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Psychological first aid. That's the mission of a new program within the Medical Society of the State of New York. It's called "Peer to Peer" and it's a way for doctors to counsel each other, especially as they try to manage the exhaustion and trauma brought on by COVID-19.Dr. Frank Dowling said the medical profession has been stressful from its onset. “You can find journal articles from 1850 talking about docs and depressions alcohol and suicide," Dowling said. Initiating the "Peer to Peer" program has been a career goal of his, a bucket list item.“Because we’re professionals, we expect ourselves to take all this in and, incorrectly in my view, not feel it and we have a professional demeanor,” Dowling said.Dr. Dowling says doctors are under immense pressure to not show the stress they take on. “Could you imagine a cardiac surgeon working on someone you love, bringing them to the emergency room saying 'OMG, I have a life in my hands?' So it gets pushed aside in its own natural way where people know how to do it and we do what we’ve got to do,” Dowling said.Add in insurance headaches, trauma, and then: 2020. And COVID-19. New York's medical system is still dealing with the stress of the pandemic.“Those stressors don’t stop because we have a pandemic, the pandemic adds to the burden of stressors that already exists,” Dowling said.Dr. Charles Rothberg chairs the Medical Society, State of New York's Committee on Physician Wellness and Resiliency. They've been working on the "Peer to Peer" program because physician burnout is not new. COVID-19 hit, and they knew it needed to get off the ground.“The program is essentially for people that are engaged in a stressful profession that from time to time find that their coping mechanisms are exceeded by the stressors they experience,” said Rothberg.There's been doctor suicides, addiction and financial problems, real life struggles, exasperated by the coronavirus. For doctors, there's often a stigma associated with the stress. “There was concern that physicians would not want to consult a peer for fear that they would be reported or trigger an obligation of a colleague to do the reporting,” Rothberg said.Peers, he says, should provide safety, comedy, a connection - and basic support. “A physician should know that they are doing a good job even if sometimes unexpected outcomes occur for example,” Rothberg said.Before they launched "Peer to Peer", they were working on ways to prevent and reduce doctor burnout. Ironically, that program was halted because of COVID-19. Which, then of course, made the burnout even worse."Peer to Peer" offers a number to call- 1-844-P2P-PEER and an email, p2p@mssny.org, to contact, 24 hours a day, 7 days a week, not for treatment, but casual conversation, to talk it out with someone who's going through the exact same thing. “Maybe to just share with a peer that this happened to me also and here’s how I responded to it a lot of the problems that people have are common to each other,” Rothberg said.Or, as Dr. Dowling puts it, head over to the zoom diner, meet a friend and take a load off. “I want the docs that we help in the peer to peer to get well, to get better, to love life again and love why they went into medicine," said Dowling. 3263

Renee Baio has revealed that she has microvascular brain disease.The wife of actor Scott Baio shared the news after a follower on Twitter asked about her health."Besides having 2 meningioma brain tumors, in Oct 2017 I also learned I have Microvascular Brain Disease," she wrote.The disease impacts the small blood vessels in the brain, If left untreated, it "can contribute to mental decline, strokes, walking and balance problems, and dementia," according to Healthline. Besides having 2 meningioma brain tumors, in Oct 2017 I also learned I have Microvascular Brain Disease. @Jerseyshore06— Renee Baio (@MrsScottBaio) March 10, 2018 647

RANCHO SANTA FE, Calif. (KGTV) -- The forward rate of spread has been stopped after a fire scorched several acres in Rancho Santa Fe Tuesday afternoon. According to Cal Fire, the blaze started on the 6000 block of Avenida Cuatro Vientos around 2 p.m. The agency said the fire burned through two to three acres. A resident of the neighborhood was at work and said his wife called him, crying and concerned about the flames moving up the hill."Fortunately, my next-door neighbor, who's been here for over 30 years, had a portable pool pump," said Dr. Afshar. "And he was the first to arrive on action to put out the flames that were in our backyard. By the time he had it controlled, the fire department was here."The homeowner believes the fire may have been started by crews hired to clear brush.Witnesses report seeing smoke as far away as Interstate 15. Video taken from the fire shows blackened hillside working its way up near a home perched atop the hill. 969

President Donald Trump told the top White House lawyer in April that he wanted to order federal prosecutions of Hillary Clinton and James Comey, The New York Times reported Tuesday.The Times report, citing two people familiar with the conversation, said recently departed White House counsel Don McGahn told Trump in response that he could not compel the Justice Department to prosecute people and even requesting an investigation could be a step too far. The Times said McGahn went on to have White House lawyers list the consequences of such a demand for Trump.The Times said it was unclear if Trump read the memo about the consequences of a president having the Justice Department investigate his opponents and that it was also unclear what Trump wanted the prosecutions to cover.Trump has long called for legal action against Clinton, his Democratic rival in 2016, over her email practices as secretary of state, and he has alleged that Comey, who he fired as FBI director last year, leaked classified information.Attorney William Burck told CNN that McGahn would not comment on legal advice he had given to the President."Like any client, the President is entitled to confidentiality," Burck said. "Mr. McGahn would point out, though, that the President never, to his knowledge, ordered that anyone prosecute Hillary Clinton or James Comey."McGahn left the White House in October, a long-planned departure that followed a tenure marked in part by friction with the President. Tuesday's report about the April conversation echoed previous reporting about Trump and McGahn, including an order to fire special counsel Robert Mueller, which McGahn was said to have refused. Trump denied last January that he had made such a request.The-CNN-Wire 1753

President Donald Trump signed an executive order aimed at changing policing practices as weeks-long protests against police brutality continue to take place across the country.Trump signed the order Tuesday afternoon at an event at the White House Rose Garden.WHAT IS IN IT?Trump's encouraged police departments to update their training and enact higher standards. He is also encouraging departments to implement accreditation policies for officers.According to senior White House officials, who briefed reporters Monday by phone, the President will also recommend departments call upon social workers to team up with officers when they respond to a non-violent 911 call.Trump is also expected to encourage the formation of a nationwide database to track officers who may be fired from one department in an effort to prevent another department from hiring them.Advisers to the President said Monday the administration would enforce the order by prioritizing departments who adopt the President's recommendations when they apply for federal grants.WHAT IS NOT IN IT?Trump said Tuesday that his order would ban police chokeholds — but stopped short of banning them completely. He said chokeholds would still be permitted if an officer's life is in danger.The order also does not address no-knock warrants or the legal doctrine of "qualified immunity" which currently prohibits officers from being sued in civil court.CONGRESS TAKES ACTION NEXTCongress is expected to debate more consequential pieces of legislation in the coming weeks.While Trump has denounced the officers involved in the arrest and death of George Floyd, he's consistently backed efforts supportive of law enforcement, often declaring himself the president of "law and order." 1751