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At a small store off a two-lane road in rural South Carolina, "lightning struck," the excited mayor of Simpsonville said Wednesday.Mayor Janice Curtis said she found out from a reporter that the winning ticket in the .537 billion Mega Millions drawing had been sold in her town.According to the mayor, the journalist asked, "How do you feel about this happening in little ol' Simpsonville?' And I about fell out. I had no idea. Can you believe it? One ticket! Here!"Simpsonville is the kind of town where farm fields are giving way to housing developers. The city grew from 18,000 to 22,000 people as the Greenville suburbs encroached over the past seven years. 671
AURORA, Colo. -- An undercover investigation by Scripps station KMGH in Denver has revealed another unlicensed person practicing health care in defiance of multiple state cease and desist orders handed down by regulators. A February KMGH?revealed 28 people had received such cease and desist orders from state regulators, but the state did little to ensure they actually stopped, and most never faced criminal charges. One of those people was Alfredo Ruiz, also known as Alfredo Ruiz Rueda, who received cease and desist orders from the Colorado Medical Board in 2013 and again in 2017. A search of the state’s professional license database shows Ruiz does not hold any kind of license in Colorado. In the orders, the board said Ruiz used laser equipment only appropriate for licensed medical professionals, and ordered him to stop providing skin injections.State records show Ruiz previously operated clinics called CI Laser Clinic and Central Integral de Belleza y Salud in the Denver area.It appeared Ruiz closed his clinics after receiving each order, but KMGH recently called the number posted online for those clinics and discovered Ruiz had reopened his business at another location.A producer left a message and received a phone call back in Spanish and a text with the clinic’s new address. The producer made an appointment for a Botox treatment. Outside of the clinic’s door, a sign is posted listing various skin care services, injections and laser treatments in Spanish along with Ruiz’s name. Two KMGH producers brought hidden cameras into the office to speak to Ruiz about Botox. When asked if he was a doctor, Ruiz responded affirmatively multiple times. He said he had 12 years experience and estimated he sees 10 patients per day. He showed the producers needles he would use to administer Botox, and he estimated one 28-year-old producer would likely need extra treatment costing between 5-0. When confronted after the appointment by KMGH reporter Ryan Luby, Ruiz claimed he was a doctor in Mexico. He also pointed out the certificates -- not state licenses -- on his wall indicating he had completed laser training. Ruiz indicated he works under the supervision of two licensed doctors whose names were posted on the sign outside of his clinic. Neither doctor was present in the office. When KMGH reached one of the doctors by phone, he said he had not worked with Ruiz in years and was surprised to learn his name was posted at the office. The other doctor could not be reached.When KMGH returned to the office days after the initial confrontation, the sign bearing the names of the other two doctors had been removed from the door, but the sign with Ruiz’s name and the services he offers remained. State rules allow some unlicensed individuals to provide medical-aesthetic treatmentThe state does allow for some “medical-aesthetic services” including laser treatment and injections to be administered by unlicensed individuals under the close supervision of a licensed physician.The medical board’s rules for such agreements requires documentation of the arrangement be “available to the public at the site where the delegated medical services are performed.” Ruiz did not produce any such documentation nor was it readily visible in his office.The board’s rules also require that patients are fully informed of such arrangements and sign forms affirming they have been made aware they are receiving care from an unlicensed person. “When the delegating physician is not actively involved in the patient encounter, the disclosure shall include: the service the patient is receiving is a medical service; the delegatee of the service is not licensed by the state of Colorado or is acting beyond the scope of his or her Colorado license, certification or registration; the delegatee is providing the service pursuant to the delegated authority of a physician; and, the delegating physician is available personally to consult with them or provide appropriate evaluation or treatment in relation to the delegated medical services,” the rules say in part.KMGH’s undercover producers received no such information during their discussion with Ruiz about Botox treatments. State regulators, police take actionThe Department of Regulatory Agencies (DORA) acted quickly upon learning from KMGH that Ruiz was still practicing. The state’s medical board convened an emergency meeting and the state obtained a temporary restraining order against Ruiz. The state also referred the case to law enforcement for potential criminal charges for the second time.In 2017, DORA alerted the Denver district attorney about Ruiz but the DA’s office did not pursue an investigation because his previous office was already closed.Aurora police are now investigating Ruiz’s latest clinic, which police say is now vacant. Attorney General subpoenas KMGH again The office of Colorado Attorney General Cynthia Coffman sent subpoenas to KMGH seeking its video and a producer’s testimony to present as evidence in court as it seeks a permanent injunction against Ruiz. That marked the second time the state has subpoenaed KMGH’s investigative materials as evidence in court to seek court orders against unlicensed individuals.Last month, a KMGH producer testified in court in response to a subpoena in injunctive proceedings against Randy Flynt, who claimed to be a clinical psychologist and kept his office open more than a year after the state issued three cease and desist orders against him. In that case, the attorney general’s office played a portion of KMGH’s undercover video in court and the judge granted the temporary injunction. Pueblo police have also issued a warrant for Flynt’s arrest.In the Ruiz case, an injunction hearing is set for April 23. DORA is making changes DORA said it is making numerous improvements to its process for handling unlicensed individuals in the wake of KMGH’s investigation – changes first ordered by Governor John Hickenlooper in the days after the initial stories aired.The changes include: 6166

As millions of Americans have suddenly found themselves out of work due to the economic fallout from the novel coronavirus, many are also losing their health and dental insurance, creating what some doctors are calling a public health crisis.At Interfaith Dental in Nashville, Tennessee, patients Anna Eubanks waits patiently to have a new set of dentures fitted. The 68-year-old woman is one of an estimated 37 million people in the United States who does not have dental insurance."You think about it a lot, and just hope nothing ever goes wrong," she said while sitting in an exam chair with her mask on.Without insurance, a routine trip to the dentist would likely cost Eubanks hundreds of dollars, which is money she doesn't have. That is why she and her husband have turned to this non-profit dental clinic for help.Dr. Rhonda Switzer-Nadasi oversees Interfaith Dental, which is largely made up of dentists who volunteer their time so that people like Eubanks can get dental care at little or no cost. It’s a need more critical now than ever."There’s new groups of people that they were making it before and were right on that edge and are now struggling," Dr. Switzer-Nadasi explained.Since February, an estimated 12 million Americans have lost their healthcare coverage. Most lost their insurance when they lost their job.But the number of people without dental coverage is typically four or five times higher than the number of people without health insurance. This clinic that typically sees about 3,000 patients a year has seen call volume increase 20 percent."We are seeing a big increased need where people are suffering from job loss, where they may have had three jobs and they’re now down to one, or one down to none," she added.Nationwide, there's also a backlog for dental care. In this office alone, they were canceling 1,000 appointments a month during the shutdown. It’s something that worries Dr. Switzer-Nadasi during COVID-19, since most dentists are also checking a patient’s overall health. She's also seeing more patients put off emergency dental care because they're worried about cost."People that come see us don’t just need a check-up and cleaning,” she explained. “Most of the time, they’ve reached the end of their rope and what they need is critical.”But for now, this clinic and others like it across the country are doing their best to help whoever they can and preserve as many smiles as possible. 2442
As President Donald Trump and Republicans attempt to reverse the results of last week’s presidential election in Pennsylvania, a significant case often cited by Trump’s supporters has lost steam.The House Oversight Committee, led by Democratic Congresswoman Carolyn Maloney, announced that Richard Hopkins has “recanted” his claim of election fraud in Erie County, Pennsylvania. Hopkins had previously accused fellow USPS employees of changing the date of ballots submitted after the election. 501
As President Donald Trump calls for more help for those with mental health issues in the wake of the Parkland high school shooting, Congress is considering a bill that would create a three-digit suicide and mental health hotline.Introducing the legislation on the Senate floor in May, Sen. Orrin Hatch said constituents have told him that friends and family who've struggled with suicidal thoughts don't always know where to turn."To make matters worse, the national suicide hotline number, 1-800-273-TALK, is not an intuitive or easy number to remember, particularly for those experiencing a mental health emergency," the Utah Republican said.Hatch gave the example of one young Utah woman who tried to call her counselor before her suicide -- but couldn't reach her."I believe that by making the National Suicide Prevention Lifeline system more user-friendly and accessible, we can save thousands of lives by helping people find the help they need when they need it most," he said.Record increases in suicide rate 1023
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