As president of SUNY Downstate, Dr. Wayne Riley found himself and his staff at the very center of the first surge of the coronavirus epidemic.  The community the hospital serves is filled with patients with the very comorbidities that made the virus deadly to so many.  Their wards were overrun with COVID patients, his parking lot filled with refrigerated trucks to store the bodies that couldn't fit into their morgue.  His staff was exhausted, overworked and overwhelmed.  Now, the city is facing another surge, this one expected to be far worse than the first, as restrictions have been relaxed, families gave up on social distancing to celebrate Thanksgiving, causing a rise in COVID that will grown exponentially as they insist on celebrating Christmas, Hanukkah and New Years.  Dr. Riley joins In Focus to talk about what his hospital and all New York City hospitals should expect come the dreaded January surge, why hospitals may be more prepared in terms of equipment and PPE, but far worse with staffs that are smaller, many suffering PTSD, no volunteer help from other states which now face their own serious COVID crises and why those manning the front lines are so desperate for federal help. And he'll talk about the urgency in convincing all New Yorkers that the new vaccine is safe and necessary.