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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601
During a Senate hearing Friday, Postmaster General Louis DeJoy explained the operational changes the USPS has made in his time with the agency, adding that he believes the post office will be able to handle increased mail-in voting during the 2020 election."As we head into the election season, I want to assure this committee and the American public that the Postal Service is fully capable and committed to delivering the nation’s election mail securely and on-time," DeJoy said in his opening statement. "This sacred duty is my number one priority between now and election day."Concerning various reports from across the country about distribution centers dismantling mail sorting machines, DeJoy explained that such machines weren't needed and were only operating at about 35 percent capacity. DeJoy added that the machines were removed because they will be replaced with machines that sort packages, as the USPS has seen a decrease in mail delivery and an increase in package delivery.DeJoy did confirm that the USPS has attempted to cut out extra trips by mail carriers, which employees have said have led to significant delays in mail delivery.DeJoy also testified that he hadn't had conversations with Trump administration officials about the USPS' impact on the 2020 general election.DeJoy used his opening statements to urge Congress to adopt legislation that would make changes to USPS' crippling pension system."This year, the Postal Service will likely report a loss of more than billion dollars. Without change, our losses will only increase in the years to come," DeJoy said. "It is vital that Congress enact reform legislation that addresses our unaffordable retirement payments. Most importantly, Congress must allow the Postal Service to integrate our retiree health benefits program with Medicare, which is a common-sense practice followed by all businesses that still offer retiree health care. It must also rationalize our pension funding payments."President Donald Trump has praised the new head of the Postal Service, a Republican donor and ally. But Democrats warn DeJoy’s cost-cutting initiatives since arriving in June are causing an upheaval that threatens the election. Trump raised the stakes by saying he wants to block agency funds to make it harder for the Postal Service to handle the expected surge of mail-in ballots during the COVID-19 crisis.Republican Sen. Ron Johnson, the chairman of the Homeland Security and Governmental Affairs Committee, gaveled open the session dismissing the “false political narrative” that DeJoy is trying to “sabotage” the election.“It is Postmaster DeJoy’s commendable attempt to reduce those excess costs that are now being cynically used to create this false political narrative,” the Wisconsin senator said.The morning hearing was held remotely as Congress is on recess and lawmakers have been conducting much of their business during the coronavirus outbreak in virtual settings.It’s unclear if Sen. Kamala Harris of California, the Democratic vice presidential nominee, will be among those beaming into the session as the week-long Democratic National Convention comes to a close.The outcry over mail delays and warnings of political interference have put the Postal Service at the center of the nation’s tumultuous election year, with Americans rallying around one of the nation’s oldest and more popular institutions.With mounting pressure, DeJoy abruptly reversed course this week, vowing to postpone any further changes until after the election, saying he wanted to avoid even the “perception” of any interference. Blue mailboxes were being been removed, back-of-shop sorting equipment shutdown and overtime hours kept in check.But House Speaker Nancy Pelosi said DeJoy told her in a subsequent phone call he had no intention of restoring the equipment.An internal directive to postal staff said, “They are not to reconnect/reinstall machines,” according to an email obtained by The Associated Press.House Democrats are pushing ahead with a rare Saturday session to pass legislation that would prohibit the actions and send billion to shore up postal operations. Some 20 states, along with voting rights advocates, have sued to reverse the changes.During an interview Thursday on Washington Post Live, Pelosi said Republicans “have been after the post office for a while” as they try to run it more like a profitable business.“A business? No it’s a service,” Pelosi said.Senate Majority Leader Mitch McConnell is eyeing a billion postal rescue as part of the next COVID-19 relief package.“The Post Office is not in trouble,” the GOP leader said Thursday during a home-state stop in Paducha, Ky. “We’re going to make sure that they are able to deliver our ballots on time.”The White House has said it would be open to more postal funding as part of a broader virus aid package.The Postal Service is struggling financially under a decline in mail volume, rising costs from the coronavirus pandemic and a rare, and some say cumbersome congressional requirement to fund in advance its retiree health care benefits.For many, the Postal Service provides a lifeline, sending not just cards and letters, but prescription drug delivery, financial statements and other items that are especially needed by mail during the pandemic.The choice of DeJoy to lead the service, the first postmaster general in nearly two decades who is not a career postal employee, is coming under increased scrutiny.The postal service board of governors, appointed by Trump, selected DeJoy in May to take the job. A GOP donor, he previously owned a logistics business that was a longtime Postal Service contractor. He maintains significant financial stakes in companies that do business or compete with the agency, raising conflict of interest questions.In a statement, the Postal Service said DeJoy has made all required financial disclosures but that he might have to divest some holdings if conflicts arise.Senate Democratic leader Chuck Schumer said this week he has asked for an accounting of how DeJoy was selected, but was previously told by the board of governors some information remains confidential. Schumer said Treasury Secretary Steven Mnuchin played a role in the process.David C. Williams, the former vice chairman of the U.S. Postal Service Board of Governors, on Thursday told lawmakers that he resigned from the board, in part, over DeJoy’s selection, and because he believed the White House was taking extraordinary steps to turn the independent agency into a “political tool.”He said, “I was convinced that its independent role had been marginalized.”Williams, who resigned in April, told members of the Congressional Progressive Caucus at an online forum that DeJoy “didn’t strike me as a serious candidate.”___Associated Press writer Bruce Schreiner in Frankfort, Ky., contributed to this report. 6882

EL CAJON (CNS) - A pedestrian was struck and killed this morning by at least two vehicles on the Kumeyaay (8) Highway in El Cajon.The crash on the westbound freeway, east of Mollison Avenue, occurred at little before 3:30 a.m., the California Highway Patrol reported.One of the vehicles, possibly a four-door sedan, sustained major damage to its left side, the CHP said.A representative from the coroner's office was called to the scene at 4:58 a.m. 457
Dr. Sean Conley, President Donald Trump’s physician, said on Monday that Trump has tested negative for the coronavirus on consecutive days.As Conley’s statement was released to the media on Monday, Trump was setting off for a Florida rally, marking his first voyage out of the White House since returning to the complex last Monday following a three-day stay Walter Reed Medical Center.Previously, Conley said that Trump was no longer infectious, but would not confirm if Trump had tested negative.Meanwhile, White House Chief of Staff Mark Meadows dodged questions earlier on Monday on whether Trump had tested negative. Trump held his first public event since his coronavirus infection on Saturday, speaking to hundreds of supporters from the White House balcony.The CDC says that for most coronavirus patients, they are no longer contagious after 10 days, but the isolation period may need to be extended to 20 days depending on the severity of the infection. Trump announced he was positive for the virus in the early morning hours of October 2.With Trump no longer considered contagious by doctors, he is planning on resuming an active campaign schedule with events planned in swing states every day through Thursday. 1230
Dwayne Johnson, known by his nickname “The Rock,” announced on Instagram on Wednesday that he and his family tested positive for the coronavirus.Johnson said in the video that he, his wife and his two infant daughters tested positive for the virus, but have since recovered."I could tell you that this has been one of the most challenging and difficult things we have ever had to endure as a family, and for me, too, personally as well,” he said. "And I've gone through some doozies in the past."Johnson added, “We have gotten through COVID-19 stronger and healthier. I am counting my blessings.”In a video to his fans, Johnson encouraged the public to wear a mask, build up the immune system and be strict about having gatherings.Johnson said that his family has been fighting the virus for the last two and a half to three weeks.“I wish it was only me who tested positive, but it wasn't, it was my entire family, so this one was a real kick in the gut. But I am happy to tell you guys that we as a family are good. We're on the other end of it,” he told his fans. 1073
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