Oh, the biggest difference again is that you get more more more settings to the business manager so that's what this is right so what we want to do is we want to start with the top is the account so now we'll set up a new ad account. The ad account is what's tied to the credit card. So you'll start running ads out of out of this one and it will get pulled from from whatever card so go to click on the blue one. And let's just add this real quick. So we're going to we're going to create a new ad account. So we'll create a new ad account. And what I like to do is name everything the same. So for example the top left you have it named your name Heather Schwann that's that's the name of everything. So if that's the name that we're running with. Okay that's the same name for the ad account that's going to be the same name for the pixel. So keep everything the same name, unless you want to name it something different right now, like a lot of times people will put real estate or realtor or whatever they'll just, and this is internal right now just mean business. Yeah, that's fine. That's that's perfect and no one sees that anyways that's all internal.  Okay cool so you're going to go my business will go will go my business and then create. I don't know why you'd want to change that will go back and change that name because now you have two accounts name the same. You have this business account name Heather Schwann and then you have your account name Heather Schwann. Right so that's why in the future you'll you'll we'll just edit the name no big deal. Okay so hit hit hit that circle on the top left, Heather, you'll always check that because you're always giving permission to you. It's kind of like, it's kind of like its own entity, the same way real estate a lot of agents they'll go out there instead of an LLC, right the LLC, it's your, it's your LLC, but it's its own entity, Heather Schwann, it's, it's still responsible for that LLC, even though it's a completely own entity. Same thing here it's the same analogy that it's an analogy that I'm trying to give you here, where the business manager, it's its own entity, but Heather is still tied to it. So you'll always want to check your name there and then give yourself full control the bottom one to the right. She done a blue perfect assign. Okay cool and then add payment info, and then just go ahead and put, you can either type PayPal or tie a card. So that part set up we're good there so now to the very very left, what we want to do is we want to tie up the Instagram make sure that's tied, tied to the account Instagram account. Click on that one. This one should be okay cool so you're good there. And then scroll down so data sources. Let's go ahead and set up this pixel real quick so click on pixel. And then we're going to add. We'll go ahead and just name it the same Heather Schwann's pixel, or just take away the word pixel you could just name everything Heather Schwann everything's Heather Heather Schwann. Okay cool and then continue. And so now that we have our, our car trip pages up we can simply add it to the page real quick. So we're here we're going to go go and click on set up the pixel now. I do have a pixel to my website. I don't know. It's not this pixel it would be a pixel maybe from maybe one of the other accounts. But this will be a whole, a whole new new account. So click on click on the middle one manually add pixel code. Yeah click on that one. And then that right there just click hover over the blue and click. Okay cool and then hit continue. That's your whole pixel code, and then hit cancel. Okay so now what we want to do is take it to Cartier real quick let's go let's go to Cartier, and we'll start with the. We'll come back to this part so just click on back and click on cancel. So click on pages to the left and let's let's start with, in fact we'll put them on both, but let's start with the opt in page. Actually they're going it's going to go on all of the pages but let's start with the opt in page. So click on the three dots and go to edit. And so this is yet often yeah three dots edit. So this is where you'll add your, your pixel. So what we'll do right away is click on, actually yeah go through this tutorial just keep hitting next next next. So now in here we're going to click on settings to the very left. So you'll see settings and then one thing that I'll always do right away is click on SEO parameters. You see all these tabs that you have open at the top. You have Gmail zoom in one hour you have the zoom one post attendee. There's titles right there's titles in the tab. That's your name in the tab so page title so your free seller guide you can always change that. So if you want to name it something else what you know, give it a different name you can always change it there. So, hit settings again. We want to go to the second one down and go to tracking code. So tracking code this where all the different codes of different ways you could track the page this where all that stuff goes so at the very very bottom yeah Facebook pasted in right there. And then apply. Okay cool now on the top right you're going to hit the green button actions, save progress, publish live. Okay cool so that was the pixel. And most websites are the same and that's why even with your with your with your real estate website, your actual the one you got from publish live. Yeah publish live. So, you want to make sure that that pixel is on anything else you got going on. So, just like a few minutes ago you said you have a pixel like we want this pixel to be on everything. So if anything, find out if if you can add your own pixel to your real estate website. I think I can I just don't know how. Okay, we'll figure that part out. So close close this out right here close close and then we'll hit actions and return to dashboard. And so, that's how you add the pixel so all you'll want to do later on is go into the thank you page go into the call confirm page into the same thing, hit settings to the left tracking code and paste in that code. And you don't always have to go back to Facebook to grab it. Now that you have it on the opt in, you can grab it from there. Okay, right so just copy the same code there and go add it to the call confirmed add it to the thank you page. Right so. You can do it now or you could do it later. Let's. Okay, go ahead. Yeah, no it's totally up to you I just know we're press for a time. Right. Whatever you think is easier to get it up and going. Gordon. Well we need the domain that's what's going to stop us right now we need that domain, but you can add it now. Let me let me touch on this page real quick because this really the other pages the call confirmed and the email sequence those are the other two pages right right now we work on the opt in page. This is the thank you page. Right. It's really these two pages these are your two main pages with these two pages you can capture as many leads as you can possibly freakin handle. It's these two main pages. So when someone comes to the landing page and they opt in and they come to this thank you page. This is your chance for that first appointment. This is this is the chance so so that's why I call this the money page because on this page. That's when that person now trusted you they opted in. They're now in your world. They you obviously caught their attention where they wanted to give up their information and download what what what you're offering right here they need to see you in video. Okay, so this is a simple video you can shoot on your cell phone. This could be a 30 minute or 30 minute a 30 second video this could be a 30 second video and here are the four bullet points so X on the top left tracking codes exo style let's look at this video real quick. Actually it's not a video it's just an image, but but this is where you would put the video. So on this video here's what you want to jot down real quick these are four bullet points and this this is a video that you can work on over the weekend. Here's your home. Actually you have two homework assignments. One homework assignment is the domain, figuring out where the hell that domains at, and then the second one is going to be is going to be to your second homework assignment is going to be to do a simple video. Simple video and that's for the thank you page. So this video for bullet points that you're that you're going to hit on. Number one, I'm thanking them. That's a bullet point number one. Thank you. Thank you. Thank you for downloading my 2022 seller guide in this seller guide you're going to learn this this this and this. Number one, I'm just thanking them and I'm giving them a little bit of idea of what what's what they can expect in the seller guide, and why why you're so fired up and why they're going to learn so much number one I'm thanking them. Number two, I'm introducing myself. Right and let them know a little background about me why I'm so excited why I love helping sellers, you know little and you can even get personal you know, 20 seconds 25 seconds my name's Heather.  That's number two, and then number three, let them know that you just emailed their seller guide. So number three I would say something like hey guys and by the way, I just sent you your seller guide so make sure to make sure you check your inbox right away sometimes spam. So the title of the email is going to be your free seller guide make sure you look for it do a search if you need to, but I just sent it to you so I'm so excited for you to start reading it. So number three I'm just kind of giving them, you know letting them know hey could have landed in spam so make sure you check there, but here's the title of it. You can title it whatever you want but I'll I'll let them know, you know here on bullet point number three, the title of it is this so make sure you look for it. That's number three, check your email, and then I will also say part of number three is I would also say hey and by the way I have a ton of great emails a ton of great content come in your way. So I'm going to be educating you on what it takes to sell in today's market so make sure you check every email and make sure you open them right away. Okay, right so that's all part of number three I'm letting them know hey I just emailed your, your seller guide but but also be on the lookout for future, for future, future emails. And then number four, number four the last one, I'm letting them know I'm saying hey, and by the way you guys if you're in the market now if you have questions that need to be answered now. Click the button below so scroll down, click the button below it'll take you straight to my calendar we could schedule your best time scroll down a little bit. You see the yellow button, so I would tell him I say hey, click the button below it'll take you straight to my calendar we could schedule your best time. So number one I'm thanking them number two I'm introducing myself number three I'm telling them to check their email and number four I'm telling them to schedule a call. That's that for that's that that that short video that you would put there shoot it from your cell phone keep it simple, maybe put even put your kids in it who no one care like everybody wants to know who the hell Heather is show them the real Heather be as authentic as you can on this right because that's what people are gonna fall in love with is the real you. This is the chance where we have that a point where we get that chance to shoot for the appointment. Now, those that don't schedule an appointment here. That's why the email automation is so important because you can capture the lead on Facebook or Instagram or run any ad online capturing the lead is one thing. But if you don't nurture that lead. That's where everybody drops the ball. So that's why Carter is so important because of the email auto responder so those that don't schedule a call here. That's where those emails need to go out. So those emails are all going to be designed and written to get that person to schedule a call. So for example, if you land on this page and you don't schedule a call. Tomorrow you're going to get another email. Hey Dave just wanted to follow up. This is Heather. Hey, did you get a chance to get to page two yet on page two I'm talking about the importance of renovating your kitchen and how much value that can bring to the overall listening price as you go to sell. Here's what what I meant by it. And by the way Dave, if you have any questions I'd love to talk to you click the link below or take you straight to my calendar where you can schedule your best time. I'm going to talk to you. Right, that could be an email number two that went out to a lead that did not schedule a call and culture will know who scheduled a call and who doesn't I'll help you set all that up. Okay, and then and then and then three days later, another email goes out. Hi, this Heather just wanted to follow up. Right. So these emails are all written one time up front, but then we, we, you know we we program and program them to go out maybe every two days, you know, after after the fact after they land there. So, culture is so important because of the landing pages because of the email auto responder and because of the online calendar, those three tools are normally sold separately. And that's why I use I use cartridge because those are the main three tools that we all need. So yeah, so say Prague actually hit the did you hit the apply button to the bottom left. Yes. Okay, cool. Okay, so published live. Okay, good. So we're good there. Okay, so that tracking code. What's that done the tracking code. Perfect. Okay, good. So as long as you hit the green apply button to the bottom left, you're fine. So we got that. So that's all four pages. So now what we want to do really, really quick is click the three dots on the opt in page, get code or link. So click the three dots, get code or link. And this is where we would change out the custom change out the link, get the page link, we would change it out to the custom domain but we don't have the custom domain yet get the page link click on that get the page link copy that link. And now would again that would normally be your custom domain, open it up in a new tab so Facebook can read it for the first time so now we have the pixel on the page. Facebook is now going to track that visit, but it's not the most accurate track because it's missing the domain. Facebook needs to know the domain that is coming from and we can't give that domain to Facebook because that's not our domain. Right. It's our domain but it's really cartridge domain so we need our own custom domain. So, so okay so now that's that let's go back to the ads manager real quick. Okay so we got the pixel up. So go to refresh this page, actually know what add people add people to the bottom right, or to the very right add people. So we added, we added Heather to the ad account. We're also adding Heather to the pixel.  Okay cool hit done, and then hit refresh top left refresh. So this will eventually that red dot will eventually turn green if it doesn't turn. Okay perfect so see so Facebook read the page right away and activated the pixel. So, you're good there so now to the bottom left, let's go down a little further. Click on brand safety. This is where you would integrate the domain so you would click on domains, and then you would add that domain in fact we can do it now but it won't be active because we have. And go ahead and add it now going to click on add it'll at least be set up here so we're going to type it in there. Actually know everything except for the WWW no WWW just the domain. And then add and we'll just leave it leave it here and we'll come back to it so I have a question so if I have, you know this registered to California should I just like make a brand new domain then you. It's not registered anywhere actually it's it wouldn't be specifically a state state related at all. Okay, well because it's I guess it's hooked up to my my California real estate website. Okay yeah yeah whatever one domain per website. So if you're going to leave it that way, then yeah you would need a different domain. Okay, so what do you have three different you have two different websites. Yes. That's right your Kelly and Texas. Yes. Gotcha, man Heather you're getting ready to crush it. I'm trying. So then. Yeah, you would need a third domain and here's a little hack as well if if if you're able to hack it but click on. Click on me and what I mean by hack is just a little discount just a discount if you were to need to purchase a domain which I think you do. You're going to you're going to need to purchase a third domain, right, because these are already tied to so let's remove this one top right let's just remove this one. Go into incognito do you know how to go into where's your incognito click on that you see the three the three dots in the top right where it says update and read those three dots.  Go to Google.com and then type in cheap domains cheap domains. So right here at the top. We should see where's your words go daddy do we see a go daddy one.  Normally it's an ad at the top we didn't see at the top. No, go back up real quick. Normally it would be an ad. We got a web we got domain we got put a space in between so go back up in the in your search put a space in between yeah put a space and do it again search it. There it is perfect so that ad 99 cents. So this this just simply allows you to get the next domain for for a buck, but it's only if you you, or it's only. It's only if you haven't used that credit card with go daddy. So if you have a completely different credit card maybe grab your hubbies or whatever just just it that's if you want to get it for a buck if you don't care then whatever but I mean if we could save a few dollars why not but right click on it click on it it'll allow you to get the next domain for a dollar but you would just set up a new account. And again you can tie everything into one account. And I've done this a million times because I've always, I'm just cheap like that. I'll use different credit cards and get the next domain for a buck and then I'll just tie it into my my real account. So this is just a little hack you can always do this later but yeah you're going to you're going to want a third domain. Okay, so let's go back to. Yeah let's go back to the as manager real quick you can close. Yeah you can close it okay cool so here's where you'll add a domain. Now click on, click on business info to the bottom left. Okay cool so this is what you'll want to fill out so in the top. Let's start at the top so click on edit at the top. And you'll want to tie this. Let's see if you're able to the primary page click in primary page click and type in your name. This page is probably tied to your other account so well if anything we can untie it but let's see if you can choose one of these which which page are we going to run ads from this. Okay so click on click on save. Let's see if it allows us to save. Awesome cool. Okay so now this part so so important. There's everything in there. You don't need tax ID that can be blank that's optional, but but everything else. For sure we want to want to make sure that's that's filled in. This part is so so important is the email verification. So go to put that in type in your email and then yeah go to click on edit and then type in your email here and you have to put it. It doesn't matter but but you want to make sure you remember which one it is because you want to you want to always be able to refer back to it and check for any verifications from email or from Facebook or anything like that. So anything related to this account will be going to that email. Yeah so just make sure you save it and then go ahead and verify it. Okay cool so that's perfect okay so to the left we did we did pay so click on pages click on pages to the left. So let's make sure our page is over here. Okay cool so this Amanda do you need Amanda. Why is this real team one group. I need this one. Actually you're in, you're in the Heather Swan ones that's what I'm saying you want to you want to change out that name because now you have to Heather Swan accounts even though this one has the profile picture. But go ahead and hit the drop down to the left. It's because you're in your old account so hit the drop down to the left. Heather Swan note to the left Heather Swan top yeah hit that see so you're in. Actually that that is that is that account. Okay so it pulled it pulled. Yeah that's fine because because we added the primary page that's what it was because we added the primary page okay so it's this account you want to be running out of and imperfect so who's a Taylor Winkle do you need that person. No, I think that was something that well maybe they, they actually post on my page from LRE social it's like they post like content like once a week or something, or once every few days for that cancel it but if you're not paying for it then whatever I'm paying 25 bucks a month but cancel it I'd cancel it for sure like you don't need any of that stuff. Because because if you're yeah you don't need any of that stuff at all at all, and especially for the fact that okay you posted on my business page the moment someone clicks on it and they go to it. Is that my pixel that's tracking that visit or not. It's not right so that's that's why it's like we're not tracking any of that data they're the ones tracking it actually. And that's not we don't. Yeah, that's not what we want for sure. So okay so we're good here. So for brand safety we still need to add that that domain that the pixel has been set up the business info, all that's been set up so now, click on the three lines in the top at the top so now as you go to the ads manager.  So now as you run future ads, you're going to always want to make sure you're in the right dropdown, and they're both name the same, but but you can kind of tell the difference by the profile picture, but right here click on no. Actually you can excel. Yeah see so now you're in this account Heather Schwann, but click on click on that dropdown at the top Heather Schwann. You see how it says Heather Schwann, you want to change that see more ad accounts. Now you have to that says Heather Schwann. Oh, that's why you don't want to go with the same name you want to change it out. Just just know just for the confusion fact of it, we're going to get. I don't know like what it's actually the other one it's the top one, because the reason why I know it's because there's no ads there. This one right here you should see a ton of ads. You see so this is your old Heather Schwann account so you don't want to have yeah you don't want to. That's why you always want to name it something else. If you already have something named your name which you know we all do because we all have that personal ad account. That's always added art. It's always our name. So maybe I'll just do it to real estate or yeah there's Sean real estate or something. Yeah for sure like and again no one sees that this is internal. But it helps you, you know know which ad accounts what accounts you're in. So this right here is where is where you want to run your ads from brand new ad account at the top click on no. So here we set up the business manager we set up the pixel the customer or or the ad account the pixel and the business manager all the business info. So what we need now is we need that we need that custom domain, because that custom domain is what we're going to integrate to cartridge so we can get the pages set up over here. And then and then we have to integrate it to Facebook as well. So that's kind of where we're going to be stuck. So let's say that for our next call so try to get a hold of go daddy simply give them your name, they'll pull every account you have, and then add and then let them know say hey can you merge everything into this one account. Okay, and they'll just grab whatever domains you have and merge it into one account. That's homework assignment number one and then homework number two is work on that thank you video. And then I guess really quick, can we look at that cartridge again really quick restaurant and it just see if it'll work. Yeah, for sure. Let's pull that any questions on the on the business manager side of it all. Not right now I mean it's very technical so I'm like, you know having to. Oh that's that's why you got me don't worry exactly.


Welcome, I am James Milan and this is town meeting matters. We have with us today, our town meeting moderator john Leone and I'll tell you that this whole idea of town meeting matters came up last spring when we had any very unusual town meeting that needed to be arranged and we needed to get important information out to folks about how that would look and feel. And john was a the authoritative source for that at that time and then pulled off the meeting that you may recall happened on Pierce field at the high school. That was incredibly smooth so with that preface john we thought well let's have you back to explain what's going to happen this time because it's again very different from what town meetings have been in the past. So first of all, as always thanks for taking the time to talk to us today. You're welcome. Glad to do it. Appreciate it. And yes we we basically what we want to do here is just present for town meeting members themselves but also for the broader audience. What town meeting is going to look and feel like this time around. So first of all, we need to acknowledge that it's happening in mid November, which is not a normal thing. Yes, in that sense this is a special town meeting even though what you're really doing I think is taking care of all the business that needed to be deferred, or much of the business that needed to be deferred from the spring is that right. Correct yeah so it is technically a special town meeting because it's not our annual, which the annuals held in the spring that specials are held any other time of the year. We're picking up 24 article 25 2425 articles now, several of which were deferred from the spring, but not all of the citizen articles, the 10 registered voter articles chose to go forward. This time around a couple of them are deferring till next spring but frankly I think. Unless we get our. COVID vaccine up. This is going to be a good dry run for next spring. Right. Yes, I mean we might have thought and hoped that it was going to be a temporary solution that was required back in the spring of this year. But now it's clear for all of us that this is a world we're going to be living in for a while. Yes. Walk us through john what town meetings going to be like because this is going to be a virtual town meeting it's going to be a virtual town meeting which I started calling VTM for short. So our virtual meeting is going to be held similar to this zoom conference that we're on right now, except it's going to have an added portal to it. So we've adopted from the town of Lexington, their spring town meeting and their specials have been using this portal. We've got the rights to that and have been working with the developer and have changed it to meet our needs the town of Arlington's needs our town meetings are held differently, every town sell differently. So basically, the town meeting members will log in. They each have their own name, your own account and password they log into the portal, which is basically similar to coming in and logging in with the town clerk and checking into town hall once they log in the portal. They will participate in the meeting and they have another button to open zoom and only town meeting members and some town staff, who will be speaking roles such as chief of police, the head of public works head of planning and will also have attendee privileges for obvious reasons that they will have been beyond the zoom and the portal allows the town meeting members to participate fully in the meeting. However, as it's presented as a zoom webinar so they won't be as live as they are on town meeting floor but they will have the ability to one of the screens they can access to raise their hands to raise points of order. And because of the way the legislation authorizing virtual town meeting is. It will be visible to the public. Who has actually raised their hand and is on the speaking list, it will be visible to the public who has made a point of order. My job is the moderator in conjunction with, I have two staff members who are working with me during the meeting one is the zoom controller, and one is the display controller. I'm going to go on Mr Milan, and I'll announce James Milan wants to speak, the zoom controller will find them, and you will come up a photograph you, not a live feed, and you'll be able to speak for your seven minutes if you have a presentation. I'm working with ACMI to have presentations drafted recorded and put on to some YouTube channel I don't know what act it is, but it's going to be those will be available on the town meeting website in advance so we can watch them. Those presentations will pop up on the screen by the display controller will watch your presentation and then just like in town meeting question and answers I will call through the people with their. Questions and we'll go through a town meeting as if we were in the same room with the aid of the. The, the portal. And when someone moves to terminate the date just like in town meeting we're going to take a vote. And when the votes happen. I call for the vote the display controller brings up the voting screen. He authorizes voting. And I say he because it's a gentleman who's doing it, he'll authorize voting, and on town meeting portal page, they have. Yes, no one abstain, and they cast their vote, and it tells them how they voted and on our end of it. There's a screen saying that James has voted. And when voting closes, it'll tell us and show us how everybody voted. Yes, no or abstain, and it gives us a percentage to say whether or not the article passed, and then the actual tally, which is our official vote. The problem is in town meeting we have 20 seconds to vote here. It might take up to two minutes, because people have to navigate from the zoom screen to the portal screen they have to figure out where they are they got to make sure their portal is refreshed and they have the right buttons. And I can see on my screen, because I have one of the hosts, I can see who hasn't voted yet. And I'll ask Mr Milan you haven't voted you having a problem. And if you do, you're going to use the zoom raise hand feature. I'll promote you to speaking, and I'll say what's your problem Jim, and you'll say I can't find my zoom screen I can't find this and we have the ability to then have you give us your vote verbally and enter it for you. And if you have you announced I vote yes on this article, I would repeat it, and then we would manually log you in and vote for you, while one of our IT staff works with you behind the scenes to make sure you can participate and vote on the next one. So we have our zoom controller, we got our display controller. We got a backup for each of them, and we're going to have an IT staff of at least four people every night to make this happen. It's a lot of behind the scenes effort on the town's part to make this go. Well, I think there's about, besides me is about 12 town people I've been working with over the last few weeks to get this up and running along with Len Diggins, our select man Eric Helm with our volunteer techie, who has, they both put a lot of time in as well. To say John, from what you've just described, it sounds like, if all goes well. It will be a relatively seamless transition from what is a normal town meeting taking place in town hall to getting the business done virtually in the ways that you've described it. And of course, the big if there is if everything goes smoothly because it does seem like the process you just described as a number of places in which things can get can just start to take much longer than they than they normally would to resolve these things. It's going to be longer. So if we can move through articles pretty quickly in town meeting, don't anticipate quickly moving through anything. If that means on that we can anticipate as a community that town meeting is likely to go through a number of sessions for you to be able to get to to and through all the articles. Yes. I've put about a dozen articles on a consent agenda. So that will take care of half the warrant and I'm typing just to clarify for people what a consent agenda is basically you're taking your grouping all these articles. Right. And there's a single yay or nay or abstain on. And that vote gets translated down to all of the other articles and those are the things that are not on uncontroversial elevation warrant any debate we should just vote yes or no. And how meeting members have the ability to take things off the consent agenda by using the raised hands feature on zoom. Yes, and three, maybe four meetings to do those other 1213 articles. And my understanding is that the obviously that we know that town meeting starts in next Monday 16 16. And then you will be proceeding on the usual town meeting schedule of Mondays and Wednesday nights. Right. So, if it goes to a fourth session is that does that going. That's the night before Thanksgiving right. Yeah, I'm not going to be there. All right, so maybe we're all figures cross for three sessions right. I'm not going to count them till the 30th. Okay, so we don't interfere with pie preparation for thanks. All right, so people but people can and should anticipate that it is most likely that there will be a session on the 16th another on the 18th another on the 23rd and then we'll see what happens. So, the, and I'm going to again rely on Lexington's experience their biggest issues they had were people logging on log on issues, being flipping from the zoom screen to the portal. If they are technically in depth they can shrink each one of them down and figure out how to bounce back and forth they. Great respect for our town meeting members and I think about 95% of them are going to just take this right up. And the other 5% will walk through they'll get it to. We have a couple folks who don't even have computers, don't have cable TV so they're going to be able to vote by telephoning in their vote or I'll make other arrangements with them one way or another. We don't want to disenfranchise any of our town meeting members and their rights to vote here. So we're working with everybody. Well, I think I think town meeting members will be heartened and appreciative of the fact that you're, you're, you're the numbers you put up there 95%. Yeah, of them, you have confidence will will will be able to do this without much trouble. We've gone through seven nights of training hour and a half to two hours long each night with groups of town meeting members between 25 and 45 people. And I'm pretty heartened by the responses we've gotten and the ability of them to pick it up and get right on it and being able to flip between the two screens and vote. What do you anticipate. And you have touched on this already but just to just to distill it a little bit. What do you foresee as the greatest challenges for the town meeting members in making this transition to a new format, and then out of curiosity for yourself what do you anticipate will be the great, great challenge. The challenge with town meeting members will be handling the technology aspect of it and getting used to the fact. We are not all together in the hall, and they wanted to do something. It's a multi step process. I'm sorry about that phone ring in the back. It's a multi step process it's not, you know, raise your hand and stand up and yell at me it's, they've got to do things more in advance. Everything has to be done in advance it's going to be less spontaneity, and I've been stressing that the town meeting members do mailings and emails that you know we got to plan this out this isn't the normal floor of town meeting. It's the same person. Pick the phone up. And the challenge for me will be that same thing. Just working with the technology. I like to move the meeting along. And I've been working at it to get an efficient meeting this is going to slow our pace down a lot, just like the voting. You know, 20 seconds we've got a vote we're moved on to the next article. Here, we've got to twiddle our thumbs for a couple minutes to make sure everybody's voted. And if someone's having an issue I got to find out why, you know, because their vote could make a difference. And we want to make sure everyone's voted. I remember back in June. How surprised and delighted. The majority of both town meeting members and, and others in the community were with how smoothly everything went on Pierce Field that day it was quite remarkable and in a real testament to the planning that had gone in on your end and and a lot of other people's.  Well, true we had a record quick 45 minute annual town meeting. I think that was the one for the record books and this is going to be one also I mean, we're going to do a zoom town meeting now or virtual to be team virtual. And I think, frankly, we're going to be doing it again in the spring. I don't see us being able to all gather in town hall come April. But I do look forward to getting back into town hall and having a good old fashion. Yeah, it will. I think, like so many other things right just returning to what we had always thought of as normal and taking for granted is going to feel like quite the luxury and the privilege for a while. I'm going to miss the big sale. That too right. No virtual cookies just don't do it. But anything else, John that we should make sure that people understand again either as town meeting members who I know have, as you've already described been through already a fairly extensive process and there is a mock town meeting schedule we were speaking today, Monday the mock town meeting schedule for tomorrow night. Our nights address rehearsal. That is going to be with all 252 town meeting members hopefully. And so this, our staff and I are going to be on. And really attested if we've part of those trainings has been to get us trained. So that we have a smooth flow and a, we're able to present a polished product, basically to everybody because the first night is a little rough by the top last one we were working pretty well together. So we're going to ask town meeting members and the town to bear with us because it's the first time out for us to. And we're trying, I think we'll get it. I think if it's not clear enough already, particularly for town meeting members themselves, but for everybody in the community patients is the byword here and obviously just understanding that everybody's doing the best they can. And, and, you know, you just kind of need to go with the flow so hopefully you get a good night's sleep tonight in preparation for tomorrow's run through. And then, and then everybody gets some good nights sleep proceeding those meetings because it does seem like, you know, as always there will be substantive issues that that are of great importance to the community that need to be done with thoughtfully. And then there's going to be this added, this added burden of just being patient with the technology. And it's, I have full faith we'll be able to do it well we'll get a good town meeting done and we'll move forward. Keep this town going. You're here. If you don't feel like there's anything else that needs to be addressed, we can let you go. I think we did a pretty good job and if anybody has any questions they can email my town address. And I'm glad to answer any questions anyone has. Yeah, otherwise you'll be twiddling your thumbs between now and next week I'm sure. Oh yeah. I have been speaking with our town moderator, our town meeting moderator, John Leone who, you know, really has at quite the task in front of him over this long, long year of ours, and so far so good. Keep up the good work John best of luck next week. Thank you very much appreciate it. This is James Milan you've been watching town meeting matters, and we'll see you in the future.


What's it like serving on the front lines of the response to the coronavirus pandemic? And what have the federal, state and local responses gotten right and wrong so far? To answer those and other questions, reason turned to Dr. Jeremy S. Faust of Harvard Medical School and Brigham and Women's Hospital in Boston, where he trains emergency room doctors and is pulling daily shifts treating patients who have COVID-19. Faust stresses that attempts to reopen businesses, schools and other parts of everyday life will need to be based on local conditions and that effective containment has to rely on the voluntary participation of people who are given reliable information rather than ones who are bullied by political and medical authorities. It's not a weather system that we contract beginning, middle and end says Faust. We make the weather. If people believe in what their participation is, he says it's a hell of a lot easier to achieve containment than through some sort of draconian enforcement. Faust also co-hosts the foam podcast about ER and coronavirus issues and writes for Brief 19, a daily review of COVID-19 research and policy. Jeremy, thanks for talking to reason. Glad to be here. Thanks for having me. So, you know, tell me a paint-up picture of what is going on in emergency rooms and ICU units or, you know, intensive care units across the country or at least MWARE your work. The number one thing that I could say is there's an incredible diversity of experience, whether you're in New York, where people are stretched to the very limits of what's possible and being thrust into situations that they never were prepared for, to places like where I am in Boston where it's really different than anything we've ever done before, but more or less it's so far has been doable in the sense that we can respond and be nimble to the threat and change the way we do things in order to keep everybody safe. So, I think the tremendous diversity of experience from city to city, state to state just reflects a few things, the resources that are available and the number of cases and really this is the important thing, who gets infected because that can change everything. So, let's start with that. What do you mean who gets infected? You know, everything that we read or most things that we read is it's overwhelmingly older people, you know, people over 65 or at the highest risk of dying from this and of having really bad reactions. Is that true or is that not quite nuanced enough? Broadly speaking that's that's accurate. I think the data has consistently shown that over 65 and especially over 80 you have a massive uptick in fatality from this disease. Now, what we think is so different though, and this is where I get into the sort of who gets it matters, by and large the way I would say it is this if you have a thousand people who get the virus and it was say at a college that hadn't shut down yet versus a thousand people who get it in a couple of nursing homes. A thousand cases in one place, a thousand cases in the other, I would expect very, very few fatalities in the younger folks and then a ton of fatalities in the older folks and the implications for that other than just statistics are actually really important because the hospital that's receiving these patients is going to have a very, very different experience. So, if I receive a thousand young people, I'm going to find a bunch of people in that group who need help, but I won't be stretched to the limit of my ICU capacity. I won't be having to choose which patient goes on a ventilator and which one has to just die in front of me. That would be a situation which you would have if this thing had a thousand cases at once in a nursing home or in a few nursing homes. So, that is when I look at these curves and these fatality numbers, it's always important to remember that the piece of data is a piece of data. The narrative is separate So, what are we getting right as a country about the response to coronavirus and where are we just either making it up as we go along or heading in the wrong direction? Well, one thing that I would say is that because of how contagious this virus turns out to be, which is far more contagious than the initial estimates that we were told, the need for this shelter in place and incredible degree of social distancing is far more evident than what was initially thought. Because if you had, even with the numbers that you saw, it was going to be scary, but it wasn't nearly as bad as I think that we see. And so, because of that, these shelter in places and these kind of extreme social distancing is quite necessary in certain areas. And since we, and this is the part we're not doing right, because we don't know enough about prevalence data all across the country, we can't be more nuanced. We can't guess. And so if we knew, okay, in this city it's so low that we can do some degree of social distancing and in this city it's so high that we have to just completely shut down because we don't have that information that the tie goes to the scarier scenario in order to save lives. So in this, as usual, more information would be better. So we would know what to do. And so what I would say we're doing well is that when you look around, especially where I live, people are abiding by this. I think that it's, I'm a little surprised and pleasantly surprised to see that people are staying home. There's no traffic. You hear these stories and, you know, spring breakers going and doing crazy things. But by and large, I think people get it. And that's been really encouraging. I think it shows that people are willing to participate in something that's not convenient if they think it's for the greater good. So that's the only thing we're doing well is that we're responding to what we see in a way that I think is, I hate to use the word patriotic, but almost humanistic is that look, even if I am not worried about getting the virus, I am worried that I'll give it to someone else. So that's what's going well. I think what's not going well is the testing, having a strategy for that. And I think that it's something that we could have prevented. There's very little I think we could have done that was that's practical without a hindsight being 2020. It's easy to point fingers, but we knew this virus was a threat. The sequence, the genomic sequence was available early January. And I think when the final analysis, the who knew what about our testing capacity, when will be the million dollar question in terms of like, how did this get screwed up so royally in terms of that part of it? But other things are I think are very hard to have predicted because of the contagion and other and of course the asymptomatic transmission that the symptom free people being able to spread it. I can't you can't point fingers at that. That's that's something that we didn't know. And I don't think was appreciated. And it's so unusual. So with the testing is the problem like we went from zero test to a million tests, I guess relatively quickly, even if it should have started earlier. What's going on now? Because it seems like that the number of tests has not grown particularly well. Do we need different tests or do we need more of the same or what what what would help resolve that? There's a couple of ways to answer that question. It's a little bit of both. So it's well stated. The the reason I think that there's a couple reasons why testing numbers are not increasing sufficiently. And one is actually a little bit of an unequal demand. So I think that we've heard even stories that some of the commercial laboratories are saying, hey, we can run more tests. Why aren't they why aren't we being sent more tests? And that could be because in certain areas there are there is an excessive test there actually like where I'm working right now, it's changed. A month ago, I had to beg the Department of Health for a test. And they would say no. And I was like, are you kidding me? Like I need to test this person. They got it or I think they do. Now I don't have any real careers for the most part in my emergency department if I want to test. So for me, I don't think that there's a bottom like in our area in that way.  And so if you could wave a magic wand and have the test be where they're needed, that would be great. But I'm worried that the reason that the testing is increasing is that the places where it's needed most don't have enough tests. And I can't tell you why that is. But I do know that we seem to have enough in some areas and not enough in other areas. And again, that's where a surveillance from the CDC would have been helpful. They're just now doing that, but we don't have enough information to know that. Are you a strong critic of the way that the CDC and the FDA have kind of handled the oversight of the testing regime so far? Or is that something that's not worth discussing at this moment? What I would say is that I don't know enough to be able to make a really informed opinion on that. But my sense from people who do is that for whoever's fault it was, whether it's the CDC or external factors that affected the CDC, but the early testing problem sent it around them. And I don't know to the extent how the FDA would have played into that. I know that now the FDA is doing a better job in terms of fast tracking tests. I think the CDC is now doing a better job with surveillance. But so I wouldn't necessarily want to cast blame per se, but I do think that we had policies in place that didn't allow for a ramp up.  So don't give it to the nursing home.  So that to me is unfortunately where this all started. And to answer your question, I think it's how we get out of it too. Both with the kind of testing to ramp up and increase availability where it's needed. And of course, the next thing, two more things I would say, one is to start to figure out how to use antibody testing. Because right now we test for the virus's genomic material, genetic material. So we do, that's called a PCR test. And that's a pretty good way of knowing if a patient has the disease or not, although it's not perfect. And then the antibody tests, which are blood tests, tell you where you expose at any point, how immune are you, we're still working out all those details. But knowing how much there is in terms of antibody prevalence in communities will be very helpful. Because if I find out that, hey, look, my entire town seems to have had this already. And 90% of us have the antibodies that you could open right up, right? We just have to know both quantitatively and qualitatively where we're at with that. And then the final piece, and this is a really a little more of a nuanced argument in the, even in the absence of what I would fantasize about, which will be like just tons and tons of tests for everyone all the time, like, you know, just you want it, you got it, like, you know, a billion tests, three per person or 10 per person in the country. And anytime you get to find out that may not be practical. But you do start to be able to guess or make a good estimate of how things are going. If you have a pretty wide testing regime, and you start to say what your what your hit rate is. So right now, you see, like, if I test somebody, I feel like, I mean, I'm making this up, but more than half the people that I test will test positive. And that means we're not testing enough people, not enough people coming to the ER or wherever else. Whereas in New York, it's starting to fall. So when you when you get to a point where you're doing a random surveillance, and a very, very tiny fraction of people actually have it, then you can say, Okay, we're on the tail end of this thing. I'll give you an example. A study just came out in the New England Journal the other day.  Like, they had 200 and something women who were about to give birth, and they just said, We don't care if you have a symptom or not, we're going to check you out. And it turned out that not surprisingly, 15% or so actually had it, which is a crazy high number when you think about it. But given what we know about New York may not be so surprising. What was remarkable was that eight times more people had no symptoms than symptoms. And now that may not expand out to other populations. And we don't, these are people who've been interacting with the healthcare system. So they might have a higher likelihood than you and me or actually, I have the higher one. But all to say that when you start to see your batting average, your sort of hit percentage drop below 2%, 1% less than that, then you can say, Okay, look, these are needles and haystacks, not everywhere you were. So there's been a lot of discussion about the idea that the premise is that once you have the disease, you are immune to it, and you're not going to transmit it. And so you can go back out into the population. There are some questions about that. How serious do we need to be taking that? Yeah, that's a question that I have to watch with you as well in terms of the immunologists and the specialists on that particular issue. But the way I would summarize it for people who are trying to get their mind around it would be to, we all have the experience of having our vaccinations as kids or as adults. And then you might have to get your blood drawn once in a while to get what's called the titers. And this is to say, Okay, you had your measles, mumps and rubella when you were a child. Are you still immune or not? And the numbers depending on the virus are correlated to, Okay, if your numbers are at this level, we think you're good. And that's what we need to kind of tease out here, which is, so we'll get a yes, no, pretty quickly on the coming weeks and months about how many people were exposed and all of this. The question will be, is it if everyone who has the antibodies is immune for how long? What does that mean? That's going to have to be teased out by very rigorous studies. But these are studies that thankfully, we actually know how to do. Let's say we, I mean the system. Can you describe what do you do in an emergency room situation or in an intensive care unit? What are you doing for patients when they come in? So the number one thing that I can do as an emergency doctor, well, there's that there's so many different things. The first thing is any EM doctor, emergency medicine doctor is we save life, we save limbs, we save organs. And that's what we do. So regardless of whether it's COVID or whatever it else is, it's the first thing to do is to stabilize the dying or the nearly dying patient, if that's possible. And if that's consistent with what they want, some people, they are clear, they don't want to be put on machines. And they want a natural life and a natural death. So that's number one. And so when a patient comes in and they're having near they're about to die from a respiratory failure, then and they want to be, we assume that they all want to be saved. Although again, this is where goals of care and most forms and all this sort of things, advanced directives, living wills, then what I can do as an ER doctor is to stabilize them and give them increasing amounts of oxygen, whether it's do masks or or I can do what's called intubation, which is when we put a patient asleep very rapidly, we paralyze them temporarily, I put a breathing tube into their near their lungs into their air pipe, a windpipe and and get them the oxygen they need. So that's the so in terms of the critical, critical illness, it's it's an oxygen issue. It's an it's an oxygen delivery issue. And however we need to do that is there's the way to go. And there's other details of this disease, we're starting to see other more blood clots, do we need to be more aggressively treating that? Are there other infections simultaneously? So that's the that's the big thing that the next big thing is, essentially, it's a resource utilization in the sense of is the patient in front of me assuming they've got coronavirus, do they actually have disease that needs to be looked after in in the hospital in the clearly if they need to be put on a ventilator, that's a pretty easy decision. But the other ones, the ones who sort of look a little uncomfortable, they need some oxygen, they might need some other treatments, maybe their blood pressure is a little a little dicey. Yeah, can I turn them around and send them home or is like, Oh, no, I need to watch these for longer. So it's it's essentially it's a risk, we call it risk stratification. And to know, okay, who among the people I send home are going to do poorly, if I do that, who among the ones if I keep them could go the other way. And this is another thing I argued in another article, if we overdo it, we can harm people, right? So if I admit a patient today, who has a reasonable but low chance of having had a stroke in the past 24 hours, you know, a month ago, I would have admitted them no problem, even though maybe it was not the best, if you really did a risk benefit calculation, it was kind of on the borderline. But we have to be careful because of a lot of issues, including litigation and including standards of care. But today, that same patient, if I admit them to the hospital, I'm really, really saying, well, I think that whatever is going on with your possible stroke is more important than the risk of you getting coronavirus while you're here. And that is a very different calculation, which is why I say everything's different. We have to, we have to follow the data and be nimble of that. So a lot of the is a decision process as to who's served, where and, and the most safely. And we're getting more and more data on that. But it's still a lot of it's just a judgment call. Can you talk a bit about the case fatality rate? And yeah, because that was, I think, the first writing of yours that came to my attention. And you, I guess it was like it, you know, you say like a month ago or two months ago, that seems like 10 years ago at this point. But you were arguing in a paper and, you know, that the case fatality rate, the number of people who have the disease who die from it is almost always going to go down because in typical pandemics, as you do a fuller accounting, the numbers starts to go down. What, what is your best estimate at this point of what a case fatality rate for coronavirus in the US is? And is it going up? Is it going down? And does that matter at this point? Well, I, I'm a very data-driven kind of guy. It's hard for me to make a prediction. But what I would, I would, what I would like to do is to, to break this into two parts. And I think that we're going to, and I think people should watch this, that they should look at a case fatality rate for people who essentially, initially had very mild symptoms and may not have even been tested at first. So put it this way, the case fatality rate for people who don't even know they have it or just got sick at home and they think they had it, I'm sure it's almost going to be zero because that's why they never got tested and discovered. So there's this huge pool of people who have the disease that we don't even know about and none of them die, right? And then you take a couple of them out who, who progress and get worse and then they show up to the hospital. And then you look at that pool of people. That's the second pool of people who show up at the hospital. And among that group, you can start to look at these numbers again and say, okay, is it 1% is 2%, is it 0.1%, 0.2%. And again, you have to put both of those pools together in order to make an overall case fatality. So, so one way we could look at it would say, patients who are admitted to the hospital, what's their case fatality rate? Patients who were seen at the hospital and sent home, how did, how many of them came back or died at home? What's their case fatality? Obviously much, much lower. And then the third piece is people who never even knew they had it. We'll figure this out through antibody testing and through other ways. And then you put all of that together and my assessment is you're going to see something far under 1%. And, but still over 1% for that really sick group and older group, but for the most people, it'll be far, far under 1%, which leads to the, I think, the inevitable question. If it's 0.5%, 0.2%, 0.6%, whatever, anything under 1% is within order of magnitude, apparently, of seasonal flu, right? Because seasonal flu, they tell us it's 0.1%. So how can this thing, if it's 0.5%, how can this thing just be five times worse than flu when, and what we're seeing to our system is not five times worse, it's 100 times worse than anything we've ever seen before. And that's where, again, really good data matters. Unfortunately, the 0.1 seasonal influenza number that you hear is not accurate. It is a gross overestimation of influenza deaths. So what you're saying is that it's not necessarily that the novel coronavirus is that much worse than what we think, but it's that we have been overestimating what a typical flu season produces. Without a doubt, yes. And I'll be writing about that more in the coming days and weeks. I'm not going to skew myself too much on that, but what I will say is that's an area of actually massive importance, not just because of academic, like, oh, which is worse, which is better. But actually, it could, because people say things like, oh, it's 60,000 deaths is what the newer revised thing is, that's what killed flu last year. So it's just another flu. And people who aren't in the hospitals who aren't in high prevalent area sort of shrug it off as like maybe, oh, this is kind of hysteria or making a big deal out of nothing because they're not seeing what they're own eyes. And so that's an incorrect comparison because you have to actually compare, and this is what I'll say, you have to compare counted deaths to counted deaths. And the 60,000 deaths due to influenza are not counted. They're estimated. And they're based on many assumptions and coefficients and multipliers that are used by public health officials to make what they think is a good estimate, but I think is probably being shown not to be. And it's, but it's for a laudable goal. They want to get people vaccinated, they want to tell people the hygiene matters. And so over selling the flu over the years had a kind of a public health benefit, I would say. But today, you have the president out there, and even a month or two ago, we had the surgeon general who I think is a very intelligent and measured guy saying, oh, it's just as bad as the, you know, this will be no worse than the flu to the numbers. Well, no, they're, they're, they're, they're, they're wrong. And the implications are, are, are gigantic. If they, if people use that information to say, okay, well, it's just another flu, let's open the economy. And that would be devastating. So what, what do you think? And I realize this might be outside of your area of expertise or comfort, but where do we need to be before we can say, okay, let's open up the economy? Or is this also going back to your earlier statements? Is this really what we need as more regional or more location specific data? Because what's going on in Boston or the greater Boston area in New York? And I don't know, you know, some place in Kentucky, these are radically different environments and should be treated differently. That's, that's what I'm saying. Yes. And I will just use New York and Alaska, the two extremes, right? The Alaska is an important part of our economy. And the caseload is, is, is obviously much lower. And, and just in general, the, the risk of, of a rapid spread is lower because just, just the density. And so one of the problems with New York is it's such a vertical town and everyone lives in the same place. They touch the same elevator buttons. I mean, it's a recipe for disaster. So you can have, you need a much stricter and slower reopening in a place like New York than you do in Alaska, even if you could measure everything perfectly, which of course we can't do. So what I would advocate for is a slow reopening that state by state, region by region, and also situation by situation. And some of it's a matter of two, there's two things to think about. One is how, how, how, how necessary is the thing to reopen, right? You could make different arguments about what was considered necessary and what's not. So you can have a little bit of a higher risk threshold for some necessary things, or a lower threshold, I suppose, sooner to open. On the other hand, you could say, well, look, this is also a low risk situation, even if it's not that useful. I've been using a silly example, but like the Boston Zoo where a bunch of kids go, I don't necessarily see why they can't reopen relatively sooner knowing that you just say, okay, look, usually we allow 1000 people in per day. And this month we'll let 100 people in per day and everyone's going to stay apart. And, and we're going to watch it carefully because I believe that some reopening in this way would be really beneficial for the, well for the economy, but also just for our society. I do worry you see these protests like, you know, we want to be free, let us out of our quarantine. I think if you ask too much of people for too long, there's this rebound effect where they rebel. It's a, it's a, it's in our nature to not want to be, you know, quarantined. And so the sooner we can safely do these things, the better, but each situation is, is completely unique. Could you talk a bit about what you think the legacy of this? And obviously, I mean, we're still in the thick of it. So it's, it's a little bit forward to do that. But what is the effect going to be on patient autonomy? I mean, do you, do you think is this a place where the medical profession or the public health profession and political scenarios will say, you know what we need to do is to give patients more information to make individual decisions, whereas this going to have more of the effect of saying individuals are not the people who should be making the decision here. It should be a larger outcome. It's an important question. There's so many different nuances to that. For one, the big ticket item here with autonomy is going to come down to vaccinations is if we have a vaccine that works and there are people who are refusing it, what do we do? I think that's going to be a really important question. And it's, it's always been kind of a hypothetical in the sense of, oh, we're going to have a resurgence of these pediatric diseases. And we actually, and then in some cases, we've seen it for real, right? So we've had to go through and say, okay, our religious exception is enough. Nope, that's changed. So that needle moves. I'm very, as you are, Nick, I'm very interested in to see where that goes. Because again, I think that the right to your own autonomy as a person, as a patient does is pretty broad. But I don't think it goes so far that it means that you can put your neighbors at risk. If that risk is real, if that risk is real, you know, if it's like, you know, you're going to imagine an insane situation. If someone didn't understand HIV, and they said, Oh, I don't want to live next to that person in the next household, they have AIDS, and I don't want to get their AIDS. Like that would be very ignorant. But the point, and that would be an extreme example of that your autonomy is not so important. You know, like, if you're the neighbor who believes that, you know, you're going to get infected by the neighbor, whereas a very communicable disease, their point is, you know, then it's like, well, actually, sorry, we have to, we have to do this, you know, we have to say what is right and what is wrong. So that's the big thing. The next thing I would say in terms of the autonomy question, in terms of medical information, I think that in general, I think that we've been moving towards more medical information. So that's for the better. One thing I think that one of the legacies that I would turn to that we haven't really touched on, but I think it would be interesting to you. And I think this this this listenership and readership is the issue of medical science in general and research. And we're seeing this just an astronomical number of research papers coming out about coronavirus and COVID-19, which are not precisely the same thing, once the virus and once the syndrome. But and the peer review process is something that really needs to be looked at. I think we've had situations in which in the past, I'm sure you're familiar, where the system has been really effective. And in times where it's been hijacked by people who are trying to make money. And in this case, I think that what's the real concern I have is that even among my colleagues, my physician colleagues who are supposed to be like scientists, sort of a little bit of throwing the scientific method to the out and just saying, Oh, forget it. So the examples of, well, we need something. Let's just give these medications out. And that very worries me greatly that we are that we're on this situation is unmasking some degree of scientific illiteracy among some of my colleagues. And even in very intelligent places, because there's just this intense desire to do something good. But sometimes we have, and there's there's a bias that we carry that we think that we help more people than that we think that what we do is more beneficial than it might maybe is, even though I think there's benefit. And we think that the way we hurt people is less severe than it is. So, you know, we always, the lawyers chase us down when we didn't do enough. But they never chase us down when we did too much. And they should, they should chase us down for both. And in fact, I think that doing too much is probably way underreported. And doing too little is probably over exaggerated. I think that that's a big thing is to stick to the scientific method. I'm very, very worried that people are saying, Oh, I heard an anecdote about this drug or that drug, and we're going to give it out without any really good science. And that's the part where I'd like to see a course correction. As a final question, you've talked about the pressure on people when you ask them to do too much to stay quarantined, to stay locked down. And it has, you know, psychological effects on people. How are how are you and your colleagues, you know, who are dealing with us on a daily basis? How are you guys holding up? And is there is there a psychological strain that is that gets to be too much? Or, you know, how does that play out? The psychological strain that my colleagues I have is only related to safety at work. If there's not enough personal protective equipment, then people are really worried. The rest of it, I don't think we're worried about going in fact, I think I think we have it easy. Everyone else is stuck at home. I'm just going to work like normal. Do you have do you have the personal protective equipment that you need? And does that, you know, does that short of seem to have been taken care of or we're rationing like crazy. So I've not yet encountered a situation here where I felt unsafe. But I never thought I'd be rationing. So that's that's that's but we also and but we see in New York, there have been places where it is unsafe. So that's real. So in terms of the stress on us, I don't I don't feel stressed. I think it's easier for people like me because I just know what to do. I got to work and I just stay safe. It's much harder for my family, like sticking home. They're not directly part of this. And that's where people get antsy. When can this be over? When do I get to go outside? When can I be free? And I think that the the number one sort of thing I'm learning here is that the way to get people to to effectively participate in these strategies that we know to work is not to force them to do it. Although if necessary, I guess that was what you try to do. But because that's not going to work. The best way to get people to to participate in these strategies is to have them understand why they're doing it and have them want to do it. And so it's almost like the way the yes, we can sort of war effort, you know, like, you know, we didn't live in a time during World War II where people will remember like what it is to like conserve for a greater cause. But I think that there is a sense of the greater generation that they wanted to do that in order to help the war effort. And I sort of feel the same way here. It's like, even if you had enough police in the world to say to save one at home and do it, you know, authoritarian governments could maybe accomplish. I don't think that would work. I think the best way to do it is to basically appeal to people's sense of what reason and duty and that it's just a lot easier to do something difficult if you know why you're doing it. And you have a sense of your part of it. So I do try to actually kind of inspire people to think about that doing nothing is doing a lot. And it's very appreciated because it's not it's not a weather system that we can track beginning middle and end. We make the weather. And so I think if people believe in what their participation is, it's a hell of a lot easier to achieve that than at, you know, at some sort of draconian sort of enforcement. Dr. Faust, thanks for talking. Where's the best place for people to follow your your thoughts and actions on all this? So well, Twitter at Jeremy Faust, but the I have a daily blog with a bunch of ER doctors and policy wonks called brief 19. And that's brief 19.com and brief underscore 19 on Twitter. And what we do is we do a two day exact a two page executive summary of the research and policy currents that as we see them. And we try to put all those crazy papers that are coming out into context to say, Okay, hold your horses, like here's what it says, let's not get ahead of ourselves. And then in the policy side, try to track what what we think matters and what it means. So it's for doctors, so it's by doctors, but it's written in a way that we hope is not just for health care professionals, but also for the mainstream sort of to light bulb on viewer or reader. And and that's been really successful. So that's the best way. All right. Thank you again. We're going to leave it there. Dr. Jeremy Faust, thanks for what you're doing and for joining us today. Great to be with you. Thanks so much.


Thanks for checking out this unboxing video. This is for the October BAM box horror box, which It's still blank. I keep asking them like I thought they were gonna change the box design But they're just staying with blank still, so I don't know maybe it never changes I don't remember what the properties are for this or the franchises as you will The other thing is I'm not saying it properly. I'm calling it the October box, but it's supposed to be like Volume 3 box 10 because that's what they move to instead of doing the months My thought on that is that they did it because it makes it easier for them to say well the box isn't late Because it doesn't have to do with a month That's my kind of thought but um I'm not going with that naming convention because it's a lot harder to get people to search that type of stuff And that's a lot harder to talk about it that way because I mean it is monthly, so You know, I'm sticking with what it is Let's go The other thing is I'm kind of oh tissue paper only one. Okay. It's usually more Not like I care. It's just for my cat, you know Thinking about getting rid of this box to be honest just for me personally just to kind of save a little bit of money It's not like it's a bad box. There are a few things that have irked me mainly the art prints have been kind of not really art prints It's more like computer Manipulated photos, so I haven't really been digging on that but the pins are still really good and there's still some really good stuff So it is a worth it box in my opinion, but I'm just kind of playing with the idea of getting rid of it So that said if this video gets a thousand views I will keep going or if I get 100 new subscribers off this video. I will keep going with it or if Three people email me and ask me for my Affiliate code for BAM box and use it so that I get a free BAM box I will then keep it going as well. And if that goes on each month, so You can email me at brutal battle podcast at gmail.com brutal is b-r-e-w-t-a-l brutal battle podcast at gmail.com. So anyway, let's get into the box Don't know what this is this feels What? I don't like this already Don't like it. I mean I mean, I think this is supposed to be like a petri dish. It's literally just like this And I guess okay, so I guess like they have it's supposed to look like They're growing something in the petri dish here I mean Kind of interesting, but these are the types of things. I really hate I always am against the proper replicas because I I never Not never but seldom actually like them or would display them and this one's just kind of I don't know. I'll have to see what that has to do with because I I don't really I don't know Here's something else Oh, this is a side item This is kind of funny. Uh, so it's a pizza box What would this have to do with? I you can see the autograph is right here. So I like that they're doing something different I think it's fun. I think it's kind of cool that they do that. So this is for This prop pizza box has been hand signed by lisa wilcox who played alice in nightmare on elm street four and five Okay, cool. So that's her. That's their certificate of authenticity, which is cool. That's a good autograph um Welcome to wonderland alice Okay, so they put like a little promo card in here for the stuff that she wanted to plug As you can see Which you know, that's cool So it seems like they've really got it in with the nightmare on elm street folks Because they've had a lot of autographs from people who've been at nightmare on elm street Which is cool if you're all about nightmare on elm street But this does also go back to something that i've talked about before having to do with these boxes Which is there are certain franchises that they tend to just go on like super super hard Like friday 13th is a big one They're always on and nightmare on elm street is another big one that they do a lot of And there are a few others that pop up multiple times and ones that they never get to they've done One phantasm thing and i would like more phantasm, but you know, that's just me But um, it's this thing where i'm like like i understand it because you you want it You need to sell the boxes and you want to go with what's most popular So those types of franchises are extremely popular, but at the same time You should be putting variety in if it's a horror box because otherwise it just becomes the nightmare on elm street friday The 13th box basically and then maybe you get something different every now and then so it's kind of i don't know All right, let's go for the pin I usually really like their pins. Oh nice. Nice. Nice. This is Very well timed pin. Uh, I really dig it. I was hoping they would do something like this So awesome. So this is from uh three from hell It's hell's captain design is by brian romero and as people can Yes, it is Oh, sorry, let me move my light. It is cid hag. That's a good. Yeah, that's a pretty good rendering of him with a nice big bushy beard As he's best known especially in Those movies Yeah, looks good r.i.p All right, p-buddy cid hag. Yeah, that's good likeness for him. That's a good pin. I like that. That's really cool Dig it Good on you guys and then the last thing I guess is the art print which Hopefully it's not one of these pictures that's just been digitally changed But we'll see this art print art print From our fan art collection title trick or treat has been hand signed by artist Tsutaki for the bambox horror box. Oh, okay. I mean it looks like like legit like a thing That's kind of cool. Um, I love trick or treat. This is one of my favorites This is one they've done a few times already But um, not too much in my opinion. This is number 851 out of 2000 um, I can't tell if this is I mean it looks like legit art I like it and one of the main reasons I do like it is because I love this movie It's one of my favorite horror movies period. So that works for me. I like it. That's cool I wish there was a little more to it color wise But I get it because that's the color of his mask is just like that All right, so let's take a look at this the pizza thing where I know about that don't need to show you Oh, the variant on the art print, which there were only 500 of is him unmasked I'm actually very glad that I got the one that was masked because I don't know about you, but for all the people who've seen trick or treat I prefer Sam with his mask on I think he looks cooler and scarier that way So I don't know but I mean he looks fine without the mask Okay, the movie prop you can forget the final scene in the thing where McCready tests the blood Mac was convinced. It was Gary who was the carrier, but he turned out to be wrong. Which blood test name did you get? Okay, so they had a few different blood test names. Okay, whatever um I mean kind of an interesting concept I I feel like this is more of a thing of like when you think of the idea of doing this and you're pitching it out There people are like, oh, that's cool Like it sounds like a cool concept But in actuality like when you get something like this in the box or at least for me personally it's Significantly more underwhelming. So I'm just kind of like I mean, I see where they they took care to kind of like make the The texture in there like Yeah, I don't know. It's just not something I like just like a real cheap item um Honestly, I'd just rather have it just left out. Okay, so Okay, so for the for the pin They did something that as you know, if you've been watching my unboxings I rail on them every time for doing this, which is just doing color variations on the pin But this time I'm fine with it.  I think it's appropriate that everyone gets a sitheg No matter what so they have three different colors of sitheg One out of 250 one on 99 But once again, I'm glad that I got the regular one because it looks like him Um, although, you know, those color schemes look cool So yeah, so that's fine Everyone should have a sitheg because he passed and he was an awesome dude by everyone's account So oh and then oh and that was nice. So the giveaway that they were doing you could win a sitheg signed photo I hope whoever ended up winning that Right there was super super happy about it All right, well, uh, so overall this is fine Um, the pizza box is a fun idea. I like the nightmare on elm street series So I think that's a good autograph personally. Obviously. I really like the pin the art prints pretty good So solid box in my opinion. Uh, just not a fan of the props. Usually I'm not so that's kind of a disclaimer It's just one of my biases Although every now and then they have a prop where I'm like, oh, I quite like this I'm totally done with it. So you never know But like I said, this needs to get 1000 views at least in order for me to continue on or 100 subscribers new subscribers from this video or at least three people emailing me for my Affiliate link and using it. I will verify that. So anyway, um, thanks everyone for checking this out and until next time Well real quick hit that subscribe. I mean, obviously we need to get to the 100 But uh, if we go past that great if we don't get there to 100 that's still fine Um, the extras, you know, but I'm just saying I may stop doing this if we don't get there But anyway, thanks everyone for checking this out until next time. Keep it brutal


The coronavirus pandemic has highlighted the importance of technology, but it has also exposed a number of cyber-vulnerabilities, say professors Laura Dinardis and Jennifer Daskell of American University. Let's start with censorship. Local censorship can have global ramifications. Had the doctor in Wuhan, China who spotted the outbreak been able to speak freely, public health authorities might have been able to do more to contain it early. China is not alone. Another world lives in countries that impose controls on what can and cannot be said about their governments online. Disinformation online. Social media can be an effective tool for sharing accurate information, but it's also a source of disinformation and manipulation. For example, Facebook has banned ads selling face masks or false preventions and cures, while giving the World Health Organization unlimited ad space. COVID-19 warns us of the costs and the politics of disinformation, and it highlights the roles and responsibilities of the private sector in confronting these. Cyber security. Thousands of other businesses and institutions have adopted to work from home policies during this pandemic, a great benefit of technology. At the same time, that shift is a reminder that businesses need strong encryption, reliable networks, and effective cyber defenses. Cyber insecurity is also a threat to public health. For example, ransomware attacks can disrupt entire medical facilities. The Internet of Things. Internet enabled smart blood pressure monitors and other medical devices make it easier for people to manage their health at home, but those benefits disappear when digitally connected devices are attacked. Think back to 2016 when the Mirai Botnet targeted webcams and brought down parts of the internet on the East Coast. The tech supply chain. The shutdown of Chinese factories because of the pandemic interrupted the supply of critical parts to many industries, including the U.S. tax sector. It shows that even if the virus had never traveled outside China, it would have had global ramifications. As the next phase of the pandemic responds unfolds, society will be grabbing with more and more difficult questions about the Internet and how it relates to personal freedom in public health.


This is stock number 11446Z. We are here at Summit Automotive in Fond du Lac, Wisconsin near new and used heavy-duty truck and ram headquarters today. We are checking out this super clean 2020 ram 2500 crew cab short box. This truck has the tradesman edition It has the 6.7 liter Cummins diesel. It has been fully safety and inspected by our service shop Has a fresh oil and filter change all the fluids have been checked and topped off and this truck is 100% ready to go Billet silver metallic is the color we shoot all of our videos in 1080p 60 frames per second So if you have HD capabilities on your computer tablet or smartphone device turn them on right now Because it is definitely your best way to check out the quality and condition of the truck before seeing it in person And if you'd like to check out all the photos on this truck in the upper right hand part of your screen is a link to our Website click that and check us out there This one comes with these steel rims with the chrome covers, and it has firestone Transforce HT LT 275 70 r 18 tires and these tires have almost all the tread left I'd say 90% if not more frame and under body is exceptionally clean. This is a one-owner clean title history clean auto check from Indiana No denser dings on the front fender headlight lenses are nice and clear and the front bumper is in excellent shape No denser dings on that and The hood is in absolutely perfect condition as well This one does have the clearance lights up top and the passenger side front fender is in excellent shape as well Passenger side rim no scuffs or scrapes on there And as you go down the passenger side take note of how clean the body is how reflective and mirror like that paint is we take These HD videos so if you are far away or even if you're close by and you just cannot make the trip down But you're still interested in purchasing the vehicle You can see the truck hear the truck and have confidence in the vehicle that you're looking at Before you even get here so that when you do get here There's absolutely no surprises and you can make a smart buying decision from the comfort of your own home That is why we offer the summit auto fast-pass option In the upper right hand part of your screen a link right to our website where you can apply for financing Get pre-approved see a payment quote even appraise the trade basically make the whole truck yours from your own home So when you get here all you gotta do is drive it love it And you'll be all set to go back tires have just as much tread as the front tires And the frame and underbody is an exceptionally clean condition Like new under here has all the remaining factory exhaust and Lower rockers are an excellent shape comes with the factory painted step bars And as we come around to the back of the vehicle Rear bumper is in great shape It does have the full towing package of course with the receiver hitch four pin and seven pin wiring No dents no dings on that rear bumper And The tailgate is in really nice shape as well. It does have the backup camera you get the Fifth wheel and goose neck prep package This also has four pin and seven pin wiring in the bed and the beds in pretty nice shape Do you get some nice side box tie downs in there? That tailgate shuts nice and solidly all the bed rail covers and tailgate covers look good And as you go down the driver's side just as clean as a passenger side no dents or dings on the box And for full disclosure this back rim is in the excellent shape as well and that tire has just as much tread as the rest Down the rest of the side the truck looks really good does come with the fold-out tow mirrors They are heated and have built-in directional signals. They also fold in like so Inside the tradesman Package gives you the black and gray Work grade vinyl from ramp no rips or tears on those seats Has factory all-weather floor mats in it also the rubber floors auto headlamps power windows power locks and power mirrors As we have inside the vehicle here You can see that this one has 288 miles I'll get the ignition going here This mid cluster is very nice and clean you do get a miles per gallon on there Steering wheels in really nice shape. This one does have Bluetooth and information center controls on the left Cruise controls and gear selector on the right. It is still a six-speed automatic transmission push button start push button four-wheel drive this one comes with the 8.4 4c radio AM FM and serious XM radio capabilities and then I see that it has the backup camera here And you can see just how crystal clear that camera is and then you can zoom in right over the receiver hitch So you can get hooked up to your boat camper or trailer the first time every time And then this one also has projection manager where you can project your cell phone to the screen So if you've got navigation system on your cell phone such as ways or Google Maps You can project it to the screen through Android Auto or Apple CarPlay and then it's like you have nav right on the screen We actually did a demo on an 8 for with Android Auto if you want to check that out that videos in the upper right hand part of the screen Down here your climate controls See it. You have your knobs here volume and tune controls as well stability control factory brake controller factory exhaust brake and tow-haul mode down here you get two USBs two USB C's and an aux jack for your Media center has the keyless entry right here passenger side floor mat and seat are in excellent condition No rips or tears in there smells very clean inside this truck I don't think it's ever been smoked in and the headliner is an exceptionally nice condition as well Map lights up there It will take a quick look at the back seats and then we'll start it up and take a look under the hood Back seats are just as clean as front seats. No rips. No tears back here It does have the latch child safety system for any child car seats. You may want to put back here Seats are in nice shape factory all-weather floor mats back here as well And you do get storage underneath here. This one does have a receiver hitch reducer and Very nice thing as well Side current airbags on this truck and you do get child safety locks on the back doors We will start it up and check it out under the hood Starts right up. No check engine lights or anything like that looks really good And I would personally like to thank you for checking out the video today and hopefully from this HD video You will have been able to tell just how clean this truck is all the way around Inside and out under the hood we have the 6.7 liter Cummins diesel engine base very clean Once again, this truck has been fully safe and inspected by our service shop as a fresh oil and filter change All the foods have been checked and topped off and this one is 100% ready to go and I Think you'd be pretty hard-pressed to find a cleaner 2020 used for sale than this one and a heavy-duty work truck and Highly recommend it from a quality and condition standpoint and to see more pictures of this truck or one of our other 450 new news cars trucks Seves mini vans wranglers half tons three quarter tons one tons you name it We got to go to our website right there www.SummitAuto.com full pictures and descriptions of every single vehicle from two locations all at Summit Auto.com And if you'd like to check out more HD videos You can go to youtube.com slash Summit auto remember to like subscribe and share on this video and all the videos that you see there In fact in a second you will see a link to subscribe to our YouTube channel in the upper left A link to more Ram 2500 truck videos like this one in the upper right a link to this vehicle on our website in the lower left And a link to our newest video on youtube.com in the lower right click those check us out And we're super excited to help you with this extremely clean like new 2020 Ram 2500 crew cab short box tradesman edition in build silver with the Cummins diesel. Thanks again for checking out the video