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Days after returning home from a Punta Cana vacation, Marie Trainer called out of work with a backache and nausea. Then her temperature spiked and dropped, sending her to a local Stark County, Ohio, emergency room in the early hours of May 11.When Trainer woke in a hospital bed nine days later, her hands and legs had been amputated.It took doctors seven days to discover Trainer incurred a severe infection, not from a "tropical" travel disease as they first suspected, but from her German shepherd's kisses.Trainer contracted a rare infection from the bacteria capnocytophaga canimorsus, probably when her German shepherd puppy, Taylor, licked an open cut.Dr. Margaret Kobe, the medical director of infectious disease at Aultman Hospital in Canton, Ohio, treated Trainer and described her as "delirious" when she entered the intensive care unit. Shortly after, she became unconscious. Her skin started changing rapidly to a purplish-red color, and then it progressed into gangrene. Trainer then developed a blood clot."It was difficult to identify, We're kind of the detectives. We went through all these diagnoses until we could narrow things down," Kobe said.The infection spread to the tip of her nose, ears, legs and face. "She didn't lose parts of her face. But her extremities is what she had to have surgery on," Kobe said.The family sought a second opinion, hoping to save Trainer's limbs. But doctors said the damage had already been done. Blood tests and cultures confirmed the diagnosis of capnocytophaga."That was a pretty hard pill for us to all swallow, to say she was fine a couple days ago on vacation and now she's actively getting worse by the minute and now her hands and feet aren't alive, like this doesn't happen, it's 2019," said Gina Premier, Trainer's step-daughter and a nurse at Aultman Hospital.Trainer has had eight surgeries so far and is working with doctors to be fitted for prostheses."This is off the scale, one of the worst cases we have seen in terms of how ill people become with infections," Kobe said. "She was close to death."A rare cause of illness in humansMarie Trainer says she knows her German shepherd puppy licked a slightly infected scratch. When the bacteria spread to humans, they do so through bites, scratches or other close contact with dogs and cats, according to the 2336

CHICAGO (AP) — Singer R Kelly has cited the novel coronavirus in asking a federal judge to free him from a federal jail in Chicago as he awaits trial on child pornography and other charges. A Thursday court filing by his lawyers claims scant precautions to stem the spread of the virus behind bars put Kelly's life at risk. The filing in U.S. District Court in Chicago says sanitizer and even soap is hard to come by in the Metropolitan Correctional Center, with most of its 700 inmates held in small, two-man cells that make the kind of social distancing called for to thwart the transmission of COVID-19 impossible. It says the visiting floor has sanitizer, but a sign next to the single bottle available says, “STAFF ONLY;” and a bathroom on the same floor often has no soap. 790

Discounts that appear only every four years must be hard to beat, right?Maybe. Or, maybe not.Here’s what you need to know about the 144

Cynda Murrow has been working at Walgreens for four years.“I get to meet new people, and I like to say hi to all of my co-workers,” Murrow said.She’s a person just like anyone else, but we all have something that’s a part of our story. Murrow's story includes living with an intellectual and developmental disability.“Some people don’t understand me, so that’s why I use a device to help me," Murrow said. "But some of the people speak Spanish, so that’s hard for me to speak Spanish because I don’t know Spanish. I know a little bit of Spanish though.”Cynda says she loves her job. Just like any job, some days can be challenging. However, she always finds a way to make it work.“(I have a) device that I use to help me speak if I have trouble," Murrow said. "I do have this button right here that says ’I’m using a communication device to help me speak. Please be patient with me.’”Advocates who offer support for people with disabilities say employment is an important part of life. That’s why national organizations like The Arc work to break down those barriers.“Employment is more than just getting a paycheck. Employment develops independent, self-esteem, self-protection, and limits vulnerability in mistreatment, abuse and neglect,” Luke Wheeland with The Arc said.In the past 30 years, there’s been a lot of effort to get people with disabilities into the workforce. It all comes down to seeking out the right resources. Murrow’s mom says she’s been educating herself on what’s good for Murrow since the day she was born.“I found that information is power, so I just learned as much as I could,” Murrow'’s mom Wayla Murrow said.Another resource Murrow’s family uses, is the Division of Vocational Rehabilitation.“Vocational Rehabilitation is the largest provider of job placement services for people with disabilities in the country,” Eric Clark with the Division of Vocational Rehabilitation said.Clark says Vocational Rehabilitation programs exist in all 50 states and serves about a million people per year. Those who have a documented disability are able to partner with a rehabilitation counselor to develop an individual plan to find employment.“In that process they’ll talk about what kind of employment are they interested in, what type of employment have they done before, what skills did they develop from that employment," Clark said. "But also, even talking about general life activities. Do they volunteer? Do they do sports?”Clark says a good reference to use when applying for jobs is the 2526

Coronavirus has become a “get out of jail” card for hundreds of low-level inmates across the country, and even hard-timers are seeking their freedom with the argument that it’s not a matter of if but when the deadly illness sweeps through tightly packed populations behind bars.Among those pleading for compassionate release or home detention are the former head of the Cali drug cartel, President Donald Trump’s former personal attorney Michael Cohen, Ponzi schemer Bernard Madoff and dozens of inmates at New York City’s Rikers Island, part of a jail system that lost an employee to the virus this week.“He is in poor health. He is 81 years old,” David Markus, the attorney for cocaine kingpin Gilberto Rodriguez-Orejuela, wrote in emergency court papers this week seeking his release after serving about half of a 30-year drug-trafficking sentence. “When (not if) COVID-19 hits his prison, he will not have much of a chance.”While widespread outbreaks of coronavirus behind bars have yet to happen, the frenzy of legal activity underscores a crude reality that’s only beginning to sink in: America’s nearly 7,000 jails, prisons and correction facilities are an ideal breeding ground for the virus, as dangerous as nursing homes and cruise ships but far less sanitary.Stepped-up cleanings and a temporary halt to visitations at many lockups across the country in the midst of the crisis can’t make up for the fact that ventilation behind bars is often poor, inmates sleep in close quarters and share a small number of bathrooms.“Simply put, it’s impossible to do social distancing,” said David S. Weinstein, a former federal prosecutor in Miami.The 81-year-old Madoff, who is serving a 150-year sentence for bilking thousands of investors in a .5 billion Ponzi scheme, had just asked last month to be released early in light of his terminal kidney disease. Now his attorney is calling on all at-risk federal prisoners to be released for their own safety because of the coronavirus.“The federal prison system has consistently shown an inability to respond to major crises,” Madoff attorney Brandon Sample told The Associated Press. “My concerns are even more amplified for prisoners at federal medical centers and those who are aged.”Prosecutors argued against Rodriguez-Orejuela’s emergency request and noted that the federal prison in Butner, North Carolina, where both he and Madoff are being held has not had any staff or inmates diagnosed with the virus, and staff are being screened upon entry.It’s not just attorneys for the wealthy and powerful seeking release.In New York, public defenders asked judges to release older and at-risk inmates from the city’s beleaguered federal jails, saying pretrial confinement “creates the ideal environment for the transmission of contagious disease.” The motions cite a provision of the Bail Reform Act allowing for the temporary release of pretrial inmates under “compelling” circumstances.“I truly believe the jails are ticking time bombs,” said David Patton, executive director of the Federal Defenders of New York. “They’re overcrowded and unsanitary in the best of times. They don’t provide appropriate medical care in the best of times, and these certainly are not the best of times.”Some authorities around the nation appear to agree. Police departments are incarcerating fewer people, prosecutors are letting non-violent offenders out early and judges are postponing or finding alternatives to jail sentences.In Los Angeles, the nation’s largest jail system has trimmed its population by more than 600 since Feb. 28, allowing many inmates with fewer than 30 days left on their sentences to be released early. In Cleveland, judges held a special session over the weekend to settle cases with guilty pleas and release more than 200 low-level, non-violent inmates. And in Miami, the top state attorney has urged the release of all non-violent felons and those being held on misdemeanors.“No judge wants to have a dead prisoner on his conscience,” said Bill Breeze, a Miami defense attorney.New York City’s Board of Correction this week called for the immediate release of all high-risk inmates after an an investigator assigned to the jail system died over the weekend of the coronavirus. The 56-year-old man was said to have a pre-existing health condition and only limited contact with inmates. The city’s jail system has about 8,000 inmates, most at notorious Rikers Island.In this 2018 file photo, inmates pass the time within their cell block at the Twin Falls County Jail in Twin Falls, Idaho.However, accommodating the surge of requests poses its own challenge. Courts around the country are shutting down, with only a skeletal staff working. The chief federal judge in Brooklyn on Monday postponed indefinitely all criminal and civil jury trials, encouraging judges to conduct court business via telephone or video conferencing when possible, and to delay in-person proceedings.Prosecutors said in court filings that the Federal Bureau of Prisons has been planning for the outbreak since January, including by establishing a task force with experts at the Centers for Disease Control and Prevention. The BOP on Friday suspended visitation for all federal inmates, facility transfers, staff travel and training for 30 days. Newly arriving inmates are being screened for COVID-19, and even asymptomatic inmates deemed to be at risk are being quarantined. Immigration and Customs Enforcement announced that they would take similar steps.Public health officials stress that older people and those with existing health problems are most at risk from coronavirus but that the vast majority of people will only suffer mild or moderate symptoms, such as fever and cough, with recovery in a matter of weeks.But such assurances are small solace for inmates.The Twitter account of Michael Cohen, Trump’s former attorney who is serving a three-year sentence for crimes including tax evasion and campaign finance violations, shared over the weekend an online petition seeking the transfer of non-violent federal prisoners to home confinement. Addressed specifically to Trump, it argues the move would “give the prison facilities additional (and much needed) medical triage and logistic space for those who will become infected.”“Without your intervention, scores of non-violent offenders are at risk of death,” it reads, “and these people were not given a death sentence.”___Goodman reported from Miami. Associated Press writers Stefanie Dazio from Los Angeles and Michael R. Sisak from New York contributed to this report.___The Associated Press receives support for health and science coverage from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6778

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