOD AND PUT IT

  • IN ME, AM I IMMUNE NOW?

  • >> NO.

  • SO YOU HAVE TO EITHER-- SORRY, STEPHEN.

  • THAT WHOLE VAMPIRE THING.

  • YOU HAVE TO EITHER GET INFECTED AND THEN DEVELOP IMMUNITY,

  • ASSUMING YOU SURVIVE-- WHICH 80% OF PEOPLE HAVE RELATIVELY MILD

  • ILLNESS-- OR THE VACCINE, WHICH THEN MAKES YOU HAVE YOUR OWN

  • IMMUNE SYSTEM.

  • THAT'S ACTIVE IMMUNITY.

  • WHAT'S CALLED PASSIVE IMMUNITY IS WHEN YOU GET SERUM, SOMEBODY

  • HAS HAD COVID-19, THEY RECOVERED, THEY HAVE A LOT OF

  • ANTIBODIES IN THEIR BLOOD, THEY TAKE STUFF CALLED PLASMA, THE

  • PART WITHOUT THE RED, WHITE CELLS AND PLATELETS IN IT, AND

  • GIVE IT TO SOMEBODY IN A TRANSFUSION.

  • AND THEY HOPE THE ANTIBODIES WILL PROTECT THEM, SOMEHOW FIGHT

  • THE VIRUS.

  • WE'RE NOT SURE IF THAT'S GOING TO WORK.

  • THERE ARE CLINICAL TRIALS GOING ON.

  • BUT, YEAH, SORRY ABOUT THAT STEPHEN.

  • >> Stephen: THERE GOES MY START-UP.

  • DOCTOR THANK YOU SO MUCH FOR BEING HERE.

  • STAY SAFE.

  • >> STAY SAFE YOURSELF, STEPHEN.

  • THANKS FOR INVITING ME.

  • >> Stephen: DR. JON LAPOOK, EVERYBODY!

  • WE'LL BE RIGHT BACK WITH CATE BLANCHETT.

♪ ♪ ♪ >> Stephen: WELCOME BACK,

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