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Reporters & fans can’t believe Andrew Luck mentally checking out & retiring ??. I commend him for having the guts to come forward and be truthful. Personal health is more important than any game or team! The league def don’t care about ur well being when it’s over ?????♂?— keith bulluck (@kbull53) August 25, 2019 334

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

Rep. Seth Moulton will end his presidential bid on Friday during a speech at the Democratic National Committee summer meeting in San Francisco, according to prepared remarks of the speech the Massachusetts Democrat plans to deliver.The decision closes out a campaign in which the candidate failed to get traction or make this year's Democratic debates."Today, I want to use this opportunity, with all of you here, to announce that I am ending my campaign for president," Moulton plans to tell the DNC meeting. "Though this campaign is not ending the way we hoped, I am leaving this race knowing that we raised issues that are vitally important to the American people and our future."Moulton, a Marine veteran and three-term congressman who represents Boston's northern suburbs, will tell the audience that he plans to run for reelection to Congress and relaunch Serve America, a PAC that looks to elect Democrats with service backgrounds."I will continue to fight for a new generation of leadership in our party and our country," he plans to say. "And most of all, I will be campaigning my ass off for whoever wins our nomination in 2020."Moulton entered the race later than most -- in late April -- and failed to catch on with more than 20 Democrats vying to take on President Donald Trump.The congressman failed to register in national or statewide polls and did not garner the needed fundraising to qualify for either the June or July Democratic debates.Moulton centered his bid on his personal military service and traveled the country to talk about his plan to incentivize national service at events during which the congressman personally did a service project. Moulton had hoped that his focus on national security and service would set him apart in the large Democratic field, but the congressman was boxed out by other military veterans -- namely Hawaii Rep. Tulsi Gabbard and South Bend, Indiana, Mayor Pete Buttigieg.Moulton has told staff and friends that he plans to continue pushing the Democratic Party on issues that motivated his campaign, like issues facing veterans, the need to incentivize national service and the importance of a comprehensive strategy around national defense.Those efforts will commence on Monday when Moulton hosts a town hall for veterans in Fairfax, Virginia, alongside General Stanley McChrystal, a military leader who endorsed Moulton's 2020 bid.Aides to the congressman said they hope that he could be in line for a host of administration posts, should a Democrat in the White House in 2020, including secretary of veterans affairs, defense secretary and United Nations ambassador.Moulton is the latest Democratic candidate to get out of the 2020 race, following California Rep. Eric Swalwell, former Colorado Gov. John Hickenlooper and Washington Gov. Jay Inslee. 2821

PRINCE GEORGE COUNTY, Md. -- A man was stabbed to death Monday at a Maryland Popeyes after what appears to have been an argument over the restaurant's re-released chicken sandwich, police said.The victim, a 28-year-old man, was stabbed outside the restaurant around 7p.m., Prince George's County Police spokeswoman Jennifer Donelan said at a news conference Monday. He had been in line for a chicken sandwich when he and another man got into an argument, which spilled onto the street, Donelan said. Police believe the argument began over someone cutting in line."For you to get that angry over anything ... and to develop into this type of violence, again, is a very sad and tragic day," Donelan said.Officers who arrived on the scene applied lifesaving measures until the man was transported to a local hospital, where he was pronounced dead, Donelan said.Police are still looking for the suspect. Donelan asked the suspect and people who were in restaurant at the time to reach out to detectives."We are looking for a male, and that male knows who he is," Donelan said. "He knows what he did here tonight, and he needs to do the right thing and he needs to step up and turn himself in."CNN has reached out to Popeyes for a statement. 1248

Secretary of Defense Mark Esper has authorized the diverting of .6 billion in military construction funds for 11 wall projects on the southern border with Mexico, according to defense officials and a letter from Esper to the Senate Armed Services Committee, which has been obtained by CNN.In his letter, Esper told Congress he has "determined that 11 military construction projects along the international border with Mexico, with an estimated total cost of .6 billion, are necessary to support the use of the armed forces in connection with the national emergency."The letter does not include the word "wall," as is typical in Defense Department announcements of this kind, but details how the funds will be used for new fencing projects at various border locations.The announcement fulfills a promise made by President Donald Trump in February to tap military construction funds to build his border wall. The move was slammed by Congress when it was first announced and only recently completed a Pentagon legal review.On Tuesday, Senate Minority Leader Chuck Schumer called the decision "a slap in the face" to service members."This decision will harm already planned, important projects intended to support our service members at military installations in New York, across the United States, and around the world," Schumer wrote in a statement. "It is a slap in the face to the members of the Armed Forces who serve our country that President Trump is willing to cannibalize already allocated military funding to boost his own ego and for a wall he promised Mexico would pay to build."Schumer said that the lost funding would delay critical construction projects at military installations in New York, such as the US Military Academy at West Point.Sen. Jack Reed, the top Democrat on the Senate Armed Services Committee, also condemned the move."President Trump's immigration efforts have failed since day one. Today, he made it clear he is willing to take funds from our troops and disaster victims and divert them to try to protect his political right flank. And ultimately, that could put Americans at risk," he said in a statement."This isn't just an attempt to shift funding, it's a bid to shift power away from Congress to the president. Clearly, this administration is trying to circumvent Congressional authority and this ill-advised attempt should be legally challenged and struck down by the courts." Reed added.The American Civil Liberties Union announced Tuesday that "it would seek a court order blocking use of the funds as part of its lawsuit challenging the president's abuse of emergency powers to secure funds for a wall Congress denied."Military construction projects put on holdDefense Department officials say 127 military construction projects are being put on hold in order to use the .6 billion to fund building 175 miles of southern border wall.Construction is expected to begin in about 135 days in areas where the federal government already owns the land along the border, including the Department of Defense's Barry M. Goldwater test range in Arizona, according to Deputy Under Secretary of Defense Comptroller Elaine McCusker.McCusker said projects on private land could go past 2020 due to issues involved with land acquisition.According to chief Pentagon spokesperson Jonathan Hoffman, half the money is coming from deferred projects overseas, and the other half were planned for projects in the US.The money originally intended for overseas projects will be tapped first.Though it was not immediately clear which military construction projects would be put on hold, the move could jeopardize the construction of command and control, drone and cyber projects as well as training facilities in the US and overseas.Which projects will be impacted?Defense officials said Tuesday that members of Congress whose states or districts will be impacted by the decision are being informed about the list of projects and once that process is completed the public will be told. US allies are also being informed about the impact to overseas facilities.Hoffman called the impacted projects "important" and said the Defense Department is working to get Congress to appropriate additional money to back fill the funds which are being re-directed to the border as well as attempting to get allies to pick up the tab for the US construction projects overseas.Democrat appropriators 4417

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