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Hurricane Laura is expected to create an “unsurvivable storm surge,” of up to 15 feet in some places, according to the National Hurricane Center.Here is an explanation of what storm surge is, and why it can be so deadly.“Storm surge is the rise in seawater level caused solely by a storm,” says NOAA. It is measured as the height of the water above the “normal predicted astronomical tide,” caused by the storm’s winds pushing water onshore.A “storm tide” is the total observed water level during a storm that includes storm surge and astronomical tide. Astronomical tides are caused by the gravitational pull of the sun and moon.According to NOAA, the National Oceanic and Atmospheric Administration, the highest storm tides are often observed during storms that coincide with a new or full moon. 805

Hurricane Hunters have been flying in and out of Hurricane Delta continuously for days, getting a close-up look as the hurricane has re- intensified.Delta regained some of its previous fury. The hurricane, which was once a Category 4 before striking Mexico, dropped to a Category 1 on Wednesday. As the storm is set to strike the Louisiana coast on Friday, Delta has re-intensified into a Category 3 hurricane with top winds of 115 mph.As of Thursday evening, the hunters found that Delta had a 30-mile wide eye. Getting such detailed data from inside the hurricane can give forecasters a sense of the impact a hurricane will produce.There are two Air Force Reserve groups that fly into hurricanes to send back data to the National Hurricane Center.In total, the Air Force Reserve utilizes 20 WC-130J aircraft that are equipped with palletized meteorological data-gathering instruments.According to the Hurricane Hunters, “The navigator keeps track of the aircraft's position and movement and monitors radar to avoid tornadic activity. The flight meteorologist acts as flight director and observes and records meteorological data at flight level using a computer that encodes weather data every 30 seconds. The weather reconnaissance loadmaster collects and records vertical meteorological data using a parachute-borne sensor known as a dropsonde. It measures and encodes weather data down to the ocean surface.”The following videos were provided by Jemery DeHart on board one of the flights passing through the hurricane: 1530

I have been identified as a contact of someone who has tested positive for #COVID19. I am well and without symptoms but will self-quarantine over the coming days, in line with @WHO protocols, and work from home.— Tedros Adhanom Ghebreyesus (@DrTedros) November 1, 2020 276

If you thought doctors making house calls was a thing of the past, check this out: They may be more relevant now than ever before. It starts with a call for help. But the responders aren't caped crusaders, and they are not riding in the Batmobile. Still, those who need their help would say they are saving the day.  Pam Womack and Dan Eppelsheimer are with DispatchHealth; on demand urgent care at your house. On a recent house call, they visited Lee Armstrong, whose gout made it nearly impossible to make it to the doctor.  "Is it this toe?" Womack asks. "Yes," Armstrong replies. "Right there where I'm touching?" Womack confirms.  After evaluating him, Womack was able to give Armstrong a dose of medication on the spot.  "Okay I'm going to print you up some instructions here," Womack says.  He was relieved.  "It's a shame that you can be so sick that you can't travel," Armstrong said. "I couldn't hardly walk to the door in there. I really appreciate it. I really do."  "I like going into the home with the patients," Womack said. "And seeing the challenges they might have in the home that if you came into the emergency room you might not see."  "People would come to the emergency department just for simple things like that which we can do quickly and easily at their own home," says Phil Mitchell, an ER physician and Medical Director at DispatchHealth.Dr. Mitchell said that experience is a catalyst for the work dispatch health does.Nationwide, 50 percent of emergency rooms operate at or above capacity. And every year 500,000 ambulances are diverted away from the closest hospital due to ER overcrowding."How do we provide more value for patients?" Mitchell says. "How to we decrease 911 transports and how do we decrease emergency medicine and emergency department visits for patients that don't really need to be in that high level of care."  From gout to a common cold, no need is too small. And the company says on average it's about 80 percent more affordable than a visit to the emergency room.There is an ongoing effort to streamline service and provide care where it's most comfortable.Right now, DispatchHealth operates in Colorado, Arizona, and Virginia and is continuing to expand nationwide with new operations scheduled to open in Las Vegas this year. 2375

In a letter to four senators, Social Security Chief Actuary Stephen Goss estimated that if President Donald Trump eliminates payroll taxes, Social Security Trust Fund would be "permanently depleted" by 2023."If this hypothetical legislation were enacted, with no alternative source of revenue to replace the elimination of payroll taxes on earned income paid on January 1, 2021, and thereafter, we estimate that DI Trust Fund asset reserves would become permanently depleted in about the middle of the calendar year 2021, with no ability to pay DI benefits thereafter," Goss said in the letter. "We estimate that OASI (Old Age and Survivors Insurance) Trust Fund reserves would become permanently depleted by the middle of the calendar year 2023, with no ability to pay OASI benefits thereafter."The letter was addressed to Sens. Bernie Sanders (I-Vt.), Chris Van Hollen (D-Md.), Ron Wyden (D-Ore.), and Chuck Schumer (D-N.Y.).One of the executive actions Trump recently signed was temporarily deferring payroll taxes that are used to fund Social Security.On Saturday, President Trump said that he would make "permanent cuts to the payroll tax" if re-elected. 1167