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ESCONDIDO (CNS) - The driver of a Ford Mustang was killed when he reportedly crashed into three separate vehicles at a high speed on Interstate 15 in Escondido this morning, an officer said.A 25-year-old man was behind the wheel of a 2007 Ford Mustang around 6:20 a.m., heading south on I-15 just before state Route 78 when he approached stopped traffic and sideswiped a 2018 Ford Edge in the No. 2 lane of the freeway, according to California Highway Patrol Officer Kevin Smale.After the first crash, the Mustang struck a Ford F-450 two-axle truck stopped in the No. 1 lane, then another Ford F-450 in the No. 2 lane.The Mustang driver, who wasn't wearing a seatbelt, suffered major injuries and was taken to Palomar Medical Center, where he was pronounced dead, Smale said.Drugs and alcohol were not suspected to be factors in the crash.Lanes of southbound I-15 were blocked in the area for about two hours after the crash while investigators and emergency personnel worked, Smale said.All lanes were re-opened shortly before 9 a.m. 1042

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

Excited to announce our partnership with Supervisor @shamannwalton ! Today, we unveiled our two-prong strategy to join forces and stop discriminatory 911 calls: #AB1550 and the #CARENAct. Using 911 as a tool for your prejudice towards marginalized communities is unjust and wrong! pic.twitter.com/NBfBaLe6x2— Rob Bonta (@RobBontaCA) July 7, 2020 353

Fashion designer Hubert de Givenchy, a pioneer in high-end ready-to-wear clothing and famous for styling Audrey Hepburn's little black dress in "Breakfast at Tiffany's," has died at the age of 91, the House of Givenchy confirmed on Monday via its official Twitter account."The House of Givenchy is sad to report the passing of its founder Hubert de Givenchy, a major personality of the world of French Haute Couture and a gentleman who symbolized Parisian chic and elegance for more than half a century. He will be greatly missed," the company announced.His longtime partner, former haute couture designer Philippe Venet, revealed in a statement to AFP that Givenchy died in his sleep on Saturday.Givenchy entered the world of fashion in 1944 at the age of 17, training under Parisian designer Jacques Fath.Before long, he had moved on to designing for several major fashion houses including Robert Piguet, Lucien Lelong and Elsa Schiaparelli.Givenchy was in his mid-20s when he threw caution to the wind and launched his eponymous label in 1952. He maintained low overhead costs to keep down the prices of his designs.His first collection -- which championed the concept of separates and featured flawlessly detailed embroidered pieces, chic silk prints and sophisticated ball gowns -- immediately drew international recognition.From the off, he blazed a trail of innovation in the industry starting with his "Bettina blouse," named for popular French 1950s supermodel Bettina Graziani, which reintroduced tailored shirts into high fashion.But Givenchy was perhaps best known for his decades-long friendship with his muse Audrey Hepburn, which blossomed while she was filming her 1954 hit "Sabrina."Givenchy continued to style her outfits for "Breakfast at Tiffany's," "Funny Face" and "How to Steal a Million" and their friendship would endure until Hepburn's death from cancer in 1993."It was a kind of marriage," Givenchy told the UK's Daily Telegraph newspaper in 2015. "Little by little, our friendship grew and with it a confidence in each other," he added."There (was never) any criticism of the other person, no upsets."Enduring legacyOver the years, the haute couturier became a firm favorite of some of the world's most glamorous and highly admired A-listers.When Jackie Kennedy accompanied her husband to Paris in 1961, she turned to Givenchy to help dress her."It was not the same relationship or friendship that I had with Audrey," the couturier said in 2012 of his work with Kennedy. "The American people felt emotion for Jackie, but they preferred to have an American couturier design her dresses when they came to France for a state visit. Jackie asked for more than 10 or 15 pieces, saying 'I don't know if I can be dressed by a French designer.'"He continued: "We did all the fittings in secret. Then after the event at Versailles, Jackie sent me a little postcard to tell me that General de Gaulle gave her a very nice compliment. He said, 'Madame, this evening you look like a Parisienne.'"During his illustrious career, Givenchy also styled the likes of Elizabeth Taylor and Princess Grace of Monaco.Today, his label continues to be relevant and innovative, remaining incredibly popular with celebrity fans including Beyoncé, Kanye West and Rihanna. Beyoncé's love of the fashion house's style is well-known, with her having worn its creations to the last five Met Galas she attended between 2012 and 2016 (she didn't attend the gala in 2017). Fashion elite mourn 3498

Emily Dorffer is a walking story, so it’s fitting she plans to make a career out of telling them.“I’m just one of those determined little stinkers that just never gives up,” Dorffer said.An important chapter in her life will end soon — the next time she walks the Johns Hopkins University campus it will be as a graduate.The English major's love for writing started at a young age, and she never let Cerebral Palsy keep the words from flowing. “In my case, that means I have some slight fine motor skills difficult,” Dorffer said. “Which basically for me means messy handwriting, and I get a little bit tired if I have to write a whole lot at once.”So, how did she get to the point of becoming a published author and college graduate?“Typing is no problem at all.”But don't call her an inspiration.“It’s my life it’s my normal, I understand that it’s not most people’s version of normal but it’s mine.”Dorffer put together together an anthology of stories from disabled writers from around the world.“There’s a wide range of topics. There’s some simple stuff like a character just goes and shops for groceries and you see how her anxiety disorder affects her,” Dorfer said.The stories for (Dis) Ability: A Short Story Anthology started piling in.“This story deals with more assistive technology and the adjustment to that as well the character's self-image and how that develops through the story,” Dorffer said.Shifting the focus away from the disability to the strong storytelling of talented authors.“It’s an intimidating issue to talk about something that their just not familiar with and they're afraid of offending people obviously.Her mother Virginia couldn't be prouder of her favorite haiku writer. “Even as a parent I never knew she could accomplish what she has accomplished. If you just let anybody do what their passionate about it’s amazing what they can do. You should never say no to somebody.”Emily is looking forward to life as a graduate, wherever the next chapter may be. “If you are going to say I can’t it better be followed up with yet,” said Dorffer.Johns Hopkins University Commencement is May 23, the keynote speaker is the founder of the Equal Justice Initiative Bryan Stevenson. 2259

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