FRESNO COUNTY, Calif. (KSEE/KGPE) - Winter is the peak time for respiratory viruses and the Community Regional Medical Center is feeling the demand with overcrowding.  "There's lots of viruses, people are calling it a quad dynamic, like lots of different virus strains coming in, we're also seeing other illnesses happening, other infections, and so it's a very hard time," said Dr. Danielle Campagne, MD, Emergency Medicine Physician, Chief of Emergency Medicine at UCSF, Fresno, and Medical Director of American Ambulance.   Campagne says their emergency departments in both Downtown Fresno and Clovis are stretched, with patients being treated in the hallways. "I'd say the volume of patients is similar, actually, more than when we took care of patients in the COVID times. The nice thing, though, right now is our ICUs are not full," she explained. To help ease the demand, Campagne urges those who have not already, to get their flu shot, and stay home when sick. She also wants to educate people on when to see urgent care or a primary care physician, and when it is serious enough to go to the hospital. "You have a cough, cold, runny nose, you think you have an ankle sprain? I think going to your local urgent care or your primary care doctor, a walk-in clinic is perfect." If you experience difficulty breathing, allergic reactions, or seizures, among other serious conditions, you should seek immediate medical attention at an emergency room. "As Fresno grows, Kings County grows, Madera County grows and there are just more patients in need of hospital care than hospitals we have in our valley," Campagne shared. We also reached out to Valley Children's and Kaiser Permanente, they typically see an increase during cold and flu season but have not seen a significant surge compared to previous months or years.