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Medical offices around the country are opening back up for routine health checks and they're facing a huge problem; there's still a shortage of protective gear. Now, many are spending huge amounts of money restructuring the way they operate to keep themselves and their patients safe.On a window ledge at ENT and Allergy Associates in White Plains, New York, sits a number of brown paper bags. Inside, face masks labeled for each physician.“We have paper bags on our window sills with a bunch of masks. In there, we have 3-4-5 masks we’re rotating through. Those have to be kept covered to protect them from splatter or anything because once they get dirty, then they have to be thrown out,” Dr. Daniel Gold said. “We circulate gowns as well.”Gold is an E.N.T., which is the medical and surgical choice for anything having to do with the ears, nose or throat. It's a profession that is very much in your face, so protective gear is of utmost importance.“After wearing them for 5-10 minutes, you get short of breath and you’re like this is really hard,” he said.Doctors like Gold are having a hard time getting more gear. In fact, Dr. Gold often uses shields that are designed for sheet metal work because medical grade equipment is back ordered, or entirely unavailable. A surgical mask which once cost 30 or 40 cents now costs to .50.They've also found that knockoffs are being sold.“Not made of same material, not sealing against the face, and some had seam lines and then when you really looked, you’d realize there were holes through the seam lines that’s not blocking 95%,” Gold said. “You’re better wearing a t-shirt mask.”Dr. Gold is far from alone on this issue. It's a statewide and nationwide problem. Dr.Bonnie Litvack is the president of the Medical Society, State of New York.“That is an absolute mess because we can’t deliver the care if we don’t have the resources and the mask is ground zero for that,” Said Dr. Bonnie Livtack, the president of the Medical Society of the State of New York.When asked about whether they were able to negotiate for price on PPE, Litvack said, “With the various companies they either have it or they don’t, or you pay the prices or you don’t.”Dr. Litvack joined other state medical societies in the country by sending a letter to the Senate. They're asking the government to step in."We urge Congress to prioritize the production, distribution, and availability of PPE and testing, and accelerate efforts to conduct contact tracing,” the letter read. “All of these are essential to the safe reopening of medical practices and the economy and must be prioritized for all health care workers."They're also asking for financial help as their costs to operate, while seeing half the patient volume, are mounting.“These additional precautions and equipment is running us about per patient,” Dr. Gold said. “It’s about a million in extra overhead a month just in these extra masks, and gowns, and gloves and wipes. All these other things, which nobody could have thought to budget in because who would have thought we’d have to consider every patient highly infectious.”It's a new way of operating, as everyone is learning how to function in our new, post-pandemic world. 3229
Many mental health facilities were closed earlier this year due to the pandemic, so therapists had to find new ways to reach their patients. Over the course of 2020, providers have come up with a number of innovative ways to help -- such as by using biofeedback devices.“They're really visually able to see OK, this is actually working and calming me down. And secondarily for our therapist, it allows them another data point to watch what their patient is doing,” Brett Shrewsbury, chief commercial officer for Meru Health, said.It’s just one of the tools in the toolbox for mental health therapists to better connect with and understand their patients without meeting in person.“It allows us and the therapist to take the patient through exercises of deep breathing and heart rate variability and shows visually, within our app and the Bluetooth connection we have, how their deep breathing is having a positive impact,” Shrewsbury said. “We built a program that solely is to treat depression and anxiety effectively. So there’s self-care and digital content and it’s guided by that licensed therapist that's taking the patient through.”Meru Health works with a number of companies and health plans, one of them being the Mental Health Center of Denver.“Our goal was to meet people where they are and they’re on these screens,” Alires Almon, director of innovation for The Mental Health Center of Denver, said.“Part of our digital capabilities include the text messages, then we have the curated resources that people can explore on their own,” she said. “People that we serve get the opportunity to get all these digital capabilities at their fingertips.”This comes at a time where taking care of your mental health is more important than ever. 78% of Americans said the coronavirus is a significant source of stress, according to the American Psychological Association.More than 1 in 3 adults have reported symptoms of anxiety or depression during the pandemic, up from 11% last year, according to information from the Kaiser Family Foundation.“The demand is increasing day over day, and especially the longer this pandemic happens the more demand and the more acceptable it is for people to reach out which creates more of a demand,” Almon said.But with the use of technology, centers like this one can help meet that rising demand.“Looking at our total toolkit, technology is an important means to become a force multiplier,” Wes Williams, vice president at The Mental Health Center of Denver, said.He said they went from five to 4,000 telehealth sessions a week in a one- week transition. However, it will take more than telehealth sessions to expand the number of people they can help.“A therapist can still only see five or six patients a day even through teletherapy, where as with our program where they’re texting back and forth more than they’re doing face to face sessions, we’re able to scale right now almost six times scalability,”Shrewsbury said.Mental health centers are experimenting with more possibilities to help reach people where they’re at.“Everyone realized there's a need for mental health and I think people are starting to bring innovation in,” Shrewsbury said. 3199

LOUISVILLE, Ky. -- The Louisville Metro Police Department's internal investigative files connected to the raid that killed Breonna Taylor have been released, Mayor Greg Fischer announced Wednesday.The files, compiled by LMPD's Public Integrity Unit, include thousands of pages of documents, more than 100 interviews, and at least 50 body camera videos.All of the files are connected to what happened on March 13, 2020, when officers tried to serve warrants on Taylor's apartment while investigating Taylor's ex-boyfriend, Jamarcus Glover, in a narcotics investigation..@LMPD has released the Public Integrity Unit’s investigative files on the Breonna Taylor case. pic.twitter.com/G096oDyiIR— Mayor Greg Fischer (@louisvillemayor) October 7, 2020 Taylor's boyfriend, Kenneth Walker, says he fired a "warning shot" at the officers, thinking they were intruders. Police returned fire and shot Taylor dead. No drugs were found in the home.Former LMPD Detective Brett Hankison was indicted on three counts of first-degree wanton endangerment for firing rounds into the apartment of Taylor's neighbors. None of the officers involved were charged specifically with Taylor's death.Last week, Kentucky Attorney General Daniel Cameron released roughly 15 hours of recordings in the case.All of the investigative files can be found here.This story was originally published by Jordan Mickle at WLEX. 1395
Millions of Americans evacuated parts of Florida, Georgia and South Carolina last weekend in attempt to avoid the dangers posed by Hurricane Irma. Now that the once mighty Category 5 hurricane has dissipated into just a few pesky showers for the Ohio Valley, many are returning home to find devastation. The Red Cross, a non-governmental organization involved in disaster relief, has offered the following 15 tips for those returning home after evacuating. 480
MARTINEZ, Calif. – Until recently, not many people had heard about Martinez, a small town east of San Francisco. That is, until a Black Lives Matter mural was vandalized.“We’re really just fighting for our black community members here in Martinez and across the country, to be able to exist in America and globally, without fear,” said Justin Gomez, a community organizer in the California town. “We weren’t surprised that it got vandalized, we were more so just shocked at how brazen it was.”Gomez just wanted to let black community members in Martinez know they mattered when he got a permit to paint a Black Lives Matter mural“I hadn’t even taken off my paint clothes,” said Tati Rae, who helped paint the mural.It was only up for a couple of hours before two people were accused of trying to vandalize it.“This is just kind of a microcosm of everything that’s happening in this country around racism and white supremacy and we got to see that play out right here in our own community,” said Gomez.Nichole Anderson and David Nelson were arrested, accused of painting over the mural. They were charged with multiple misdemeanor counts, including a hate crime charge.“When people are outraged by Black Lives Matter. That’s because they choose not to challenge themselves to understand what it means for Black Lives Matter,” said Kimya Nuru Dennis.Nuru Dennis runs 365 Diversity which teaches antiracism to school districts, corporations, hospitals and more. She believes some white people become emotional when people say Black lives matter because, “This country is founded on white dominance, and anything that challenges white dominance is silenced, threatened, even murdered.”One business had its windows boarded it up and anti-BLM messages painted on the plywood. We asked the business owner about it.“Well number one, if you know the history of this Black Lives Matter thing, it’s basically a socialist move and I really don’t care for socialism,” said Charles Martin, a business owner in Martinez.“It’s brought nothing but trouble to the town, it’s brought nothing but trouble to the United States. People have gotten killed after they put this up. So, when Floyd was buried, that’s where it should have ended,” he said.Others we talked to say racism in Martinez is real and that’s why they painted the mural.“What is political about saying Black people shouldn’t be killed for no reason?” asked Rae.“Our predominantly white population doesn’t feel like it’s an issue, but that’s because they haven’t experienced this town in the way that community members of color have," said Gomez.Recently, a Black Lives Matter mural in New York City was vandalized as well. This is nothing new for Kimya.“I want Americans to stop acting shocked by this stuff. I’m not surprised when white people think it’s a good idea to vandalize Black Lives Matter symbols. It’s a representation of what this country is founded on,” said Nuru Dennis.But for Gomez, it’s an opportunity.“I think right now this is an opportunity for our town to be a model for predominantly white, smaller communities across the country, to show we don’t get a pass just because we have a less than 4% black population. Just because we’re predominantly white and we haven’t seen these issues and the way that they play out in big cities, we all need to come together, and we need to be a part of this system of change.” 3390
来源:资阳报