吉林看前列腺在哪个医院最好吉林哪家医院治包皮包茎较好,吉林正规医院割包皮流程,吉林泌尿系统疼痛,吉林正规医院前列腺要多少钱,吉林治疗男人严重早泄的医院,吉林包皮上长肉芽,吉林前列腺治疗方法

Fall foliage has officially started here in the United States, and Roadtrippers has created a gorgeous map to show where and when to see the autumn colors.Leaves are changing in Vermont, and other areas will begin seeing the same soon. 248

ESCONDIDO (KGTV) -- Escondido police arrested a man with prior criminal convictions Thursday after they found him passed out in his vehicle wearing a ballistic vest and loaded rifle magazines in his front passenger seat. He also had other weapons and police gear he'd allegedly stolen from a law enforcement officer in San Diego, authorities said.According to a release from Escondido Police Department, officers found the man after a caller reported him passed out around 1:10 a.m. outside the 7-Eleven on West Ninth Avenue. The caller said the man was likely under the influence of drugs and did not respond to attempts at waking him.When officers arrived on scene, they recognized the man as 30-year-old Thomas Vann, who has prior criminal convictions. He was wearing a ballistic vest with loaded rifle magazines that were "plainly visible" on the front passenger seat.Officers were able to wake Vann and detain him. They searched his vehicle and found four fully loaded rifle magazines, 126 rounds of rifle and shotgun ammunition, and stolen police gear, including a tactical vest, a duty belt, a medical kit, and handcuffs. Officers determined the police gear was stolen Wednesday from a law enforcement officer in San Diego. They also found 392 grams of methamphetamine and 78 grams of heroin.Vann was arrested and booked into the Vista Detention Facility on numerous drugs, weapons, and stolen property charges. 1426

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

Electric cars now drive farther, charge faster and come in nearly every price range.But when GMC began promoting its Hummer EV pickup truck to be released this year, it became even clearer that electric cars are primed to go mainstream.Once the domain of environmentalists, then early adopters, EVs may soon have even truck bros kicking the gasoline habit.With many models now available or coming soon — including a knockoff of the lovable Volkswagen Microbus — you may be wondering if it’s finally time to buy or lease an EV.Here are the essential questions to answer before you do.(Full disclosure: I’m a convert myself after six years and 70,000 gas-free miles.)1. Can you afford an electric car?EVs tend to be pricy to buy but can be more affordable to lease. Finding federal, state and local government incentives can also reduce sticker shock. And, even if the monthly payment is higher than a comparable gas car, operating costs are lower.Gas vehicles cost an average of ,356 per year to fuel, tax and insure, while electric cost just ,722, according to a study by Self Financial. Find out how much you can save with the Department of Energy calculator.2. How far do you need to drive on a single charge?Although almost 60% of all car trips in America were less than 6 miles in 2017, according to the Department of Energy, the phrase “range anxiety” scared many would-be early adopters.Teslas became popular in part because they offered 250 miles of range. But the range of many EVs between charges is now over 200 miles; even the modestly priced Chevrolet Bolt can travel 259 miles on a single charge.Still, EVs have a “road trip problem,” according to Josh Sadlier, director of content strategy for car site Edmunds.com. “If you like road trips, you almost have to have two cars — one for around town and one for longer trips,” he says.3. Where will you charge it?If you live in an apartment without a charging station, this could be a deal breaker.The number of public chargers increased by 60% worldwide in 2019, according to the International Energy Agency. While these stations — some of which are free — are more available, most EV owners install a home station for faster charging.EVs can be charged by plugging into a common 120-volt household outlet, but it’s slow. To speed up charging, many EV owners wind up buying a 240-volt charging station and having an electrician install it for a total cost of ,200, according to the home remodeling website Fixr.4. What will you use the car for?While there are a few luxury electric SUVs on the market, most EVs are smaller sedans or hatchbacks with limited cargo capacity. However, the coming wave of electric cars are more versatile, including vans, such as the Microbus, and trucks, such as an electric version of the popular Ford F-150 pickup.5. Do you enjoy performance?This is where EVs really shine. According to automotive experts, electric cars beat their gas counterparts in these ways:Immediate response with great low-end acceleration, particularly in the 0-30 mph range.Sure-footed handling due to the heavy battery mounted under the car, giving it a low center of gravity.No “shift shock” from changing gears in a conventional gas car’s transmission.Little noise except from the wind and tires.Other factorsOnce you consider the big questions, here are other reasons to make an electric car your next choice:Reduced environmental guilt. There is a persistent myth that EVs simply move the emissions from the tailpipe to the power generating station. Yes, producing electricity produces emissions, but many EV owners charge at night when much of the electricity would otherwise be unused. According to research published by the BBC, electric cars reduce emissions by an average of 70%, depending on where people live.Less time refueling. It takes only seconds to plug in at home, and the EV will recharge while you’re doing other things. No more searching for gas stations and standing by as your tank gulps down gasoline.No oil changes. Dealers like a constant stream of drivers coming in for oil changes so they can upsell other services. EVs have fewer moving parts and require fewer trips to the dealership for maintenance.Carpool lanes and other perks. Check your state regulations to see if an EV gets you access to the carpool lane, free parking or other special advantages.Enjoy the technology. Yes, EVs are more expensive, but they also tend to offer top-of-the-line comfort, safety features and technology compared with their gas counterparts.More From NerdWalletDon’t Return Your Leased Car — Sell ItZooming More, Driving Less: When to Ditch Your CarIs That Nearly New Salvage-Title Car Really a Deal?Philip Reed is a writer at NerdWallet. Email: articles@nerdwallet.com. Twitter: @AutoReed. 4789

ESCONDIDO (KGTV) -- A bomb squad has cleared a suspicious package found at a thrift store in Escondido Tuesday. Authorities said they were investigating the package as a potential bomb after it was left among other donations at Valley Thrift near Palomar College.No other details were made immediately available.10News will continue to keep you updated as soon as we receive more information. 420