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A doctor is opening up about working at one of the first hospitals in the country dedicated solely to treating people with severe cases of COVID-19.“Hope gave way to frustration as heartwarming images of mutual sacrifice were replaced by images of protest about the sanctity of dining out and getting haircuts,” said Dr. Ben Trappey at Bethesda Hospital in St. Paul, Minnesota. “Now, even frustration has given way to bone deep sense of weariness and resignation. I’m running on fumes.”Trappey spent nearly three months away from his wife, quarantining at a hotel while caring for patients at Bethesda Hospital near Minneapolis.He destresses through reflective writing and teaches it to other residents and physicians.His essay “Running on Fumes” was recently published in the Journal of the American Medical Association (JAMA). It reflects how he feels still being on the front lines of COVID-19, but not feeling like the rest of the world is behind him.“The thing that made me feel most supported early on was just that everybody was making these sacrifices together and now when there are so many people who refuse to acknowledge that a sacrifice even needs to be made is really frustrating,” said Trappey.He says one of his challenges is not knowing which COVID-19 patients will get better.Many hospitals have provided support like counseling and buddy systems.Trappey is now on parental leave at home with his wife and newborn son.“It’s hard to think about what things will be like as we get further into the fall and we have other respiratory viruses in place as well. It’s pretty worrisome, so I’m just trying not to let myself think too much about that,” said Trappey.The doctor says he hopes people realize they're not alone in the pandemic. 1758

A group of NFL owners are accusing Jerry Jones of "damaging the league."Jones, who owns the Dallas Cowboys, is locked in a bitter feud with the owners of other teams over NFL Commissioner Roger Goodell's contract extension.A lawyer for the NFL's compensation committee, which is responsible for negotiating Goodell's extension, sent a letter to Jones' attorney on Wednesday urging the Cowboys owner to support the committee and not "attempt to sabotage" its efforts.The letter, of which CNNMoney obtained a copy, said Jones' "antics, whatever their motivation, are damaging the league and reflect conduct detrimental to the league's best interests."The compensation committee is composed of six owners. All the other NFL owners also received a copy of the letter, which was first reported by The Wall Street Journal.Jones' lawyer didn't immediately respond to a request for comment late Wednesday. The Cowboys declined to comment.The language used in the letter follows reports that other owners are considering whether to strip Jones of his beloved Cowboys. On Tuesday, Jones dismissed the possibility as well as reports he had received a cease-and-desist warning from the committee earlier in the week."If somebody is asserting that, they are not knowledgeable about how things work in the NFL," he told a Dallas radio station.The letter is the latest development in a saga that has pitted Jones against many within the NFL, exposing deep divisions.Jones has questioned Goodell's leadership and his handling of players who protest racial injustice by kneeling during the National Anthem.He's also upset over Goodell's treatment of his star running back, Ezekiel Elliott, who was suspended six games earlier this season for domestic violence allegations.Despite his recent clashes with the league, Jones has had a lot to do with how things work in the NFL.Besides winning three Super Bowls and a spot in the Pro Football Hall of Fame, he helped Las Vegas and Los Angeles land NFL teams. And he was instrumental in securing the league's lucrative TV rights deal.But his threat to sue fellow members and the league may be a step too far.The letter sent on Wednesday said Jones is trying to "deliberately interfere" with the committee's work.Jones said he's fighting for transparency in the negotiations and wants all the owners to approve any deal with Goodell. He has said that "well over half" of owners agree with him. But all 32 owners agreed in May to give the compensation committee the power to decide whether to extend Goodell's contract, according to a league spokesman.The committee said in the letter that it has continued to keep owners informed.At one point, Jones was a non-voting honorary member of the committee, but was dismissed after he made his threat to sue.The letter referenced his dismissal and accused him of circulating old and misleading documents in his quest for transparency."Someone who is genuinely concerned 'that the owners know the truth about the negotiations' would not deliberately distribute such an outdated document ... or threaten to sue the league and its owners if he does not get his way," it said. 3170

A fast-moving lava flow from Hawaii's Kilauea volcano forced yet more residents out of their homes, with an emergency alert calling for immediate evacuations.Hawaii County Civil Defense told residents of sections of the Leilani Estates community to leave their homes.The agency said the latest evacuations were due to activity from fissure 7, one of 24 cracks in the ground that have opened in the island's East Rift Zone since the start of the month.The US Geological Survey said Sunday that fissure 7 was "very active, producing a large spatter rampart over 100 feet tall from fountains reaching 150-200 feet."The USGS warned that magma was still flowing into the rift zone."Additional ground cracking and outbreaks of lava in the area of the active fissures are possible. Residents downslope of the region of fissures should heed all Hawaii County Civil Defense messages and warnings," it said. 905

A Euclid, Ohio man has been indicted on six counts of rape and numerous other charges after police believe he broke into a woman’s apartment and brutally beat and sexually assaulted her over the course of five hours.The victim’s daughter said her mother underwent a second surgery on Tuesday as doctors worked on reconstructing the broken bones in the woman’s face. The emotional wounds, however, will take years to heal — if at all, she said. Archie Leak, 52, has been indicted on six counts of rape, gross sexual imposition, aggravated burglary, aggravated robbery, assault, two counts of kidnapping, petty theft and tampering with evidence in connection with the March 29th incident.The victim’s family said Leak used a crowbar to gain entry into the woman’s apartment on E. 200th Street. Over the next several hours, Leak allegedly raped and beat the woman. He also reportedly stole some of the victim’s cash and food before leaving around 7:30 that morning, the victim’s family said.The victim then lay in the apartment for three more hours until a neighbor heard her cries for help.“She’s traumatized. Her life is not going to be the same, not at all,” the victim’s daughter said.The victim’s daughter did not want to be identified in an effort to protect her mother’s identity.The reported assault left the victim with several broken bones in her face, which lead to extensive swelling. Doctors spent several hours on Tuesday working to repair the damage. The victim’s daughter said doctors have given her mother a 25 percent chance of regaining her vision.“You can’t even open a can of pop around my mom now. She thinks it’s a gunshot. You can’t touch my mom’s arm. My mom is not the same,” the victim’s daughter said. “She was always very loving and wanting to hug, and now you can’t even touch her.”The victim’s daughter said Euclid police detectives used forensic evidence collected at the scene to quickly identify Leak as a suspect. Leak has an extensive criminal history dating back to 1989, including convictions for burglary. The victim’s daughter lauded the efforts of Euclid police, especially over the Easter holiday weekend.“We were worried about [delays] because it was a holiday. [Police said], ‘no, with this case we’re going through,’” the victim’s daughter said. “I was so thankful that Euclid PD was able to get him.”The victim’s daughter said her mother had only seen Leak once, but had never spoken to him. Her mother was always cautious and had lived at her apartment for more than a decade without any issues. Additionally, the daughter said she spoke to her mother the night before to check in on her.“For this to happen to somebody like her, it makes you think there’s no good people anymore,” the victim’s daughter said. “It doesn’t matter if you’re a good person because bad things, horrible things, will happen to you no matter what.”The victim has a long road to recovery and already faces mounting medical bills. The victim’s family has started a GoFundMe page in order to help cover some of the expected medical debt. As of Tuesday afternoon, more than 00 had been raised. 3161

A disproportionately large number of poor and minority students were not in schools for assessments this fall, complicating efforts to measure the pandemic’s effects on some of the most vulnerable students, a not-for-profit company that administers standardized testing said Tuesday.Overall, NWEA’s fall assessments showed elementary and middle school students have fallen measurably behind in math, while most appear to be progressing at a normal pace in reading since schools were forced to abruptly close in March and pickup online.The analysis of data from nearly 4.4 million U.S. students in grades 3-8 represents one of the first significant measures of the pandemic’s impacts on learning.But researchers at NWEA, whose MAP Growth assessments are meant to measure student proficiency, caution they may be underestimating the effects on minority and economically disadvantaged groups. Those students made up a significant portion of the roughly 1 in 4 students who tested in 2019 but were missing from 2020 testing.NWEA said they may have opted out of the assessments, which were given in-person and remotely, because they lacked reliable technology or stopped going to school.“Given we’ve also seen school district reports of higher levels of absenteeism in many different school districts, this is something to really be concerned about,” researcher Megan Kuhfeld said on a call with reporters.The NWEA findings show that, compared to last year, students scored an average of 5 to 10 percentile points lower in math, with students in grades three, four and five experiencing the largest drops.English language arts scores were largely the same as last year.NWEA Chief Executive Chris Minnich pointed to the sequential nature of math, where one year’s skills — or deficits — carry over into the next year.“The challenge around mathematics is an acute one, and it’s something we’re going to be dealing with even after we get back in school,” he said.NWEA compared grade-level performance on the 2019 and 2020 tests. It also analyzed student growth over time, based on how individual students did on assessments given shortly before schools closed and those given this fall.Both measures indicated that students are advancing in math, but not as rapidly as in a typical year. The findings confirm expectations that students are losing ground during the pandemic, but show those losses are not as great as projections made in spring that were based in part on typical “summer slide” learning losses.A November report by Renaissance Learning Inc., based on its own standardized testing, similarly found troubling setbacks in math and lesser reading losses.The Renaissance Learning analysis looked at results from 5 million students in grades 1-8 who took Star Early Literacy reading or math assessments in fall 2019 and 2020. It found students of all grades were performing below expectations in math at the beginning of the school year, with some grades 12 or more weeks behind.Black, Hispanic, American Indian and students in schools serving largely low-income families fared worse but the pandemic so far hasn’t widened existing achievement gaps, the Renaissance report said.NWEA said that while it saw some differences by racial and ethnic groups emerging in its data, it was too early to draw conclusions.Andre Pecina, assistant superintendent of student services at Golden Plains Unified School District in San Joaquin, California, said his district has scrambled to stem learning loss by issuing devices to all of its students, but the district continues to struggle with connectivity for students at home.Students who are typically 1.5 grades behind are now two grades behind, he said.“We’ve really just gone back to the basics where we’re focusing on literacy and math. That’s all we do,” Pecina said.“I feel like we’re trying our best,” he said. “Our students are engaged, but it’s not optimal. The learning environment is not optimal.”___Associated Press reporter Jeff Amy contributed from Atlanta, Georgia. 4028