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When you're facing a medical emergency, you trust your life to the doctors at in the emergency room. Those doctors sometimes have just seconds to make life or death decisions. Four in Your Corner is giving you an inside look as to what it's like to be an ER doctor."I love the pace of things and it takes a certain person to be an ER doctor," Dr. Keith Burley, who works in Cape Coral Hospital's emergency room, said/ "Emergency medicine is a true team sport. It takes the whole department to really resuscitate someone who is very sick.""Say someone comes in in cardiac arrest. They come in right through our trauma bay doors. They're dropped into one of our resuscitation rooms. Our team organizes very quickly. Everyone knows their jobs," Dr. Burley said.\In cases like this, techs will be running IVs; nurses will be hooking up defibrillation pads. Pharmacists will be running drugs. Staff will be trying to find out a patient's name. Dr. Burley said it's all about balancing quickness with efficiency while making sure patients are safe during triage."It's very important we triage effectively, making sure we point out and pick up the really sick people early on so we dedicate most of our resources to those sick people," Dr. Burley said. "We do need to triage because we have limited resources we need to effectively implement."Dr. Burley said when he sees a patient, he's trained to think worst case-scenario first."So someone coming in with a headache, we think, could this be a stroke? Could this be a subarachnoid hemorrhage? Could this be something else going on? Before we think it's just a headache," he said.Dr. Burley has known he's wanted to be a doctor since he was four years old after he was in a life-changing, dangerous situation."Like a good Canadian, I was tobogganing down a hill. We were going down the hill and my brother bailed. We continued to go down the hill and I hit a tree with my head," he said.He had a fractured skull and lost hearing in his left ear."I was seen by ER doctors, trauma doctors, a pediatric neurologist, had multiple MRIs," he said. "From that point on, as a young child, I always wanted to be a doctor."He said one of his most bizarre cases was just hours before Hurricane Irma hit. A dog was brought into the ER with it's eye hanging out."I'm not a veterinarian and I don't pretend to be one. I have a dog but it's a little out of my realm," Dr. Burley said. "We placed a pressured dressing and one of the staff members was able to call around to get a vet to see that dog just before the storm."For that dog and family, it was a happy ending, but Dr. Burley said the hardest part about emergency medicine are the days he deals with death and dying."It takes a certain person to deal with death and dying every day and then come back. It's a resiliency characteristic that all the ER staff have," Dr. Burley said.Whether their patients survive or not, the doctors have to learn to compartmentalize -- going from patient to patient until the end of their eight to 10 hour shift."We'll see a pediatric drowning, and then the next case we'll see someone with an eyeball injury, or someone with a simple laceration, and we have to give that patient the same amount of attention we gave the other patient and reset," he said."It's a privilege to be in a discipline where you get to see someone on their worst day of their entire life, and if you can make that a little better, you've done your job," he said.Dr. Burley said to unwind, he spends a lot of time at the beach and kite surfing. 3562

WISCONSIN — A 19-year-old man has been charged with two felonies after police say he gave a gun to Kyle Rittenhouse the night two protesters were killed in Kenosha.Prosecutors say Dominick Black purchased the weapon from the Ladysmith Ace Home Center using money he received from 17-year-old Rittenhouse. Police say Black bought the weapon for Rittenhouse because he wasn't 18-years-old yet and couldn't do it himself.Black and Rittenhouse agreed that the rifle would be stored at Black's stepdad's house since Rittenhouse did not have an Illinois Firearm Owner Identification card, according to the criminal complaint. Black's stepdad lives in Kenosha.On Aug. 23, Jacob Blake was shot in the back several times by Kenosha police. The following days were then full of protests and unrest in Kenosha.According to the criminal complaint, on Aug. 25, Rittenhouse and Black volunteered to protect the Car Source located on Sheridan Road. The two met at Black's stepdad's house where Black gave Rittenhouse the gun he had purchased, a Smith & Wesson M&P 15 rifle.Around 11:49 p.m. that night, Rittenhouse used the gun to allegedly shoot and kill two individuals, Joseph Rosenbaum and Anthony Huber. Both killings were captured on video by witnesses and the videos were widely shared on social media, police say.Now, Rittenhouse is facing trial in Wisconsin and Black has been charged with two counts of intentionally giving a dangerous weapon to a person under 18, causing death.This crime is punishable for up to six years in prison, per count.This story originally reported by Julia Marshall on TMJ4.com. 1618

When the Rockefeller Center Christmas Tree arrived in New York City, some thought the tree was a perfect metaphor for 2020. But just like your 7-foot spruce in your living room, the Rockefeller Center tree just needs a little fluffing. "Wow, you all must look great right after a two-day drive, huh? Just wait until I get my lights on! See you on December 2!" Rockefeller Center tweeted. The 75-foot Norway spruce arrived at New York City’s Rockefeller Center on Monday to serve as one of the world’s most famous Christmas trees. The tree was trucked in Saturday morning and lifted into place by a crane. The tree will be decorated over the coming weeks. It was donated by Al Dick of Daddy Al’s General Store in Oneonta in central New York. NBC says it's broadcasting the tree-lighting at 7 p.m. Dec. 2. No in-person spectators will be allowed this year because of the coronavirus pandemic. The pandemic has spurred the cancellation of other New York holiday customs including the Radio City Christmas Spectacular. 1022

When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

When members enter the Schlessman Family YMCA, they’re greeted with new safety measures including getting their temperature taken at the front door.“We’re just ensuring that members, guests and staff are below a 100.4 fever,” said Vanessa Pritchett, sales director with the YMCA of Metropolitan Denver.She says most of the 24,000 YMCA locations across the country were shut down for nearly three months due to the pandemic.Now, with many YMCAs reopening, staff are taking extra steps to ensure member safety like using protective plexiglass at the entrance and having more hand sanitizer stations in more locations.“We really missed our members and we are so much more than a gym,” Pritchett said. “We are focusing on the mind, body and spirit of everyone in our community.”Additional safety measures include mobile check-ins, closing twice a day for deep cleaning, and restructuring the layout of workout equipment to promote social distancing.You don’t have to wear a mask while you’re working out at the YMCA but in between sets or if you switch to a new station, staff is asking members to cover up.To help keep the facilities as clean as possible, the YMCA is encouraging members to clean equipment before and after using it.“You are checking in via touchless system,” said Meredith Marshall, one the nearly 10 million YMCA members in America.She’s been coming to the YMCA since she was eight years old and says these new changes give her peace of mind while working out her body.“It lets me know that the YMCA has thought through what we are doing here,” Marshall said. “How we are to interact with one another.”Interacting and reconnecting with the YMCA community as they move to reopen safely and responsibly. 1725