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Two Democrats leading the rebellion against Nancy Pelosi were bullish Tuesday evening about their efforts to stop her from winning the speakership, promising to soon reveal that they had enough support to cause a major shake-up at the top of their caucus.The Democrats, Reps. Seth Moulton of Massachusetts and Filemon Vela of Texas, contended that their private conversations revealed that Pelosi would soon learn that she lacked backing within the full House to be elected speaker next year -- despite her confidence that she would lock down the necessary support."I am 100% confident we can forge new leadership," Vela told CNN.Asked how confident they were that they could defeat Pelosi, Moulton also said: "100%."The Pelosi detractors are circulating a letter and trying to accumulate enough signatures to showcase the breadth of the Democratic opposition to Pelosi. The strategy is this: Show that the California Democrat lacks support after new and current members commit to voting for another candidate on the floor. At that point, they hope, Pelosi will see the writing on the wall, step aside and allow new candidates for the speakership to emerge."We are trying to do the right thing for the party by solving this ahead of time," Moulton said.The goal, they said, is to release their letter as soon as this week or at least before the Nov. 28 leadership elections in the House Democratic Caucus. Pelosi will have to win a majority of support within the caucus to be nominated as speaker -- something that is virtually assured -- before the full House votes for a speaker in January, where the numbers will be critical.Supporters of Pelosi are deeply skeptical about her critics' predictions, expecting she will get enough votes to become speaker and will overcome the opposition from the small minority of rabble-rousing Democrats. No candidate has emerged to take her on, with even her opponent after the 2016 elections, Rep. Tim Ryan of Ohio, saying he had no plans to jump in at the moment."Leader Pelosi is very confident in her support among members and members-elect," said Drew Hammill, her spokesman.For days, Pelosi herself expressed no doubt she'd be elected speaker."A hundred percent," she said on CNN last week when asked about her level of confidence.Rep. Hakeem Jeffries of New York, whom many Pelosi detractors want to run for speaker, said he believes Pelosi will get the 218 votes she needs -- and insisted he was focused on his race for Democratic Caucus chairman, rather than a bid for the speakership."Never count out Nancy Pelosi," he said. "Nobody within the Capitol dome is a better vote counter than the once and future speaker of the United States House of Representatives."The current split in the House next year is 225-200, with Democrats holding the advantage, and with 10 races still outstanding, it's very likely that the Democratic majority will still grow. According to a CNN tally, 10 incoming freshman have said they'd oppose Pelosi, while 13 incumbents have vowed to oppose her.But it's unclear if those members might vote against her in the caucus yet vote for her on the House floor. After the 2016 elections, 63 Democrats opposed Pelosi in the leadership races but nearly all of them voted for her later on the floor.After this month's vote, the Democratic candidate for speaker will face off against the Republican candidate for speaker in January. House rules say the candidate who wins the race must secure a majority of votes from the members who attend and actually cast votes for a candidate. So if members skip the vote or decide to vote "present," that would lower the threshold below 218 to win the speaker's election, something that could help Pelosi if her critics decide to skip the vote rather than vote against her.Moulton and Vela insisted that none of the detractors would do that."I'm confident that at this point, we have a number of current and incoming members committed to going to the floor and voting for someone else and not voting present," Vela said. 4034

Vice President Mike Pence's physician privately raised alarms within the White House last fall that President Donald Trump's doctor may have violated federal privacy protections for a key patient -- Pence's wife, Karen -- and intimidated the vice president's doctor during angry confrontations over the episode.The previously unreported incident is the first sign that serious concerns about Ronny Jackson's conduct had reached the highest levels of the White House as far back as September -- months before White House aides furiously defended Jackson's professionalism, insisted he had been thoroughly vetted and argued allegations of misconduct amounted to unsubstantiated rumors.The episode -- detailed in three memos by Pence's physician -- is also the first documentation that has surfaced involving a specific allegation of medical misconduct by Jackson. It adds to a series of significant allegations leveled by unidentified current and former colleagues, including that he casually dispensed prescription drugs.Jackson and the White House have continued to deny allegations of misconduct, and Jackson's defenders in the White House said Monday that the episode involving Mrs. Pence was simply a dispute between two doctors with a strained relationship and that he had acted appropriately.According to copies of internal documents obtained by CNN, Pence's doctor accused Jackson of overstepping his authority and inappropriately intervening in a medical situation involving the second lady as well as potentially violating federal privacy rights by briefing White House staff and disclosing details to other medical providers -- but not appropriately consulting with the vice president's physician.The vice president's physician later wrote in a memo of feeling intimidated by an irate Jackson during a confrontation over the physician's concerns. The physician informed White House officials of being treated unprofessionally, describing a pattern of behavior from Jackson that made the physician "uncomfortable" and even consider resigning from the position.After Mrs. Pence's physician briefed her about the episode, she "also expressed concerns over the potential breach of privacy of her medical condition," the memo said. Karen Pence asked her physician to direct the vice president's top aide, Nick Ayers, to inform White House chief of staff John Kelly about the matter. Subsequent memos from Pence's doctor suggested Kelly was aware of the episode.A White House official said that Ayers informed Kelly and White House deputy chief of staff Joe Hagin about the situation and they said Pence's doctor should report the matter through the appropriate medical and military chains of command.Alyssa Farah, press secretary for the vice president, said Pence's physician "brought the issue to Mr. Ayers, who appropriately referred the matter to the proper channels."Farah added that Mrs. Pence "has been briefed on all the facts related to a private matter regarding her health care. She is grateful for the professional care she received from all White House medical personnel who resolved the matter quickly. She considers the matter closed and has no further comment on the situation."The vice president's physician did not respond to multiple inquiries seeking comment. A White House spokesman declined to comment.The memos were provided to CNN on the condition that the vice president's physician not be named and that the memos not be published. The documents were provided last fall to senior White House officials, including Ayers and Kelly, a source familiar with the matter said.Jackson, who had been Trump's lead physician and was also Trump's pick to head the Department of Veterans Affairs, withdrew his nomination last week after allegations surfaced of professional misconduct. Trump and Jackson have furiously denied the allegations, calling them an attempt to smear the reputation of a Navy rear admiral and respected White House physician."He served 3 presidents," Trump said of Jackson Saturday evening at a Michigan rally, decrying "vicious rumors" against him. "President Obama said he was fantastic. President Bush said he was fantastic. I say he's fantastic."Current and former coworkers have accused Jackson of abusive behavior and professional misconduct in interviews with Democratic staff on the Senate Veterans Affairs Committee, which sources briefed on the matter say has investigated those episodes as well as the one involving Karen Pence. The Senate Armed Services Committee, which is considering Jackson's promotion in the Navy to become a two-star admiral, is aware of the incidents, according to sources familiar with the matter.The detailed memos provide a vivid account of both the incident and Jackson's alleged actions afterwards.In one of two tense encounters described in the memos, Jackson made the vice president's doctor feel uncomfortable with his "accusatory" tone, "unprofessionalism" and "intimidating" and "aggressive" behavior during their private meetings. Jackson told the doctor to "let the issue go" and to "let things go ... if I am to succeed in my career," the physician wrote."This meeting summoned by Dr. Jackson appears to have been in retribution for me verbalizing concerns over the protection of the SLOTUS' medical information and his inappropriate involvement in the decision-making process of her care, which is consistent with previous behavior that I have received from him in the past," the memo says, referring to the second lady of the United States. "This unprofessionalism fosters a negative command climate that removes any opportunity for open, professional discussion."Jackson and the vice president's physician have long had a "strained relationship," according to a former White House medical official.The issue involving Karen Pence arose September 8, 2017, when a medical situation required her to be taken from Camp David -- where the President was slated to meet with his Cabinet -- to Walter Reed hospital. Even though Jackson is responsible for caring for Trump, he intervened in the situation involving Mrs. Pence, leading to "an inadvertent disclosure of SLOTUS' medical information in a situation where ultimate discretion was of utmost importance," according to the memo, which does not describe the information disclosed.Jackson asked for several reports on her condition from the physicians who initially treated her at Camp David, though the physician noted it was done "without malicious intent to circumvent their medical knowledge."Jackson then shared information with the senior medical providers involved in the matter, and according to the memo, briefed "multiple parties" on Trump's White House staff "without specific consultation from the physician to the vice president," prompting the concerns that he disclosed Mrs. Pence's private information. He made an order to call in the on-duty specialist at Walter Reed and made plans for her evacuation from Camp David, according to the memo, though he later denied doing so in a private meeting with the physician.On September 11, 2017, Pence's physician briefed Ayers about "this breach of her patient information" under the federal law known as the Health Insurance Portability and Accountability Act, or HIPAA, by disclosing information to various parties. The physician was later directed by Mrs. Pence to tell Ayers to relay the information to Kelly, after the second lady expressed concerns about the potential her medical information was disclosed."Dr. Jackson stated that it is not always possible to adhere to HIPAA at the White House," the memo said. The memo said that Jackson asserted to the physician that "he must be involved" in medical issues at Camp David and Walter Reed because they are "presidential assets" -- even if those medical issues don't involve the First Family.The White House has pushed back against previous suggestions that Jackson may have violated the privacy law while serving as a physician to the President. "Dr. Jackson's record as a White House physician has been impeccable," press secretary Sarah Sanders said at a press briefing last week. "In fact, because Dr. Jackson has worked within arm's reach of three Presidents, he has received more vetting than most nominees."But Jackson's behavior towards his colleagues -- particularly people who worked for him in the White House medical unit -- has also come under sharp scrutiny. According to the memos, the physician had two contentious meetings with Jackson.In one meeting, the physician wrote, Jackson "expressed anger" that White House officials -- including Kelly -- were aware of the physician's concerns over his involvement in the medical situation involving the second lady, the memo said.The next day, Jackson had another tense encounter with the physician, according to the memo. Jackson said that Kelly was "good with him and everything" -- and Jackson urged the doctor to let the matter go. The vice president's physician continued to raise concerns over Jackson's behavior, even suggesting resigning to avoid seeing him.After being informed of his "intimidating" behavior, Jackson "concurred with that statement, and responded that even his wife tells him he can be perceived as intimidating," the memo said. 9294

Twenty-three and a college graduate, Angela Pennella's life was just beginning. But a split-second moment marked the beginning of a life forever changed."It was a day I didn't see coming," said Pennella. "There was a lot of emotion. I was angry, really sad. I lost most of my 20s from that day that was almost fatal."She was five minutes away from home when a reckless driver crossed the double yellow lines going 55 MPH in a 35-MPH zone, hitting her head-on."I don't remember much of that day at all, but that's the day that really changed my life," said Pennella.She was cut out of the vehicle and flown to the hospital with a lacerated liver, punctured lung, and four broken ribs, ultimately receiving over 1,000 stitches to her face and body. But it's the injury you can't see that lives with her 18 years later."The brain is this powerful tool, so beautiful. But it can also really get you down and bring you to a place that isn't who you are," said Pennella,She suffered a severe brain injury and had to re-learn how to talk again. Today, she still struggles with memory problems and mental exhaustion after everyday tasks."Once the brain is injured, it is hard to reverse that injury," said Ian Grover, medical director for the Hyperbaric and Wound Care Center at UC San Diego Medical Center.Researchers at UC San Diego Health have joined a national research study called Hyperbaric Oxygen Brain Injury Treatment (HOBIT) to assess whether the approach might also benefit patients with severe brain injuries."Because there's such time urgency, we need to get patients identified, stabilized, and get them into that hyperbaric chamber within eight hours," said Todd Costantini, the trauma medical director at UC San Diego Health. Traditionally used to treat wounds and decompression sickness in divers, patients in a hyperbaric oxygen chamber receive 100 percent oxygen in a pressurized room."The theory is that the hyperbaric oxygen will one, decrease swelling of the brain after it's been injured. And number two, it will deliver oxygen to the injured tissue," Costantini said.It's the first time this therapy is being used to treat patients in the hours after injury. Because they may still be unconscious, the study required special permission from the FDA. Participating hospitals are doing outreach to inform and educate their communities on the research."In medicine, we’ve made a lot of progress treating cancer, sepsis, those kinds of things. But in the last 20-30 years, we haven’t made significant improvement in the treatment of traumatic brain injuries,” said Grover.Because of cost and the staff required to operate this equipment; chambers are disappearing from centers nationwide. But with a brain injury occurring every 15 seconds in the United States, doctors at the participating hospitals hope the study’s results will be enough to bring the chambers back."Just to see how it would've reduced the inflammation, maybe I wouldn't have been in the ICU as long, or gained consciousness back faster," said Pennella, after learning about the research.Pennella is now an advocate, helping other brain injury survivors cope through the San Diego Brain Injury Foundation, where she is also on the board of directors. "After I went through my injury and recovery, I knew I wanted to do inspirational speaking and writing anyway that I could to just share my story to bring hope," said Pennella.Meditation, prayer, exercise, and gratitude journaling have been instrumental in her recovery. Pennella consistently practices cognitive fitness to help keep her memory fresh."If you think you can, you're halfway there," said Pennella. 3653

UNIVERSITY CITY (KGTV) -- Several University City residents were rescued from their apartment balconies early Monday morning after their building became flooded in up to four feet of water from a busted fire hydrant.The incident first started around 1:30 a.m. when a motorist in an SUV crashed into a fire hydrant in the 9000 block of Genesee Avenue, in front of the Canyon Park Apartments across from La Jolla Country Day School.The sheared fire hydrant created a geyser that flooded the adjacent apartment building. Several lower level units became submerged in up to four feet of water. Some residents were forced out onto their balconies as waterfalls cascaded through their apartments and into the canyon below.Firefighters were able to rescue those trapped on their balconies without further incident. It took crews about a half hour to turn off the water.The American Red Cross was called in to help 22 adults, six dogs and a cat arrange for another place to stay.The driver told officers he fell asleep before crashing into the fire hydrant, San Diego Police officer Tony Martinez said. 1107

Tropical Depression Thirteen formed over the Atlantic late Wednesday night, and according to the National Hurricane Center (NHC) the storm is expected to strengthen into Tropical Storm Laura on Thursday.Thirteen is about 830 miles east-southeast of the Northern Leeward Islands, according to NHC’s 8 a.m. update. The system is packing 35 mph winds and is moving west-northwest at 21 mph.Denis Phillips, the Chief Meteorologist at Scripps station WFTS in Tampa, Florida, says the track and intensity of the storm are likely to change several times over the next three to four days."The bottom line, remember, 'The trend is your friend' when it comes to model data. We don't overreact to changes that are favorable for us, or unfavorable for us. Again, it goes with the territory," Phillips said.Watches and Warnings:Tropical Storm Watch:Saba and St. EustatiusSt. MaartenAntigua, Barbuda, St. Kitts, Nevis, and AnguillaThis story was originally published by Emily McCain on WFTS in Tampa, Florida. 1003