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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

Dr. Deborah Birx, the White House coronavirus response coordinator, said on Wednesday that several states should consider moving back to Phase 1 in reopening due to increased coronavirus activity.Dr. Birx pointed to Arizona, Texas, California and Florida as states that are seeing a high prevalence of the coronavirus. This comes as intensive care units in Arizona and Florida are reaching capacity.Amid her pleas to the American people, she encouraged everyone to avoid participating in indoor gatherings, and dine outside rather than inside.“I think the work that these governors have done to — and ask the American people is it’s stop going to bars, to close the bars, to move to outdoor dining, to decrease indoor — any kind of indoor gatherings again,” Dr. Birx said. “To all of the Americans out there that are in these four states and the states that have — in the report, were in the red zone — because there’s a series of other states that we have in that zone — is really asking the American people in those counties and in those states — in those states to not only use the face coverings — not going to bars, not going to indoor dining — but really not gathering in homes either and decreasing those gatherings back down to our phase one recommendation, which was 10 or less.”During Thursday’s news conference with the White House’s coronavirus task force, Vice President Mike Pence said he believes the virus could be reaching its peak in hard-hit Arizona and Florida.“We’re actually seeing early indications of a percent of positive testing flattening in Arizona and Florida and Texas,” Pence said. “Governors in each of those states have taken strong steps to flatten the curve.”But data from Johns Hopkins University suggests the positivity rate is still going up. In Florida, the seven-day average of positive COVID-19 tests is at 18.7%, compared to just 4% a month ago. The rate of positive tests in Arizona is also up to 26.8%, up from around 11% this time a month ago.Given the spread, hospital officials in both states are preparing for “surge capacity” to make more ICU beds available to handle a possible influx of patients.Nationally, the rate of positive tests have increased in recent weeks, showing that the jump in the number of confirmed COVID-19 cases is not just due to increased testing. Nearly 8% of COVID-19 tests are coming back positive, according to Johns Hopkins University data, up from 4.4% four weeks ago.Notably missing at Wednesday’s briefing was Dr. Anthony Fauci, who has vocalized concerns over US states reopening too quickly. 2581

Don’t expect BLM and social justice messages on basketball courts or jerseys in the NBA next season, according to league Commissioner Adam Silver.The 2020 NBA season has gotten a lot of attention for both the league’s response to the coronavirus pandemic with a “bubble” and their public embrace of social justice issues and the Black Lives Matter movement this summer.During a NBA Countdown interview on ESPN ahead of a playoff game earlier this week, Silver was asked about the league championing social justice and civil rights, but as Silver noted in a press conference recently, that has not been universally popular.“How committed are you to being that going forward?” host Rachel Nichols asked.Silver quickly responded, “We’re completely committed to standing for social justice and racial equality. It’s part of the DNA of this league.”He then said changes could come in how that commitment is manifested. The commissioner acknowledged the league has to sit down with the players and discuss for next season.“I would say in terms of the messages you see on the court on our jerseys, this was an extraordinary moment in time, when we began the discussions with the players and what we all lived through this summer,” Silver said.In July, when the league restarted their 2020 season from a so-called bubble in Orlando, “Black Lives Matter” was painted on the court floor. Players, coaches and staff stayed in Orlando this summer and drastically limited contact with the outside world and other people, in order to stop the spread of the coronavirus.Also this season, players were allowed to put slogans or phrases on their jerseys to highlight causes they support.The league was also the first large sports group to protest playing games in the wake of the shooting of Jacob Blake in Kenosha, Wisconsin. Instead, many teams and other leagues spent time focused on social justice issues.Blake is a black man who is now recovering at a rehabilitation center after being shot several times in the back by a police officer.So, what can fans expect in the 2021 season?“My sense is there will be some sort of return to normalcy. That those messages will largely be left to be delivered off the floor. And I understand those people who are saying ‘I’m on your side, but I want to watch a basketball game,’” Silver said.As for when the next season will start, Silver says everyone with the league needs a rest, mentally and physically, and they don’t have an exact start date at this time. They said it could be as early as Christmastime, but will likely be in 2021. 2572

EL CAJON, Calif. (KGTV) - When their friend was diagnosed with cancer, two El Cajon fifth-graders never imagined it would make her feel unwelcome at school. "She was coming back to school for half days because she was feeling a little bit better, and we heard that she was being bullied," said Wriley Lee, referring to her friend Trianne Nguyentu.Lee and another student, Matthew Stevens, decided they needed to do something to support Nguyentu. "Most people here don't really care what your appearance is, and after I heard about that, I said that's not right," said Lee.RELATED: San Diego grandmother grateful for man's random act of kindnessSo the Vista Grande Elementary students decided to shave their heads in solidarity. "Honestly, at first, I didn't believe them. I thought they were trying to get a rise out of me because it was so unexpected," said Principal Tita Cordero-Bautista. But the students were serious, so Cordero-Bautista teamed up with a school counselor to guide the students through the process.To teach more students a lesson in empathy and compassion, the counselor helped Lee and Stevens give an announcement to their classmates explaining their choice. "Appearance doesn't really matter; it just matters what's on the inside," said Lee. RELATED: Neighborhood 'angel' goes above and beyond to help othersPrincipal Cordero-Bautista says Nguyentu stopped by campus on Monday, confident and happy thanks to the actions of her peers.So far, a total of five kids have shaved their heads to support her. Nguyentu hopes to return to school next month. 1580

EL CAJON, Calif. (KGTV) -- The District Attorney has decided against filing charges against a man who reportedly shot and killed a suspect trying to break into his work truck in El Cajon. The shooting happened on the 1100 block of Mona Place in March of 2018. Authorities say Michael Poe woke up in the early-morning hours of March 11 to the sound of glass shattering. When he went outside, he found the suspect, Joseph Mercurio, breaking into his work truck. RELATED: Family of man shot for attempting to break into truck sues truck ownerPoe told police there was a confrontation before he shot Mercurion. Mercurion’s mother told 10News her son had a drug problem, but was doing his best to stay sober. Mercurio’s mother filed a lawsuit against Poe. At this time, the status of the lawsuit is unclear. RELATED: Confrontation between homeowner, suspected thief ends in deadly El Cajon shooting 901

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