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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

First Harvey, then Irma and now ... Jose?Hurricane Jose was 840 miles east of Florida early Wednesday, with maximum sustained winds of 75 mph, making it a Category 1 storm."Jose looping over the southwest Atlantic between the Bahamas and Bermuda," the National Hurricane Center said. 291

Former Obama administration official and San Antonio Mayor Julian Castro said he is "likely" to challenge President Donald Trump in 2020."I'm likely to do it. I have a strong vision for the country. I believe that our country's going in the wrong direction and that it needs new leadership. I'll make a final decision after November, but I'm inclined to do it," Castro said in an interview published by Rolling Stone on Tuesday.Castro, who was the secretary of housing and urban development during the Obama administration, has stoked speculation about his presidential ambitions in a series of public comments and with increasingly frequent travel to presidential primary states. He had been rumored to be a contender for the vice presidential spot on the 2016 Democratic ticket.Over the weekend, the Texas Democrat was in Iowa campaigning for J.D. Scholten, a candidate for Iowa's 4th Congressional District. It was Castro's second trip to the state since August"You know, I have to say, I felt at home coming in, walking in," Castro told a crowd at the event. In late July, Castro's twin brother, Democratic Rep. Joaquin Castro of Texas, told CBS that his brother has "definitely thought about it," referring to a presidential bid.Speaking to Rolling Stone, Julian Castro expressed some hesitation about a 2020 bid, citing his family, but he also began articulating the basis of a run.He was also asked about a potentially bruising Democratic primary fight amid signs that key contenders like Joe Biden and Elizabeth Warren are preparing to declare their own presidential ambitions."It's going to be cathartic for the party to go through a process where everybody gets to show what they've got. Where you have debates with over a dozen people and every wing of the party is represented," Castro said.He continued, "We need to go through that to get over 2016, and we're going to come out of the 2020 primary, I'm convinced, in a much stronger position. The nominee will be stronger for it and be better prepared to win in November of 2020. I'm hopeful, and I think realistically hopeful, about what this very contested, long, drawn-out process is going to mean. Most of the time a party wants to avoid that kind of process, but in this case, that's our salvation." 2285

Four hurricane names have been retired after a devastating 2017 hurricane season. The World Meteorological Organization's Hurricane Committee determined Harvey, Irma, Maria and Nate would be retired from the committee's list of rotating names. The names have been replaced by Harold, Idalia, Margot and Nigel. Names are retired if a hurricane is particularly destructive or costly. Damages from the 2017 hurricane season exceeded 0 billion in the United States alone while several hundred people died throughout the world from hurricanes in 2017, according to WMO. The 2017 hurricane season featured three category 4 hurricanes making landfall, including Harvey, Irma and Maria. Nate, meanwhile, was responsible for 45 deaths after crossing Central America.  794

Florida and Georgia are reeling from the brutal effects of Hurricane Michael, which slammed into the Florida Panhandle Wednesday.The widespread destruction has left many people living in dire conditions. Residents have been waiting in long lines to collect bottled water and ready-to-eat meals (MREs) at several distribution centers. Helicopters are also airdropping food and water to remote areas.Early Monday, more than 250,000 customers were still without power in seven states from Florida to Virginia. The death toll remains at 18 but authorities say it could climb. About 30 to 35 people are unaccounted for in the Mexico Beach area, Police Chief Anthony Kelly said.President Donald Trump on Sunday approved a disaster declaration in Georgia for Baker, Decatur, Dougherty, Early, Miller, and Seminole counties. It follows the declaration of a major disaster in Florida'sBay, Calhoun, Franklin, Gadsden, Gulf, Jackson, Liberty, Taylor, and Wakulla counties on October 11. 999