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As COVID-19 cases surge across the country, an increasing number of couples are suddenly revamping their living wills to include specific language about what to do if someone in their family catches the novel coronavirus and may not be able to make medical decisions for themselves.“I think like a lot of people it certainly caused us to take a step back and say, ‘wow, these types of black swan events happen,’” said Adam Neale, who recently updated his living will.Neale and his wife, Dorean, say the grim reality of COVID-19 pushed them to finish estate planning they had been putting off for years. But the pandemic hasn't only led to a spike in families planning out their estates, it's also changed the way couples are looking at end-of-life care.“What we’ve seen is this heightened sense of awareness of people’s mortality, which has created a heightened sense of urgency in the market, explained Denise McCarthy, an estate attorney in the Boston area.“I don’t think people have thought about ventilators the way they’re thinking about them now.”McCarthy is now recommending couples write in COVID-19 specific language to their wills, like what to do if one spouse ends up on a ventilator. She also says it's important to appoint a healthcare proxy, clearly putting a spouse or family member in charge of your medical care. It’s something that has become more important now than ever as many hospitals are barring visitors because of COVID-19.“It’s one less source of stress in a very tough time,” she said.Nationwide, only about 30 percent of couples have any kind of living will.That now includes Dorean and Adam Neale, who fully admit a pandemic pushed them to plan for the inevitable.“For me, the peace of mind was checking the box on something you were supposed to do and something that you should do,” said Dorean Neale. 1841

As America awaits a vaccine for the coronavirus, doctors are encouraging the public to obtain a flu vaccination. While there is hope that social distancing measures in place due to the coronavirus will influence a less severe flu season, public health experts are stressing flu vaccinations in an effort to reduce the burden on medical facilities nationwide.When should you get one?Flu vaccines are generally widely available now, but some public health experts say waiting until October might not be a bad idea.Generally, the flu peaks from December into March. There is a fine balance between getting a vaccine too early and too late, experts say. One concern about getting a vaccine too early is the effects of a vaccine could wear off before the end of flu season.“I usually recommend people get an influenza vaccine in October because we want to make sure that the vaccine lasts for the full duration of the season,” said Dr. Amesh A. Adalja, a senior scholar at the Johns Hopkins Center for Health Security. “However, if a person can only get a vaccine in September or maybe after October, it is important just to get it whenever they can.”Likewise, the CDC’s official guidance says that flu vaccines are recommended by the end of October. The agency says that getting a vaccine in July or August “is likely to be associated with reduced protection against flu infection later in the flu season, particularly among older adults.” The CDC agrees, however, that there is benefit in getting a vaccine as late as January for those who fail to obtain one before the start of the season.Where to get a vaccine?While many doctor’s offices offer flu vaccines, perhaps the easiest place for most Americans is while they’re shopping.Major retail chains such as Target, CVS and Kroger offer vaccines.At CVS and Target, customers can book a vaccination appointment by texting “FLU” to 287898. Target and CVS also accepts walk-in appointments. CVS, which also operates pharmacies at Target stores, says that vaccines are generally free with most insurance providers. The cost for those without coverage ranges from .99 to .CVS said it expects to administer 18 million vaccines to Americans this flu season. CVS also said that it is taking proper precautions to administer the vaccine to customers amid the coronavirus pandemic.“We have reduced the number of touchpoints in the process and implemented new guidelines in accordance with the CDC,” a CVS spokesperson said in a statement. “For example, patients will be given a COVID-19 screening questionnaire and have their temperature taken prior to any immunization. They must also wear a face covering or mask (one will be provided, if needed). The pharmacist or MinuteClinic provider administering the immunization will also use personal protection equipment (PPE), including plastic face shields and will utilize enhanced cleaning protocols between patients.”Kroger said it is also accepting appointments for flu vaccines. For those not wanting to go into a store, Kroger is offering drive thru vaccines, akin to the drive thru coronavirus testing sites. Also at Kroger, flu vaccines are generally free with most insurance providers."With so many health facilities already overburdened due to the COVID-19 pandemic, it is more important than ever for all Americans to get a flu shot," said Colleen Lindholz, president of Kroger Health. "At our COVID-19 drive-thru test sites, we were able to assist thousands of people in getting a test in a short amount of time. By using that model to provide flu shots, we hope to provide more customers with a safe, convenient option to get vaccinated."Who should get a vaccine?Vaccines are recommended for most Americans over the age of 6 months. The CDC said that people with severe, life-threatening allergies to flu vaccine or any ingredient in the vaccine should talk to a doctor before obtaining a vaccine.For those ages 2 through 49 who are not pregnant, a nasal flu vaccine is an option.While a flu vaccine does not prevent all infections, last year’s flu vaccine was estimated to prevent 4.4 million illnesses, 2.3 million medical visits, 58,000 hospitalizations, and 3,500 deaths, according to CDC data. 4210

Another Confederate statue came down on the University of North Carolina at Chapel Hill campus this week.A crowd of nearly 250 protestors took down the statue known as Silent Sam on the eve of the new school year.According to a school website, the statue was built in 1913 and was put up to commemorate Confederate soldiers from the university, "who died for their beloved Southland" during the Civil War.The removal of the statue comes months after students and some faculty began calling for it to be taken down.As that played out in North Carolina, another monumental change occurred in Oklahoma, as the Tulsa Public Schools, after weeks of debate, voted to rename Robert E. Lee Elementary School.In the past three years, over 100 Confederate monuments have been removed. However, far more remain, and are still being cataloged.  They’re also not just in the south.According to a recent report by the Southern Poverty Law Center, more than 1,700 monuments and namesakes, commemorating the Confederacy remain."The SPLC, of course, does not support destruction of memorials,” says Lecia Brooks, with the SPLC. “We just believe they should be removed from public space to a place where they can be taught about in context-- to a museum, to an archive.”Brooks says the two events this week, both occurring at the very start of the school year, sends a message that the debate is far from over."College admins do themselves a disservice and underplay the students if they think that they’re just going to simply forget about these things at the end of the school year and come back and start a school year anew with the same monuments existing,” Brooks says. “I think it’s wonderful. We wanted a conversation to start and we want a conversation to continue." 1774

An illustration showing a Neuralink disk implant at different stages of implantation during a YouTube live stream presentation on Aug. 28. 146

An artificial intelligence tool can help doctors when deciding which COVID-19 patients can be sent home, according to a study that started in May.Researchers at New York University used the AI tool to analyze thousands of COVID-19 cases. The team used data from Asia and Europe to develop the model.It uses lab results, vital signs and oxygen requirements to determine how the patient will do over the next few days.The study has found the AI tool can identify patients that will do well with 90% precision, which could help doctors prioritize care and make discharging plans for others.Doctors always make the final call, but the AI tool can help reaffirm their decisions.“It's augmenting, but it's also teaching a little bit, because you know when the physicians see a patient that looks well, but the models say they may not be well, they can look at the, the features right? The vital signs and labs and other things that are saying that this patient isn't well and then they can start to understand or create a mental model,” said Yin Aphinyanaphongs, Director of Translational Clinical Informatics for DataCore, NYU.The researchers are still running randomized trials for about another two months, looking at the average time patients spend in the hospital.The hope is the AI tool could help reduce the length of stay.“That's extremely compelling because now you don't just show oh I have a model that can predict a favorable outcome, but now you have a model, right, that actually affects the outcome,” said Aphinyanaphongs.Another team at NYU is now conducting a survey among doctors that have used the tool. One facility has already implemented it.The researchers wanted to make sure it's easy for other organizations to start -- so the software can be up and running in about half a day. 1805