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Jodi Doering, a registered nurse based in Woonsocket, South Dakota, had a thread of tweets go viral over the weekend describing the scene inside the emergency room.Among the tweets, Doering said, “These people really think this isn’t going to happen to them. And then they stop yelling at you when they get intubated. It’s like a (expletive) horror movie that never ends. There’s no credits that roll. You just go back and do it all over again.”On Saturday, South Dakota reported a state record of 53 coronavirus-related deaths. The state has a population of 884,000, which is roughly one-tenth the size of New York City. At its worse, New York City was experiencing nearly 700 coronavirus-related deaths per day.According to the COVID Tracking Project, there are nearly 560 people hospitalized with COVID-19 in South Dakota hospitals. Nearly one in 1,600 of all South Dakotans are currently hospitalized with COVID-19.In a Monday interview with CNN, Doering described her frustration.“I think the hardest thing to watch is that people are still looking for something else and they want a magic answer and they don't want to believe that COVID is real,” Doering said. “And the reason I tweeted what I did is that it wasn't one particular patient, it's just a culmination of so many people. And their last dying words are, this can't be happening. It's not real. And when they should be spending time face timing their families, they're filled with anger and hatred and it just made me really sad the other night and I just can't believe those are going to be their last thoughts and words.”Doering said that nurses are meant to be a last line of defense, and that things like social distancing and masks should be utilized.“There's a thing on the internet right now that says, ‘I'm not your first line of defense, I'm your last,’” Doering said. “And that actually is true in South Dakota. That by the time you get to me and the team that we work with, it might be too late for some. And that is heartbreaking.”South Dakota Gov. Kristi Noem has resisted implementing mask mandates, even as other conservative governors have relented in recent weeks. Noem's press secretary Ian Fury told the Angus Leader in Sioux Falls that the governor would defy any nationwide mask mandate if implemented by the Biden administration."It's a good day for freedom. Joe Biden realizes that the president doesn't have the authority to institute a mask mandate," Fury said. "For that matter, neither does Governor Noem, which is why she has provided her citizens with the full scope of the science and trusted them to make the best decisions for themselves and their loved-ones." 2667

JULIAN, Calif. (KGTV) - Headed to the snow this week? The San Diego County Sheriff’s Department wants to make sure you’re prepared for crowds.Snow fell in higher-elevations East County communities Wednesday, leading to the possibility of more families from low-lying areas traveling to the mountains.Deputies recommend you have a full tank of gas, water and food in case you’re stranded in traffic. Some areas may also require snow chains.CHECK WEATHER / CHECK TRAFFICAnyone who wants to play in the snow should respect private property fences and signs, deputies say.Parking in the mountains is limited. Violations will be enforced and citations issued by the Sheriff’s department. 695

Johnson & Johnson is beginning a huge final-stage study to try to prove if a single-dose COVID-19 vaccine can protect against the virus. It will be one of the world’s largest coronavirus vaccine studies so far, testing in 60,000 volunteers in the U.S., South Africa, Argentina, Brazil, Chile, Colombia, Mexico and Peru. A handful of other vaccines in the U.S. and elsewhere are already in final testing. The two other vaccine candidates in final-phase testing in the U.S. — candidates made by Moderna and Pfizer — were both approved in July. Earlier this month, Dr. Anthony Fauci said those trials should be filled by the end of September, meaning they should be completed by late November or early December.Hopes are high that answers about at least one could come by year’s end, maybe sooner. U.S. health officials insist the race for a vaccine isn’t cutting corners, despite enormous political pressure. 918

Jared Kushner told a software developer who worked at his newspaper, the New York Observer, to delete several "critical" stories in 2012, according to Austin Smith, the developer who said he "complied."Smith now has regrets about his involvement.Kushner was seeking to erase Observer stories that were "critical of his commercial real estate colleagues," Smith said in a Hacker News message board post.Back then, Kushner was the publisher of the Observer. Now he is a senior adviser to President Donald Trump.Smith said he was inspired to speak out by a recent Hacker News discussion about unethical behavior, plus the president's usage of extreme "enemy of the people" rhetoric to attack journalists."I didn't know any better then, but I do now," Smith said in a series of tweets on Monday.He said he is sorry for deleting stories by Observer staff members.BuzzFeed highlighted the deletions on Monday. A "handful of articles" were affected. The White House press office did not respond to requests for comment.According to emails seen by BuzzFeed's Steven Perlberg, Kushner went around the paper's editors "to mandate the removal of a handful of articles from the website."BuzzFeed noted that "the secret removal of stories due to outside pressure is widely regarded as an unethical practice in journalism."The editor at the time, Elizabeth Spiers, said on Twitter that she found out about this action "a few months ago." Her reaction: "I don't have enough choice expletives describe my feelings about that."How could Kushner pull this off without the newsroom knowing?"When you publish some 50 odd stories a week, you don't notice two or three missing here and there weeks after fact," Spiers told CNNMoney."We also had a couple of site redesigns and site search was abysmal," she added. "So if you didn't immediately find something in search there were more likely (at the time) explanations."Spiers has been critical of Kushner and other Trump White House officials.Kushner resigned from the Observer when he joined the Trump administration in January 2017. He transferred the paper into a family trust. 2116

KANSAS CITY, Mo. — Missouri Gov. Mike Parson announced changes Thursday in guidance for how teachers, staff and students will be classified in possible exposures to a COVID-19 case.During his weekly remarks, Parson acknowledged the recent spike in cases in the state has placed strain on schools, and after working with officials at the Missouri Department of Elementary and Secondary Education and the Missouri Department of Health and Services, released guidance that clears the way for those in close contact to a COVID-19 case can continue to report to school.The new guidance for schools states that, in schools with mask mandates, appropriately wearing a mask can now prevent individuals from being identified as a close contact and those individuals can continue going to school if they do not show symptoms of COVID-19.The governor cited low transmission seen in schools across the state when proper COVID-19 protocols are in place and advice from a leading pediatric infectious disease researcher at Washington University and St. Louis Children's Hospital, Dr. Rachel Orscheln.Orscheln said that social distancing, cohorting, hand sanitation practices and mask-wearing are helping prevent transmission of COVID-19 in schools and that the experts will continue to monitor and adapt advice.Dr. Margie Vandeven, the state education commissioner, said that the amount of students and staff having to quarantine because of being considered in close contact with COVID-19 is causing staffing issues in schools. She also said that the quarantines were causing students to miss opportunities for social and emotional growth in the classroom.Vandeven said that nearby states like Iowa and Nebraska have put similar practices in place and have not seen increased transmission of the virus in schools.Parson added that when students have to stay home in quarantine, it prevents parents from going to work and that he hopes the change will help healthcare workers who are already experiencing strained staffing across the state.“We know that COVID-19 is not going away soon, so it is important that we continue to evaluate the guidance we’re issuing at the state level to make sure our procedures are sustainable for the next several months,” Parson said in a release announcing the new guidelines. “We have been working hard with DESE and DHSS to find a solution that allows us to continue providing the high-quality education our students deserve while still keeping them, our teachers, and all school staff members safe.”This story was originally published by Katelyn Brown on KSHB in Kansas City, Missouri. 2616