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Do you know how much taxpayer money is being spent to fight climate change? In the next decade, our elected leaders could be spending billions.This time of year, in the Miami Beach area, is known as king tide season. It’s a time when tides wash to record levels.Residents like Chris Johnson wonder why the salty seas seem to keep rising."It makes you think, is global warming real?” Johnson says. “Or is it just the moon that pulls the tide up?”Many people seem to pose the same question, and if you ask local leaders, they all agree climate is changing."Something is going on that wasn't going on 40 to 50 years ago,” says Jimmy Morales, a Miami Beach city manager.Most leaders in the area say there’s no questioning climate change."Places that used to be above water are now below water,” Morales says. “Islands that are disappearing, you see it, it's there.”Morales is attending the annual Global Action Climate Summit, where policy makers discuss ways to curb the consequences that come with shrinking shorelines.Over 10 years, the plan is to invest up to a billion to raise roads and install more pumps, in order to prevent the Atlantic from swallowing the city. It’s an issue he says everyone should care about."Don't think, 'Well, I don't live in a coastal town, it doesn't matter.’ It does matter,” Morales says. “The only way to really make a change and a difference is to throw your vote in a box and hope that enough people agree with you.” 1467

Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

Dr. Dre is a West Coast musician and businessman known the world over for his platinum-selling albums. for discovering Eminem, and for Beats, the headphones hanging around the necks of athletes and celebs.He, however, is not a real doctor.Dr. Drai, on the other hand, is an actual doctor -- a Pennsylvania ob/gyn who appears on TV and has authored books on sexual health.The two doctors have been locked in a multi-year dispute -- an East Coast/West Coast feud of sorts -- over their names.Drai (real name Draion M. Burch) wants to trademark the name Dr. Drai for his medical and motivational speaking services, and for his books, videos, podcasts etc etc.Dre (real name Andre Young) has tried to block the application on the grounds that it could cause confusion between the two brands and falsely suggest a connection between them.Last week, the trial and appeal board of the US Patent and Trademark Office dismissed Dr. Dre's challenge.Dre didn't issue a comment after the ruling. But buried in the 49-page document is a quote from Drai which summed up how he felt about the matter:"I was just appalled how someone would think that I wanted to be them and I actually went to medical school."  1209

Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

EL CAJON, Calif. (KGTV) - A day after a massive fire broke out in an East County recycling plant, smoke was seen billowing from a building just a freeway exit away Thursday.San Diego firefighters responded to the site at about 12:30 p.m. Smoke could be seen pouring from a building in the 100 block of Fletcher Parkway in El Cajon. The site is that of the city's former police station, that has since sat abandoned.It's not clear if there were active flames inside the building, but footage from Sky10 showed thick smoke coming from the building.San Diego Police officers were also seen nearby with three individuals sitting on the ground. Police have not confirmed if anyone was in custody or being questioned.The site was approved for redevelopment last year, with plans to build a hotel and retail stores on the site.Wednesday, a metal recycling facility burst into flames, sending black smoke into the air. The fire erupted at the intersection of Magnolia Avenue and Bradley Ave., just one exit away on State Route 67.10News is monitoring this breaking news story. 1081