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Sam's Club announced on Tuesday that it will begin offering special shopping hours and "shop from your car" service for seniors amid a rush for supplies amid the spread of coronavirus. Starting on Thursday, Sam's Club stores will have early shopping hours every Tuesday and Thursday from 7 to 9 a.m. for seniors and those with disabilities or compromised immune systems. The special shopping hours will be available until further notice. Also on Tuesdays and Thursdays from 7 to 9 a.m., Sam's Club locations will allow seniors and those at risk to shop from their cars. Shoppers can park at a designated parking locations and can place their order from their car. A Sam's Club employee will retrieve the products for the customer. Sam's Club is among a number of retailers offering special senior only shopping hours. In recent days, Kroger, Dollar General, Target and Walmart have announced special hours for seniors.Justin Boggs is a writer for the E.W. Scripps National Desk. 990

STILLWATER, Okla. -- A puppy with upward facing paws has now gone through six months of intensive rehabilitation therapy in Oklahoma.Milo went from having to Army-crawl to running and playing.Before, or shortly after Milo's birth, his elbow joints dislocated. It affected his two front paws, turning them almost 180 degrees. Unable to walk or stand, Dr. Erik Clary performed corrective surgery at just seven weeks old back in January. His owners, who run Oliver and Friends Farm Rescue and Sanctuary near Tulsa, said it was difficult watching him in casts, not able to do anything. Jennie Hayes said they had to watch him constantly because he was immobile. Hayes said he never lost his spirit. "The first couple of days there was a lot of tears on my part and on Milo’s part," Hayes said. "Although, I can say Milo handled it a lot better than I did. He never lost his bark. He’s always had a lot to say, that certainly didn’t change.” Hayes said immediately after the casts came off, the challenge was holding him back for his own safety.As part of his rehabilitation, he went for short walks, swam and had muscle stretching exercises. After months of strengthening, Milo can now walk and play like other dogs. Dr. Clary said they had concerns that the condition would affect his growth, but they do not expect it to be an issue later down the road. However, he may be more at risk of getting arthritis, but Dr. Clary said Milo will now have a normal life. 1473

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

SAN FRANCISCO — Federal and state officials in California were preparing Monday to receive thousands of people from a cruise ship that was idling off the coast of San Francisco with at least 21 people aboard infected with the coronavirus. The ship docked around midday Monday as officials prepared to begin to slowly disembark passengers and crew. The process could take several days. Fences were being installed at an 11-acre site at the Port of Oakland, as authorities readied flights and buses to whisk the more than 2,000 passengers aboard the Grand Princess to military bases or their home countries for a 14-day quarantine. There are more than 3,500 passengers on the ship, who hail from 54 countries. Questions have surrounded the cruise ship since reports surfaced last week that one person had died of COVID-19 aboard the ship. After the cases of the virus were concerned, the ship has attempted to quarantine passengers in their rooms and asked the passengers to practice "social distancing" by standing about six feet away from each other.Princess Cruises also operated the Diamond Princess, a ship that was moored for weeks in February off the coast of Japan after passengers tested positive for the coronavirus. Ultimately, about 700 passengers tested positive for the virus and seven people died.The quarantine practices used on the Diamond Princess have been questioned since passengers disembarked.The U.S. death toll from the virus reached at least 21 and the number of cases worldwide soared above 110,000. 1538

Superbowl Champ and former New York Jets offensive lineman Willie Colon was born and raised in the Bronx. Colon also spoke to 138

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