1 00:00:00,200 --> 00:00:01,033 - Good morning. 2 00:00:01,033 --> 00:00:02,370 For the folks on the phone, good morning. 3 00:00:02,370 --> 00:00:04,390 Thanks for joining us today. 4 00:00:04,390 --> 00:00:06,900 Just a few ground rules before we get started. 5 00:00:06,900 --> 00:00:08,760 Today's briefing is gonna be on the record, 6 00:00:08,760 --> 00:00:11,577 and will be with the Medical Treatment Facility, Mercy 7 00:00:11,577 --> 00:00:13,471 and Medical Treatment Facility, Comfort 8 00:00:13,471 --> 00:00:15,310 commanding officers. 9 00:00:15,310 --> 00:00:17,200 Please, when asking questions, 10 00:00:17,200 --> 00:00:20,070 identify yourself and your outlet for the record 11 00:00:20,070 --> 00:00:22,389 as they are on the phone, as well, I cannot see you. 12 00:00:22,389 --> 00:00:25,720 So we're gonna start with opening remarks from the 13 00:00:26,860 --> 00:00:31,550 Medical Treatment Facility, Mercy CO, Captain John Rotruck, 14 00:00:31,550 --> 00:00:35,450 followed by the MTF, Comfort CO, Captain Patrick Amersbach. 15 00:00:35,450 --> 00:00:37,110 So, 16 00:00:37,110 --> 00:00:38,210 Captain Rotruck? 17 00:00:38,210 --> 00:00:39,360 The floor is yours sir. 18 00:00:42,113 --> 00:00:43,910 - [Captain Rotruck] Good morning, everyone. 19 00:00:43,910 --> 00:00:45,990 The professionals aboard USNS Mercy 20 00:00:45,990 --> 00:00:48,190 left Naval Base San Diego March 23rd 21 00:00:48,190 --> 00:00:51,062 after receiving a five-day notice of this deployment. 22 00:00:51,062 --> 00:00:53,580 While we have never responded to a pandemic 23 00:00:53,580 --> 00:00:55,380 this is the type of mission that we train for 24 00:00:55,380 --> 00:00:56,702 as our ship is uniquely outfitted 25 00:00:56,702 --> 00:00:59,961 for humanitarian assistance and disaster relief. 26 00:00:59,961 --> 00:01:01,420 We've seen that Los Angeles 27 00:01:01,420 --> 00:01:03,270 to be the relief valve for local hospitals 28 00:01:03,270 --> 00:01:05,920 so they would have the capability to combat COVID-19. 29 00:01:06,760 --> 00:01:09,434 I could not be more proud of the sailors aboard Mercy 30 00:01:09,434 --> 00:01:12,770 and how they came together as a team so quickly. 31 00:01:12,770 --> 00:01:13,685 We are accomplishing our mission 32 00:01:13,685 --> 00:01:15,600 and showing the power of Navy medicine 33 00:01:15,600 --> 00:01:17,107 in support of the American people, 34 00:01:17,107 --> 00:01:19,190 and we will stay here until it is decided 35 00:01:19,190 --> 00:01:21,820 that our support is deemed no longer necessary. 36 00:01:21,820 --> 00:01:24,396 We are honored to answer the call in this time of need 37 00:01:24,396 --> 00:01:26,971 and are committed to protecting the health of our force 38 00:01:26,971 --> 00:01:29,220 and the health of our nation. 39 00:01:29,220 --> 00:01:30,053 Thank you. 40 00:01:33,518 --> 00:01:35,185 - Captain Amersbach? 41 00:01:37,215 --> 00:01:38,048 - [Captain Amersbach] Good morning, 42 00:01:38,048 --> 00:01:40,018 I'm Captain Patrick Amersbach. 43 00:01:40,018 --> 00:01:42,510 A (mumbles) officer in the military, in this facility 44 00:01:42,510 --> 00:01:44,930 aboard the USNS Comfort. 45 00:01:44,930 --> 00:01:46,680 I am humbled and honored to lead a team 46 00:01:46,680 --> 00:01:48,082 of true professionals 47 00:01:48,082 --> 00:01:50,157 who are committed to helping our fellow Americans 48 00:01:50,157 --> 00:01:53,270 during this great time of need. 49 00:01:53,270 --> 00:01:55,410 We received our first patients last night 50 00:01:55,410 --> 00:01:57,270 and are ready to receive many more 51 00:01:57,270 --> 00:01:59,900 in order to provide high-quality healthcare 52 00:01:59,900 --> 00:02:02,930 to non-COVID patients in New York City. 53 00:02:02,930 --> 00:02:04,760 We cannot thank FEMA 54 00:02:04,760 --> 00:02:07,124 state, and local representatives enough 55 00:02:07,124 --> 00:02:10,000 for their professionalism and continued effort 56 00:02:10,000 --> 00:02:13,575 to make the process as smooth as possible. 57 00:02:13,575 --> 00:02:15,800 Our hope is that our presence will ensure that 58 00:02:15,800 --> 00:02:19,403 local hospitals can focus on treatment of COVID-19 patients. 59 00:02:20,350 --> 00:02:21,920 We (mumbles) 60 00:02:21,920 --> 00:02:22,977 to New York City, 61 00:02:22,977 --> 00:02:26,130 and are grateful to serve the needs of our nation. 62 00:02:26,130 --> 00:02:28,630 We will continue to coordinate requests for patients here 63 00:02:28,630 --> 00:02:30,430 directly with union representatives. 64 00:02:31,385 --> 00:02:34,527 Thank you again for this opportunity to speak with you. 65 00:02:37,705 --> 00:02:40,753 - Okay, we'll begin questions and answers. 66 00:02:40,753 --> 00:02:42,223 Edge Reese from Reuters. 67 00:02:43,360 --> 00:02:45,901 - [Reese] Sure, if you could both provide an update on 68 00:02:45,901 --> 00:02:50,240 how many patients aboard the ships have been treated. 69 00:02:50,240 --> 00:02:52,070 And the second part to that is, 70 00:02:52,070 --> 00:02:55,870 why were both ships rushed to both cities, 71 00:02:55,870 --> 00:02:57,120 given that it appears that 72 00:02:57,120 --> 00:03:00,480 you guys are only treating a handful of patients right now. 73 00:03:00,480 --> 00:03:02,000 Because from here it just seems like more of 74 00:03:02,000 --> 00:03:04,430 a political symbol by the governors, 75 00:03:04,430 --> 00:03:07,300 given that the capacity is not being used. 76 00:03:07,300 --> 00:03:09,300 Even a fraction of it on both the ships. 77 00:03:13,450 --> 00:03:14,810 - [Captain Rotruck] Hi, it's Captain Rotruck, from the Mercy 78 00:03:14,810 --> 00:03:16,350 I'll go first on that. 79 00:03:16,350 --> 00:03:19,910 So we've had a total of 15 patient transfers so far. 80 00:03:19,910 --> 00:03:22,053 We have 10 patients currently on the ship. 81 00:03:23,260 --> 00:03:25,290 So that's just in the past four days. 82 00:03:25,290 --> 00:03:27,640 Which means that we've discharged five patients as well. 83 00:03:27,640 --> 00:03:30,390 And I think the take home message there is that 84 00:03:30,390 --> 00:03:32,440 we are able to actually bring patients aboard 85 00:03:32,440 --> 00:03:33,990 and also discharge them effectively, 86 00:03:33,990 --> 00:03:36,050 to generate that patient through close really, 87 00:03:36,050 --> 00:03:37,310 and continue to effectively act 88 00:03:37,310 --> 00:03:39,454 as a release valve for our local hospital. 89 00:03:39,454 --> 00:03:42,380 If we were not able to discharge patients effectively, 90 00:03:42,380 --> 00:03:44,460 we would essentially fill up and then 91 00:03:44,460 --> 00:03:47,150 no longer be of any use to the local hospital. 92 00:03:47,150 --> 00:03:50,040 But I think that's a good news story for us. 93 00:03:50,040 --> 00:03:52,490 In reference to the second part of your question, 94 00:03:53,910 --> 00:03:56,820 I think, I hopefully understand the intent of 95 00:03:56,820 --> 00:03:59,410 COD senior leadership, but they really wanted to get the 96 00:03:59,410 --> 00:04:01,830 capability and capacity in place early before 97 00:04:01,830 --> 00:04:04,793 the hospitals in the local areas were already overwhelmed. 98 00:04:04,793 --> 00:04:07,973 So we could establish the relationship, and 99 00:04:07,973 --> 00:04:10,950 ensure the processes were sound to get patients to the ship 100 00:04:10,950 --> 00:04:14,495 so that when the capacity demands and really increases 101 00:04:14,495 --> 00:04:16,120 we'll be ready. 102 00:04:16,120 --> 00:04:16,953 Thank you. 103 00:04:21,642 --> 00:04:23,030 - [Captain Amersbach] This is Captain Amersbach 104 00:04:23,030 --> 00:04:24,200 from the Comfort. 105 00:04:24,200 --> 00:04:27,230 We've treated about three patients so far and 106 00:04:27,230 --> 00:04:29,450 have worked diligently again with 107 00:04:29,450 --> 00:04:31,937 local authorities and FEMA to ensure that 108 00:04:31,937 --> 00:04:35,353 the correct information of our capabilities is communicated, 109 00:04:36,241 --> 00:04:39,090 in order to facilitate a greater number 110 00:04:39,090 --> 00:04:41,180 of patients on this ship. 111 00:04:41,180 --> 00:04:43,860 We were also brought into New York City 112 00:04:43,860 --> 00:04:46,080 as quickly as possible. 113 00:04:46,080 --> 00:04:47,840 So we were available 114 00:04:47,840 --> 00:04:50,730 and ready to accept 115 00:04:52,300 --> 00:04:54,120 COVID-19-free patients 116 00:04:54,120 --> 00:04:57,160 to take some pressure off the local health systems 117 00:04:57,160 --> 00:05:00,183 before the wave hit, or as quickly as we possibly can. 118 00:05:04,883 --> 00:05:06,621 - All right thank you. 119 00:05:06,621 --> 00:05:07,680 Ryan. 120 00:05:07,680 --> 00:05:10,320 - Hi and thank you for doing this. 121 00:05:10,320 --> 00:05:12,350 Ryan Brown with CNN. 122 00:05:12,350 --> 00:05:16,700 Can you say what is kind of the process, I know that 123 00:05:17,590 --> 00:05:21,248 the patients were referred to the ships from the hospital. 124 00:05:21,248 --> 00:05:23,160 So can you talk a little bit about 125 00:05:23,160 --> 00:05:27,020 why is it only, you know, 15 patients for the Mercy 126 00:05:27,020 --> 00:05:29,710 and I think you said three for the Comfort. 127 00:05:29,710 --> 00:05:31,970 Is that because you're just not receiving 128 00:05:31,970 --> 00:05:33,450 the referrals from the hospital, 129 00:05:33,450 --> 00:05:37,143 is that FEMA that's not passing those folks along? 130 00:05:38,431 --> 00:05:40,528 What is the limiting factor on the patients 131 00:05:40,528 --> 00:05:41,963 that you're receiving? 132 00:05:45,970 --> 00:05:47,150 - [Captain Rotruck] So captain Rotruck here, 133 00:05:47,150 --> 00:05:50,160 just speaking specifically for the Los Angeles area. 134 00:05:50,160 --> 00:05:54,360 Our process is that the local hospitals call in to the 135 00:05:54,360 --> 00:05:57,080 county's Medical Alert Center, which has already been 136 00:05:57,080 --> 00:06:00,360 a pre-existing system by which local hospitals 137 00:06:00,360 --> 00:06:02,780 transfer patients between each other, 138 00:06:02,780 --> 00:06:04,870 so we were able to nest in to an existing system 139 00:06:04,870 --> 00:06:07,053 instead of trying to create something new. 140 00:06:08,560 --> 00:06:11,010 Its really driven by demand from the local hospitals 141 00:06:11,010 --> 00:06:14,320 based on there current capacity and 142 00:06:14,320 --> 00:06:16,650 we're here in support of FEMA and the city of California, 143 00:06:16,650 --> 00:06:20,250 so we're ready to answer whatever that demand signal is 144 00:06:20,250 --> 00:06:22,562 and if that demand signal ramps up, 145 00:06:22,562 --> 00:06:24,812 we'll certainly be ready to accommodate that. 146 00:06:29,310 --> 00:06:30,143 Thank you. 147 00:06:32,700 --> 00:06:34,050 - Jennifer. 148 00:06:34,050 --> 00:06:36,084 - Jennifer Griffin with Fox News. 149 00:06:36,084 --> 00:06:37,103 Captain, 150 00:06:38,400 --> 00:06:41,010 can you both talk about the nature of the injuries 151 00:06:41,010 --> 00:06:42,330 that you've been treating? 152 00:06:42,330 --> 00:06:43,440 How serious are they? 153 00:06:43,440 --> 00:06:44,930 What are the range of injuries? 154 00:06:44,930 --> 00:06:47,980 And how are you testing for COVID-19 155 00:06:47,980 --> 00:06:49,350 in the patients that are coming to you, 156 00:06:49,350 --> 00:06:52,186 so that you're sure that they don't have COVID-19 157 00:06:52,186 --> 00:06:54,400 when you're treating them, especially 158 00:06:54,400 --> 00:06:56,620 since the latest guidance is that 159 00:06:56,620 --> 00:07:00,100 most people can be carriers without knowing they have it 160 00:07:00,100 --> 00:07:01,350 or without having a fever. 161 00:07:01,350 --> 00:07:03,381 What is the process to be ensured? 162 00:07:03,381 --> 00:07:05,200 Do you have instant testing 163 00:07:05,200 --> 00:07:07,380 and are these patients going through that 164 00:07:07,380 --> 00:07:10,093 before they are on board the ships? 165 00:07:14,580 --> 00:07:15,670 - [Captain Rotruck] So Captain Rotruck here 166 00:07:15,670 --> 00:07:16,503 speaking for the Mercy 167 00:07:16,503 --> 00:07:18,963 before Captain Amersbach answers on his coast. 168 00:07:20,200 --> 00:07:22,830 So in brief, we've had a pretty broad range of 169 00:07:22,830 --> 00:07:25,400 medical and surgical patients come to us. 170 00:07:25,400 --> 00:07:28,016 We have not actually performed any surgeries this far. 171 00:07:28,016 --> 00:07:29,870 The surgical patients that have come to us 172 00:07:29,870 --> 00:07:31,640 have been people who have already had surgery 173 00:07:31,640 --> 00:07:33,840 or been evaluated by a surgeon. 174 00:07:33,840 --> 00:07:36,662 But its definitely been quite a wide variety of patients. 175 00:07:36,662 --> 00:07:39,557 In terms of the process to ensure patients who come to us 176 00:07:39,557 --> 00:07:41,437 are not infected with the COVID, 177 00:07:41,437 --> 00:07:43,384 we are not performing that test here, 178 00:07:43,384 --> 00:07:46,110 the local referring hospital is actually screening 179 00:07:46,110 --> 00:07:48,630 and testing the patients before they are transferred. 180 00:07:48,630 --> 00:07:50,020 Thank you. 181 00:07:50,020 --> 00:07:52,640 - And just back to the types of injuries, 182 00:07:52,640 --> 00:07:55,117 are you talking gunshot wounds or broken legs? 183 00:07:55,117 --> 00:07:57,083 What is the range of injuries? 184 00:08:00,400 --> 00:08:01,452 - [Captain Rotruck] Captain Rotruck here. 185 00:08:01,452 --> 00:08:03,790 Yes and yes on all of that. 186 00:08:03,790 --> 00:08:06,700 So again, it's people who have been in 187 00:08:06,700 --> 00:08:08,580 traumatic accidents, who are now recovering. 188 00:08:08,580 --> 00:08:12,050 It's people with gastro-intestinal and heart and lung 189 00:08:12,050 --> 00:08:14,887 problems, so pretty much the range of patients 190 00:08:14,887 --> 00:08:17,380 that you'd expect to see in a community hospital. 191 00:08:17,380 --> 00:08:18,213 Thank you. 192 00:08:24,660 --> 00:08:25,910 - Courtney Kube from NBC. 193 00:08:28,440 --> 00:08:29,510 - [Courtney] Hi thank you. 194 00:08:29,510 --> 00:08:30,808 Okay, I just wanna ask two quick follow ups 195 00:08:30,808 --> 00:08:32,063 and then one question. 196 00:08:32,930 --> 00:08:36,255 Captain Rotruck, when you say that the local hospitals 197 00:08:36,255 --> 00:08:38,379 are testing the people before they're transferred, 198 00:08:38,379 --> 00:08:43,230 you don't mean that they're physically getting a COVID test, 199 00:08:43,230 --> 00:08:45,730 that's being sent out and has to be 200 00:08:45,730 --> 00:08:48,483 casted negative before there transfered, right? 201 00:08:50,850 --> 00:08:51,683 - [Captain Rotruck] No, I did mean 202 00:08:51,683 --> 00:08:53,520 they're getting a COVID test, 203 00:08:53,520 --> 00:08:56,530 and a result prior to being transferred. 204 00:08:56,530 --> 00:08:57,363 - [Courtney] I'm so sorry, 205 00:08:57,363 --> 00:08:59,420 you said you did mean that, or you did not? 206 00:09:00,410 --> 00:09:01,243 - [Captain Rotruck] I do mean 207 00:09:01,243 --> 00:09:02,250 they are all getting COVID tested 208 00:09:02,250 --> 00:09:05,220 at the local hospital where they're coming, 209 00:09:05,220 --> 00:09:08,360 and that test result is coming back negative of course 210 00:09:08,360 --> 00:09:11,070 before we approve a request for transfer. 211 00:09:11,070 --> 00:09:12,050 - [Courtney] Okay great, thank you. 212 00:09:12,050 --> 00:09:15,440 And then, my question is for 213 00:09:16,570 --> 00:09:18,680 Captain Amersbach, Can you tell us exactly when 214 00:09:18,680 --> 00:09:20,541 the Comfort started accepting patients? 215 00:09:20,541 --> 00:09:22,070 And then for both of you, 216 00:09:22,070 --> 00:09:24,250 I just wanna clear up something that secretary Esper 217 00:09:24,250 --> 00:09:26,180 said at the White House briefing yesterday. 218 00:09:26,180 --> 00:09:28,810 He was asked specifically whether the hostile ships 219 00:09:30,051 --> 00:09:33,050 could begin accepting COVID patients, 220 00:09:33,050 --> 00:09:38,050 and I think he caused a lot of confusion because 221 00:09:38,460 --> 00:09:41,860 he said that they would do what they're asked to do. 222 00:09:41,860 --> 00:09:44,343 And we've been hearing nothing but 223 00:09:45,210 --> 00:09:46,710 the fact that they would only be 224 00:09:46,710 --> 00:09:49,480 non-COVID patients on the hospitals. 225 00:09:49,480 --> 00:09:52,950 So, is there any discussion about either ship 226 00:09:52,950 --> 00:09:55,420 if you don't start getting more cases 227 00:09:56,310 --> 00:09:59,490 or more local patients, somehow 228 00:09:59,490 --> 00:10:02,380 retro-fitting or accept your spaces 229 00:10:02,380 --> 00:10:04,480 so you can start accepting COVID patients? 230 00:10:11,509 --> 00:10:12,600 - [Captain Rotruck] Captain Rotruck here 231 00:10:12,600 --> 00:10:15,810 speaking on the Mercy side, with respect to your question. 232 00:10:15,810 --> 00:10:17,680 So right now, our mission as assigned by 233 00:10:17,680 --> 00:10:19,770 the Department of Defense in support of FEMA, 234 00:10:19,770 --> 00:10:22,503 is to accept non-COVID-19 patients. 235 00:10:23,480 --> 00:10:27,020 If FEMA in cooperation with the state of California decides 236 00:10:27,020 --> 00:10:28,950 that our mission should change, that we should 237 00:10:28,950 --> 00:10:30,890 start accepting COVID patients, 238 00:10:30,890 --> 00:10:33,543 we will take action on that, next queue. 239 00:10:36,186 --> 00:10:39,516 - Captain Amersbach, are you still on the line sir? 240 00:10:39,516 --> 00:10:41,340 - [Captain Amersbach] Yes I apologize, 241 00:10:41,340 --> 00:10:44,440 our call got dropped on our end. 242 00:10:44,440 --> 00:10:46,560 As the Mercy had mentioned, 243 00:10:46,560 --> 00:10:50,150 we are following the orders from the Department of Defense, 244 00:10:50,150 --> 00:10:52,300 as they work with other fellow agencies. 245 00:10:52,300 --> 00:10:56,130 And right now, those rules still apply. 246 00:10:56,130 --> 00:11:00,313 That we are accepting only COVID-19 patients. 247 00:11:02,715 --> 00:11:05,200 Excuse me, non-COVID-19 patients. 248 00:11:05,200 --> 00:11:08,000 If that changes in the future then 249 00:11:08,000 --> 00:11:10,453 we will adjust accordingly, but right now 250 00:11:10,453 --> 00:11:12,023 that is how we are operating. 251 00:11:16,069 --> 00:11:17,390 - Can I just follow up? 252 00:11:17,390 --> 00:11:20,170 Its Jennifer Griffin, on Courtney's question, 253 00:11:20,170 --> 00:11:22,606 how would you accommodate COVID-19 patients? 254 00:11:22,606 --> 00:11:24,890 We've seen the situation on the Roosevelt 255 00:11:24,890 --> 00:11:26,903 and how difficult it is on ships 256 00:11:26,903 --> 00:11:29,210 and in that kind of environment, 257 00:11:29,210 --> 00:11:32,770 how would you adjust to bring COVID-19 patients 258 00:11:32,770 --> 00:11:34,810 on to either the Mercy or Comfort? 259 00:11:39,141 --> 00:11:40,060 - [Captain Rotruck] Captain Rotruck, 260 00:11:40,060 --> 00:11:41,570 speaking for the Mercy here. 261 00:11:42,780 --> 00:11:44,160 That is an interesting question 262 00:11:44,160 --> 00:11:47,853 and I think its something we have to give some thought to. 263 00:11:48,870 --> 00:11:49,703 But if I were to conjecture 264 00:11:49,703 --> 00:11:51,879 how we would accomplish that mission, 265 00:11:51,879 --> 00:11:53,620 possibly we would transition from a 266 00:11:53,620 --> 00:11:56,640 non-COVID-19 patient treatment facility to a 267 00:11:56,640 --> 00:11:59,819 COVID-19-only patient treatment facility. 268 00:11:59,819 --> 00:12:02,270 So in other words, we would probably have to transfer 269 00:12:02,270 --> 00:12:04,652 the non-COVID infected patients off the ship 270 00:12:04,652 --> 00:12:07,640 and become a 100% COVID operation. 271 00:12:07,640 --> 00:12:08,473 Thank you. 272 00:12:11,101 --> 00:12:12,963 - Okay, well, Patty from Al-Jazeera. 273 00:12:17,760 --> 00:12:19,033 - [Patty] Sorry about that. 274 00:12:20,580 --> 00:12:23,568 Just to follow up on that, how would you actually, 275 00:12:23,568 --> 00:12:26,750 would you actually take COVID patients? 276 00:12:26,750 --> 00:12:27,972 I mean it's a ship, 277 00:12:27,972 --> 00:12:30,532 could you physically do that and keep everyone safe? 278 00:12:30,532 --> 00:12:33,170 And the other question is just about billing. 279 00:12:33,170 --> 00:12:34,680 How does that work? 280 00:12:34,680 --> 00:12:36,470 Is the healthcare free? 281 00:12:36,470 --> 00:12:37,500 Or do you bill insurance? 282 00:12:37,500 --> 00:12:39,163 Its just kind of unheard of. 283 00:12:44,058 --> 00:12:46,340 - [Captain Rotruck ] So captain Rotruck here. 284 00:12:46,340 --> 00:12:48,440 There is no billing of patients for care delivered 285 00:12:48,440 --> 00:12:49,790 on the hospital ship. 286 00:12:49,790 --> 00:12:50,623 Thank you. 287 00:12:54,060 --> 00:12:56,000 - [Patty] Could you actually take COVID patients 288 00:12:56,000 --> 00:12:57,353 given that it's a ship? 289 00:13:03,363 --> 00:13:06,700 - [Captain Amersbach] This is Captain Amersbach on Comfort. 290 00:13:06,700 --> 00:13:08,312 Sorry John, I didn't mean to step on you there. 291 00:13:08,312 --> 00:13:09,873 You wanna continue? 292 00:13:18,962 --> 00:13:21,600 Captain Amersbach from the Comfort. 293 00:13:21,600 --> 00:13:25,050 We would again if we were directed to, 294 00:13:25,050 --> 00:13:28,200 potentially be able to take COVID-19 patients 295 00:13:28,200 --> 00:13:30,840 if we reconfigured 296 00:13:30,840 --> 00:13:33,550 the availability of beds on the ship 297 00:13:34,740 --> 00:13:39,740 based on the separation of COVID and non-COVID patients. 298 00:13:40,500 --> 00:13:44,090 But again, I really can't speculate on that, 299 00:13:44,090 --> 00:13:47,603 at this point I would rather if we go through, 300 00:13:48,741 --> 00:13:52,230 if we go through trying to take on non-COVID patients 301 00:13:52,230 --> 00:13:53,576 as directed, so we will go ahead and 302 00:13:53,576 --> 00:13:57,303 move in to a planning period for that potential move. 303 00:14:02,550 --> 00:14:03,620 - Tara Coppton. 304 00:14:07,490 --> 00:14:10,570 - [Tara] Thank you both for doing this, I have a follow up. 305 00:14:10,570 --> 00:14:14,880 Captain Amersbach I couldn't hear, I'm on the line. 306 00:14:14,880 --> 00:14:19,173 Just to confirm, the Comfort has taken 3 patients so far? 307 00:14:21,298 --> 00:14:22,770 - [Captain Amersbach] Yes ma'am that is correct. 308 00:14:22,770 --> 00:14:27,770 So we again are working with local officials and FEMA. 309 00:14:27,920 --> 00:14:32,120 We have everything laid out as far as communication 310 00:14:32,120 --> 00:14:36,750 and our ability to move patients from local hospitals 311 00:14:36,750 --> 00:14:37,583 to the ship. 312 00:14:37,583 --> 00:14:40,840 To this point, late yesterday afternoon 313 00:14:40,840 --> 00:14:42,953 we started taking on our first patients. 314 00:14:44,880 --> 00:14:46,190 - [Tara] Okay so your first patients 315 00:14:46,190 --> 00:14:48,290 you started taking on yesterday afternoon. 316 00:14:49,230 --> 00:14:52,970 Are any of the delays in getting patients on the ship 317 00:14:52,970 --> 00:14:54,850 in part because you are testing everyone 318 00:14:54,850 --> 00:14:56,100 before they get on board? 319 00:15:00,848 --> 00:15:03,250 - [Captain Amersbach] Ma'am, I can't speak to that. 320 00:15:03,250 --> 00:15:06,660 I don't think that is potentially a delay at this point. 321 00:15:06,660 --> 00:15:10,730 The criteria for accepting has been shared 322 00:15:10,730 --> 00:15:13,590 both through FEMA and local authorities. 323 00:15:13,590 --> 00:15:18,590 It was a requirement before we fold in. 324 00:15:18,640 --> 00:15:21,113 So whether or not it is an issue, 325 00:15:22,420 --> 00:15:24,070 I'm not sure. 326 00:15:24,070 --> 00:15:27,420 The process continues but again 327 00:15:27,420 --> 00:15:32,420 it is settling out and we are honestly looking forward to 328 00:15:32,670 --> 00:15:35,370 seeing a significant increase in 329 00:15:35,370 --> 00:15:37,770 patients being transferred to the Comfort today. 330 00:15:39,360 --> 00:15:41,910 - [Tara] Okay, and secondly 331 00:15:44,260 --> 00:15:45,923 for the Mercy's captain, 332 00:15:47,190 --> 00:15:51,240 we've see recently that both California and Washington State 333 00:15:51,240 --> 00:15:54,210 seem to being successful in flattening the curve. 334 00:15:54,210 --> 00:15:56,090 Now who knows if that that will continue. 335 00:15:56,090 --> 00:15:59,950 But how difficult would it be to 336 00:15:59,950 --> 00:16:02,563 relocate the ship, actually either ship, 337 00:16:03,870 --> 00:16:05,389 for another hotspot such as New Orleans 338 00:16:05,389 --> 00:16:08,480 that may not have been as prepared 339 00:16:08,480 --> 00:16:10,273 and may see their cases surge? 340 00:16:14,660 --> 00:16:15,690 - [Captain Rotruck] I think I can answer that. 341 00:16:15,690 --> 00:16:17,480 For the Mercy, essentially were in a 342 00:16:17,480 --> 00:16:19,860 constant state of readiness to 343 00:16:19,860 --> 00:16:24,460 do whatever mission our higher officials ask of us. 344 00:16:24,460 --> 00:16:28,450 So the issue for us relocating would just be 345 00:16:28,450 --> 00:16:30,323 providing a safe disposition for all the patients 346 00:16:30,323 --> 00:16:32,840 that are currently on board the ship. 347 00:16:32,840 --> 00:16:33,900 And once we accomplish that, 348 00:16:33,900 --> 00:16:36,770 we can leave in fairly short order, if ordered to do so. 349 00:16:36,770 --> 00:16:40,000 And again, that would be at the direction of FEMA 350 00:16:40,000 --> 00:16:43,080 directed to the Department of Defense for us to do that. 351 00:16:43,080 --> 00:16:43,913 Thank you. 352 00:16:45,037 --> 00:16:46,740 - And just as a reminder, when I call on you, 353 00:16:46,740 --> 00:16:49,703 please identify your name and outlet as well. 354 00:16:49,703 --> 00:16:51,510 We'll go with Geoff Showgle. 355 00:16:55,790 --> 00:16:57,400 - [Geoff] Thank you for doing this. 356 00:16:57,400 --> 00:17:00,290 There was a news report about a man who 357 00:17:02,270 --> 00:17:04,777 derailed a locomotive near the USNS Mercy. 358 00:17:04,777 --> 00:17:08,150 I have a question for the Mercy skipper. 359 00:17:08,150 --> 00:17:10,590 Are you taking any extra security 360 00:17:10,590 --> 00:17:12,730 as a result of this action? 361 00:17:12,730 --> 00:17:16,170 And can you say how this information and rumor 362 00:17:16,170 --> 00:17:18,380 is affecting your safety. 363 00:17:18,380 --> 00:17:19,213 Thank you 364 00:17:26,170 --> 00:17:27,070 - [Captain Rotruck] Sure, so with the effect 365 00:17:27,070 --> 00:17:28,542 of the train incident, 366 00:17:28,542 --> 00:17:30,950 there was really no impact to the Mercy whatsoever 367 00:17:30,950 --> 00:17:33,380 as you'll forgive the use of that word. 368 00:17:33,380 --> 00:17:36,170 It happened well outside of our fence line. 369 00:17:36,170 --> 00:17:38,439 In terms of security, the Department of Defense 370 00:17:38,439 --> 00:17:42,173 and the Navy always has a force help protection posture and 371 00:17:42,173 --> 00:17:44,340 they will continue to maintain that and adjust if needed, 372 00:17:44,340 --> 00:17:46,033 if there's a concern. 373 00:17:48,607 --> 00:17:49,440 - Hot mic. 374 00:17:51,300 --> 00:17:55,440 - [Hot mic] How difficult would it be to relocate the ship 375 00:17:55,440 --> 00:17:56,490 actually either ship, 376 00:17:57,758 --> 00:17:59,529 for another hotspot such as New Orleans 377 00:17:59,529 --> 00:18:02,650 that may not have been as prepared 378 00:18:02,650 --> 00:18:04,100 and maybe there cases surge. 379 00:18:04,100 --> 00:18:05,400 - Tara you have a hot mic. 380 00:18:08,280 --> 00:18:10,914 - [Tara] I don't know, I'm on mute. 381 00:18:10,914 --> 00:18:13,550 - Somebody is being recorded and (mumbles). 382 00:18:15,170 --> 00:18:16,680 - For all channels please just ensure 383 00:18:16,680 --> 00:18:18,173 that you mute your lines. 384 00:18:25,010 --> 00:18:26,070 Sam McGrown. 385 00:18:28,187 --> 00:18:30,710 - [Sam] Hi, and thanks for doing this. 386 00:18:30,710 --> 00:18:34,080 Given some of the shortages in medical supplies 387 00:18:34,080 --> 00:18:35,470 particularly in New York City. 388 00:18:35,470 --> 00:18:37,952 I mean, I think there's images of 389 00:18:37,952 --> 00:18:41,190 assigned PPE being like a Yankees Poncho 390 00:18:41,190 --> 00:18:43,230 for at least one case. 391 00:18:43,230 --> 00:18:45,890 How integrated are you with the medical systems 392 00:18:45,890 --> 00:18:47,530 in terms of sharing equipment, 393 00:18:47,530 --> 00:18:48,803 sharing supplies, 394 00:18:50,810 --> 00:18:51,923 and responding to the needs of 395 00:18:51,923 --> 00:18:53,770 some of the local hospital systems. 396 00:18:53,770 --> 00:18:56,020 Not necessarily with patients but with material. 397 00:18:56,020 --> 00:18:57,920 And then I got a follow up after that. 398 00:19:07,460 --> 00:19:08,293 - [Woman] I'm sorry sir, 399 00:19:08,293 --> 00:19:10,843 was that a question for the Mercy or for the Comfort? 400 00:19:10,843 --> 00:19:13,899 - [Sam] Oh, it was a question for the Comfort, specifically. 401 00:19:13,899 --> 00:19:15,867 - [Woman] I'm sorry, I apologize. 402 00:19:15,867 --> 00:19:17,330 - [Captain Amersbach] Okay, we're tracking. 403 00:19:17,330 --> 00:19:19,187 This is Captain Amersbach. 404 00:19:19,187 --> 00:19:21,700 We haven't had any requests at this point 405 00:19:21,700 --> 00:19:25,590 as far as assuring resources or equipment. 406 00:19:25,590 --> 00:19:28,030 If that was to occur that would obviously be 407 00:19:28,030 --> 00:19:32,333 coordinated back through FEMA or local authorities. 408 00:19:33,360 --> 00:19:37,250 We currently have enough of PPE equipment 409 00:19:37,250 --> 00:19:41,300 and stores on board to take care of patients 410 00:19:41,300 --> 00:19:43,770 here in New York City for the, 411 00:19:43,770 --> 00:19:46,980 well, for probably, 412 00:19:46,980 --> 00:19:49,654 at least for the next couple of weeks depending on 413 00:19:49,654 --> 00:19:51,959 how many patients we get aboard this ship. 414 00:19:51,959 --> 00:19:56,959 And then we have a very robust logistics system 415 00:19:57,270 --> 00:20:01,083 in which can resupply while we are a pier side. 416 00:20:03,650 --> 00:20:04,810 - [Sam] Yeah, just as a follow up, 417 00:20:04,810 --> 00:20:07,170 are you going through the Defense Logistics Agency 418 00:20:07,170 --> 00:20:11,200 for resupply and husbanding for both 419 00:20:11,200 --> 00:20:13,210 the Mercy and the Comfort, in terms of... 420 00:20:13,210 --> 00:20:14,351 I'm just curious how 421 00:20:14,351 --> 00:20:16,150 you all are getting new equipment 422 00:20:16,150 --> 00:20:17,470 coming on board, both ships. 423 00:20:17,470 --> 00:20:19,397 Thank you. 424 00:20:19,397 --> 00:20:20,417 - [Captain Amersbach] Yes, this is captain Amersbach 425 00:20:20,417 --> 00:20:21,850 on the Comfort. 426 00:20:21,850 --> 00:20:26,340 Exactly, DLA is working diligently with us 427 00:20:26,340 --> 00:20:28,463 to ensure that we have what we need. 428 00:20:33,538 --> 00:20:34,371 - [Captain Rotruck ] Captain Rotruck here, 429 00:20:34,371 --> 00:20:35,890 let me just echo though. 430 00:20:35,890 --> 00:20:38,433 Our supply lines are always been taxed 431 00:20:38,433 --> 00:20:39,750 in the Department of Defense, 432 00:20:39,750 --> 00:20:41,400 and with the Navy in particular. 433 00:20:41,400 --> 00:20:43,773 So were getting supplies as we expect. 434 00:20:43,773 --> 00:20:44,606 Thank you. 435 00:20:47,513 --> 00:20:49,846 - Okay, Ellen from Cynopsis. 436 00:20:51,120 --> 00:20:53,930 - [Ellen] Hi, this is Ellen Noheiser from Cynopsis. 437 00:20:53,930 --> 00:20:56,721 When you all deployed, you stated specifically 438 00:20:56,721 --> 00:21:01,721 that you would not be doing obstetric or pediatric cases. 439 00:21:01,900 --> 00:21:04,610 But with the number of patients being relatively low 440 00:21:04,610 --> 00:21:06,890 and the problem of women giving birth 441 00:21:06,890 --> 00:21:10,770 not being allowed to have somebody with them in a hospital, 442 00:21:10,770 --> 00:21:14,213 will you be changing that priority at all do you think? 443 00:21:19,150 --> 00:21:20,660 - [Captain Rotruck] So, Captain Rotruck here. 444 00:21:20,660 --> 00:21:23,170 We have not been directed to change our plan 445 00:21:23,170 --> 00:21:25,600 of the scope up here, that we're going to provide. 446 00:21:25,600 --> 00:21:28,420 And just to expand on that a little bit, 447 00:21:28,420 --> 00:21:31,320 to provide obstetric care requires a fairly large 448 00:21:31,320 --> 00:21:34,240 footprint in terms of both staff and capability 449 00:21:34,240 --> 00:21:36,132 within the hospital system. 450 00:21:36,132 --> 00:21:37,850 That was not part of our initial plan, 451 00:21:37,850 --> 00:21:40,450 we don't have those specialists aboard. 452 00:21:40,450 --> 00:21:41,920 We have the staff that we need to focus on 453 00:21:41,920 --> 00:21:44,090 the mission that we said we would deliver. 454 00:21:44,090 --> 00:21:46,980 In the event that we are directed to do otherwise, 455 00:21:46,980 --> 00:21:48,415 to deliver obstetric care, 456 00:21:48,415 --> 00:21:50,550 we'll certainly adjust our staffing mix 457 00:21:50,550 --> 00:21:53,137 as directed by the G.O.D, in conjunction with FEMA 458 00:21:53,137 --> 00:21:54,487 and move out appropriately. 459 00:21:56,872 --> 00:21:58,330 - [Captain Amersbach] This is captain Amersbach 460 00:21:58,330 --> 00:22:01,570 on the Comfort and to echo Captain Rotruck, 461 00:22:01,570 --> 00:22:04,390 absolutely, we take our orders and direction 462 00:22:04,390 --> 00:22:06,930 from higher authority, and if our mission shifts 463 00:22:06,930 --> 00:22:10,060 we will do what we can to beat that mission. 464 00:22:11,760 --> 00:22:13,520 - [Ellen] Thank you. 465 00:22:13,520 --> 00:22:14,870 - Jack from Foreign Policy. 466 00:22:20,000 --> 00:22:21,900 - [Jack] Hey, I'm just curious, 467 00:22:21,900 --> 00:22:23,741 I know you're not in a situation right now 468 00:22:23,741 --> 00:22:26,240 where you see your beds potentially being filled, 469 00:22:26,240 --> 00:22:30,770 but if that is the case if your caseload surges, 470 00:22:30,770 --> 00:22:32,600 do either of the commanders have 471 00:22:32,600 --> 00:22:35,920 contingency plans to refer patients to 472 00:22:35,920 --> 00:22:37,650 other installations or hospitals? 473 00:22:37,650 --> 00:22:38,483 Thank you. 474 00:22:42,040 --> 00:22:43,829 - [Captain Rotruck] Captain Rotruck from the Mercy here. 475 00:22:43,829 --> 00:22:46,100 That would entirely be an issue in coordination 476 00:22:46,100 --> 00:22:49,370 with our local authorities here in LA. 477 00:22:49,370 --> 00:22:52,210 As I mentioned before, we have people from the Mercy 478 00:22:52,210 --> 00:22:53,970 embedded within the Medical Alert Center 479 00:22:53,970 --> 00:22:55,410 which is the coordination agency 480 00:22:55,410 --> 00:22:57,490 for all inter-hospital transfers. 481 00:22:57,490 --> 00:22:58,650 So they would managed that effect well, 482 00:22:58,650 --> 00:23:01,410 we would not be managing it here on the Mercy. 483 00:23:01,410 --> 00:23:02,243 Thank you. 484 00:23:04,687 --> 00:23:06,070 - [Captain Amersbach] Captain Amersbach. 485 00:23:06,070 --> 00:23:09,510 Same here, we go through the Javits Center and 486 00:23:09,510 --> 00:23:11,680 all coordination for care beyond 487 00:23:11,680 --> 00:23:13,650 what would be provided from the ship, 488 00:23:13,650 --> 00:23:15,810 would be coordinated through them. 489 00:23:15,810 --> 00:23:16,643 Over. 490 00:23:21,850 --> 00:23:23,890 - Last question, Ryan. - Just a quick follow up, 491 00:23:23,890 --> 00:23:26,630 we heard from the Mercy captain about 492 00:23:27,680 --> 00:23:29,140 how the patients are referred 493 00:23:29,140 --> 00:23:30,260 and kind of what that process is like. 494 00:23:30,260 --> 00:23:33,830 Captain Amersbach, who is responsible for 495 00:23:33,830 --> 00:23:36,520 referring patients to the Comfort? 496 00:23:36,520 --> 00:23:37,790 What entity 497 00:23:39,790 --> 00:23:42,923 is responsible for making sure patients get to the Comfort? 498 00:23:46,909 --> 00:23:48,310 - [Captain Amersbach] Thanks for the question. 499 00:23:48,310 --> 00:23:51,440 So, the central communications in referral 500 00:23:51,440 --> 00:23:55,650 is being ran through the Javits Center in New York City. 501 00:23:55,650 --> 00:23:59,750 They have local health officials who are working 502 00:23:59,750 --> 00:24:03,317 in conjunction with FEMA, to ensure that 503 00:24:03,317 --> 00:24:06,210 the hospital to hospital transfers 504 00:24:06,210 --> 00:24:07,800 are going as smoothly as possible. 505 00:24:07,800 --> 00:24:09,520 And again does make sure those patients 506 00:24:09,520 --> 00:24:11,160 that are coming aboard this ship, 507 00:24:11,160 --> 00:24:16,140 are suitable for our environment, as well as right now... 508 00:24:19,027 --> 00:24:21,107 COVID-19 phrase. 509 00:24:24,310 --> 00:24:26,020 - Last question, Jennifer. 510 00:24:26,020 --> 00:24:27,740 - Its Jennifer Griffin from Fox News. 511 00:24:27,740 --> 00:24:31,470 Just a quick follow up for my colleague Geoff Showgle. 512 00:24:31,470 --> 00:24:34,810 Captain Rotruck, he asked about disinformation. 513 00:24:34,810 --> 00:24:37,650 Are you suffering from any disinformation campaign 514 00:24:37,650 --> 00:24:38,710 about what you are doing? 515 00:24:38,710 --> 00:24:42,370 Are you seeing any harm from that? 516 00:24:42,370 --> 00:24:44,730 Also, are people just showing up at the docs 517 00:24:44,730 --> 00:24:47,340 trying to be treated, are you having an issue with that? 518 00:24:47,340 --> 00:24:49,810 And finally, how do you know all the staff 519 00:24:49,810 --> 00:24:52,996 on board both ships since you had to deploy so quickly. 520 00:24:52,996 --> 00:24:55,170 How do you know that they're all COVID free? 521 00:24:55,170 --> 00:24:56,250 Were they all tested 522 00:24:56,250 --> 00:24:59,310 or put into isolation for 14 days in advance? 523 00:24:59,310 --> 00:25:00,143 Thank you. 524 00:25:04,580 --> 00:25:05,413 - [Captain Rotruck] Hi, captain Rotruck of the Mercy here. 525 00:25:05,413 --> 00:25:07,263 Thank you for that series of questions. 526 00:25:08,360 --> 00:25:09,940 With respect to misinformation, 527 00:25:09,940 --> 00:25:12,340 I'm not personally aware of any misinformation campaign 528 00:25:12,340 --> 00:25:14,840 with respect to the mission that we're doing here. 529 00:25:19,650 --> 00:25:22,240 With respect to people just showing up for care, 530 00:25:22,240 --> 00:25:24,640 we've had a few phone calls here on the ship 531 00:25:24,640 --> 00:25:27,270 of people that believe they could access here directly 532 00:25:27,270 --> 00:25:29,007 as opposed to being a patient in a hospital 533 00:25:29,007 --> 00:25:30,810 and being transferred. 534 00:25:30,810 --> 00:25:33,899 We just answer those calls as appropriate 535 00:25:33,899 --> 00:25:35,139 and let people know that 536 00:25:35,139 --> 00:25:37,486 the mechanism for receiving here on the Mercy, 537 00:25:37,486 --> 00:25:41,090 comes from being a patient in a local hospital first. 538 00:25:41,090 --> 00:25:42,960 And then finally, 539 00:25:42,960 --> 00:25:44,510 we had a lot of measures in place to make sure 540 00:25:44,510 --> 00:25:47,010 that we remain a COVID free ship. 541 00:25:47,010 --> 00:25:49,760 We did screening for everybody before they came aboard. 542 00:25:50,850 --> 00:25:52,500 After they came aboard, we've been doing 543 00:25:52,500 --> 00:25:54,420 all the individual measures that you're familiar with. 544 00:25:54,420 --> 00:25:57,400 Hand washing, frequent use of hand sanitizer 545 00:25:57,400 --> 00:25:59,100 placed widely throughout the ship. 546 00:25:59,980 --> 00:26:02,850 Other CDC recommendations that, you don't touch your face, 547 00:26:02,850 --> 00:26:05,070 that you, exercise social distancing 548 00:26:05,070 --> 00:26:06,390 to the max distance possible 549 00:26:06,390 --> 00:26:09,490 and that you do frequent cleaning of high touch surfaces. 550 00:26:09,490 --> 00:26:12,290 In addition, for new staff coming aboard the ship 551 00:26:12,290 --> 00:26:14,460 since we left San Diego, they're in a period 552 00:26:14,460 --> 00:26:17,070 of what we call restriction of movement for 14 days. 553 00:26:17,070 --> 00:26:19,970 So, they're coming up here to Los Angeles, 554 00:26:19,970 --> 00:26:21,970 the local area, actually, 555 00:26:21,970 --> 00:26:23,700 potentially being in self-quarantine 556 00:26:23,700 --> 00:26:26,720 or self-isolation if you will, to ensure that, 557 00:26:26,720 --> 00:26:28,455 had they been exposed to somebody with COVID 558 00:26:28,455 --> 00:26:29,710 and they didn't know it, 559 00:26:29,710 --> 00:26:33,010 that would be time for the disease to declare itself. 560 00:26:33,010 --> 00:26:34,383 And obviously we would not have those people 561 00:26:34,383 --> 00:26:36,120 come aboard the ship. 562 00:26:36,120 --> 00:26:38,980 So that's part of our means of ensuring that any new staff 563 00:26:38,980 --> 00:26:41,160 are COVID free as well. 564 00:26:41,160 --> 00:26:41,993 And then 565 00:26:41,993 --> 00:26:43,990 of course all of our patients are screened 566 00:26:43,990 --> 00:26:46,030 and tested for COVID prior to coming on the ship. 567 00:26:46,030 --> 00:26:48,450 So we think we have a pretty robust 568 00:26:48,450 --> 00:26:51,310 group of measures in place to remain COVID free. 569 00:26:51,310 --> 00:26:53,290 Although obviously you recognize 570 00:26:53,290 --> 00:26:54,990 that there is always risk in here. 571 00:26:57,890 --> 00:26:59,296 - All right gentlemen, thank you very much for your time. 572 00:26:59,296 --> 00:27:00,539 Members of press, thank you as well. 573 00:27:00,539 --> 00:27:02,789 Concludes today's briefing. 574 00:27:05,635 --> 00:27:07,552 - Thank you very much.