 Hello, my name is Varda Shoam and I'm the CEO of a men organization, the Israeli organization for Mi'aloma patients and their caregivers. The organization started 16 years ago and it was founded by Paola Azulai, which is not with us anymore, but she was the founder and she's the first one to make the connection with the MPE organization. Today I would like to share with you the effects of the coronavirus on Mi'aloma patients and their families in Israel. And I would like to talk about the activities that we took during this period. As you know, we started on a march in Israel to see the first cases of coronavirus and the patients were in panic. There was a lot of uncertainty and fear. The patients didn't know if they should go to the hospital for treatment. They didn't know if they should stop the treatment. They had a lot of questions about it. We got a lot of phone calls and once the vaccination arrived to Israel, they didn't know if they should get vaccinated. I think in no time we started to adapt the Zoom sessions and it was a great solution for us. We started with weekly Zoom sessions with doctors in purpose to reduce the panic. So every week another doctor from a different hospital would give a session in the Zoom and patients could ask questions and get answers. In addition, we started kind of telemedicine, which was not really organized but the doctors started to communicate with the patients by email, by phone and they asked them to patients to make tests in the outpatient clinic near their house to send them the results and they decided to gather if the patient should arrive for treatment or he can postpone the treatment. There were initiations in some hospitals regarding getting Velcade injection. The patient came in their cars to the parking lot and the medical nurse went down to give them injection, which was really a very amazing initiation. We started, I think one month after the coronavirus started in Israel, we started with a special project of transportation for patients that didn't have their own cars because there was no public transportation and if there was a public transportation the doctors told them not to get into public transportation. So we started to take special cars and to take the patients to hospital for treatment and back to the home. It was a very complicated project and we did about more than 1500 trips. In addition, in the beginning there was a lake of masks so we imported masks and we sent them to the hematology unit. So that the immediate activities that we did. After a few months we decided that we are going to get the face-to-face meetings that we had in the past for support to patients and their family members to put to do it in Zoom. We started and it was very successful because patients in the periphery that couldn't participate before because the meeting were in three centers in Israel started to participate and also patients that could not reach the various centers because they could not live physically, they could not leave the house. They started to participate in this workshop. So this workshop we maintain weekly workshop and it's very successful. We started also with the other workshop that we didn't do before in nutrition, in patient rights because it became very easy to make all these activities in Zoom. We don't need to rent a place, we don't need to move patients from their home to the center where we make the meeting. So it became very easy to make this workshop and we continue up to now with medical information once every three weeks. So right now our calendar is full. We have at least two to three sessions every week. Another activity that we started is to contact with patients through phone calls. We made phone calls to all our patients to see what their needs and to see how they're doing and patients really liked it and I must tell you that we're going to continue with this project once a year every patient will get from us a phone call. We also started to give a technological assistance for patients that have difficulties to adapt the virtual method of communication. As you know many patients are old and they didn't grow up with this method of communication so we started to give them assistance. We also have a special section in our website with all the relevant information about COVID-19. We give them some translated articles, we have some authorities instructions, we have advice from peer to peer members and we answer questions of our patients. What our conclusions are? I think virtual support will continue to be a primary resource. I think we will go back to face-to-face meeting around October but also people that will not be able to join it will be able to access it through Zoom session and also people that live in the periphery and will use it this system. I think as I told you patients enjoyed the communication with the main staff and we are going to implement regular phone calls to check in on patients and all informational sessions including our yearly convention and our convention that we are doing at least four times a year in different hospitals will be hybrid. So thank you very much and good luck and I hope all of us are vaccinated up to now.