重庆胆结石手术是大手术还是小手术肾结石会出现血尿吗重庆,重庆石桥铺尿结石排出,三处疼说明结石掉出来了重庆,重庆肾结石一般多大需要手术,石桥铺肝管结石,胆囊结石必须手术吗重庆,重庆为何年轻人不建议做软镜取石

ATLANTA — Leading congressional Democrats are reacting furiously to lightly-substantiated claims that immigrants held at a detention center in Georgia are undergoing questionable hysterectomies.In a complaint filed Monday, a nurse alleges that the Irwin County Detention Center performed questionable hysterectomies, refused to test detainees for COVID-19 and shredded medical records.Democrats seized on the most explosive allegations in her complaint, that a gynecologist called the “uterus collector” was performing “mass hysterectomies.”A top medical official with U.S. Immigration and Customs Enforcement released a statement “vehemently” disputing the claims, according to the Washington Post, saying only two women have been referred for hysterectomies from the facility since 2018.A follow-up news conference Tuesday in Atlanta provided little information to substantiate the claims. The nurse, Dawn Wooten, and her lawyers refused to release her full statement made to the Department of Homeland Security’s Inspector General. She also declined to take questions after making comments to the media.Wooten worked full-time as a licensed practical nurse at the immigration detention facility until July, when she was demoted. She had missed some work because she had coronavirus symptoms, according to NBC. Wooten says she was demoted because she asked her superiors about the lack of COVID-19 testing and PPE at the facility.The gynecologist is not named in Wooten’s whistleblower complaint. Multiple media outlets report women from the facility have been taken to a local doctor named Dr. Mahendra Amin.Scott Grubman, a lawyer for Amin, said in a statement to the Washington Post that he was confident the doctor would be cleared of any wrongdoing.“Dr. Amin is a highly respected physician who has dedicated his adult life to treating a high-risk, underserved population in rural Georgia,” Grubman said.Amin has previously been accused by state and federal authorities of falsely billing Medicare and Medicaid in an investigation that ultimately led to a 0,000 settlement in 2015, according to the Department of Justice.“If true, the appalling conditions described in the whistleblower complaint – including allegations of mass hysterectomies being performed on vulnerable immigrant women – are a staggering abuse of human rights,” House Speaker Nancy Pelosi, a California Democrat, said in a statement. 2422

As the COVID-19 pandemic progresses, researchers say it is important to track how the coronavirus mutates because it could affect the efficacy of a vaccine.Like all living cells, viruses evolve their chemical make-up changes. In viruses like the flu, that happens frequently, which is why every year there is a new vaccine to treat whatever strain is expected to circulate. With COVID-19, however, those mutations happen much slower, according to research out of Arizona State University.“One of the things we’re still keeping an eye on is the evolution of this virus because that virus is still around in the community,” said Dr. Efrem Lim, an assistant professor at ASU. “Everyone is coming in blind to this. This is a novel virus. This isn’t something we have seen before.”In March, Arizona State University played host to our country’s fourth COVID-19 case. As soon as it was detected, Dr. Lim started studying how the virus mutates and sent his findings to the World Health Organization. It's something that still continues to this day.“This virus, overall, mutates pretty slowly, which is a good thing,” said Dr. Lim. “However, we can have instances where the virus can have very large, dramatic, mutations, such as deletions in the genome.”While rare, Dr. Lim says those mutations can be significant as it changes how the virus acts inside the body.Currently, scientists are focusing much of their efforts on identifying ways to eliminate the function of the spike protein in COVID-19, as it is the way the virus binds to our cells and infects them (spike proteins are the stalks that protrude from the center of the virus that make it so recognizable).“It is very good news that the virus is not changing rapidly,” said ASU virologist Dr. Brenda Hogue. “We will have to see over time, as the virus continues to circulate, as we put a vaccine into play, whether or not there will be any issues.”Dr. Lim says right now there does not appear to be any issues because the virus mutates slowly, but he adds it could adapt to a vaccine once one begins to circulate.He says more testing needs to be done to determine that, however. 2140

As the chaotic 2020 presidential race enters its final stretch, Vice President Mike Pence and Democratic vice presidential nominee Kamala Harris will square off in a debate at 9 p.m. ET on Wednesday in Salt Lake City.The COVID-19 pandemic will be at the forefront of Wednesday's debate — both literally and figuratively. As the nation seeks more info regarding President Donald Trump's health amid his COVID-19 infection, both Pence and Harris have agreed to allow debate officials to install plexiglass shields next to their podiums.Harris' staff initially requested the shields, citing the COVID-19 outbreak that's infected several White House staffers. After initially saying the shields were not necessary, Pence's staff agreed to the change on Tuesday night.The Associated Press reports that both Harris and Pence tested negative for the virus on Tuesday morning.Wednesday's debate will be broken into nine 10-minute segments. Each candidate will have two minutes to answer a question from moderator Susan Page, and the other candidate will then have two minutes to respond.The 2020 VP debate will likely hold more important than in years past, given the ages of Trump and his opponent, former Vice President Joe Biden. Trump, 74, was the oldest candidate ever to be elected president in 2016, and Biden, 77, is three years older than Trump. Amid a global pandemic, voters may be taking a keen interest in each administration's chain of command.The Trump campaign is banking on a strong performance from Pence amid slumping poll numbers. An average of national polls shows Biden leading Trump by about nine percentage points, and a recent CNN poll released this week showed that 57% of likely voters favored Biden, compared to just 41% for Trump.Wednesday may also mark the last debate for at least a few weeks. There are two more presidential debates scheduled between now and Nov. 3, but Trump's COVID-19 diagnosis has put the status of the second debate — currently scheduled for a week from Thursday — in doubt. Trump says he still plans to participate, but Biden has said the debate should not take place if the president is still infected with the virus due to safety concerns. 2196

As more and more people are venturing out, some people might be taking a more relaxed stance on wearing masks. This is especially true now that we're months into the pandemic, and the weather is starting to heat up. But is it okay to ask someone to put on a mask who's not wearing one?"I think it’s always reasonable if you see someone not doing something that is helping keeping others safe, then you should feel free to speak up. Particularly if they’re within six feet of your space," said Denver Health Chief Medical Officer Dr. Connie Savor Price.She says it may be a little uncomfortable, and a bit awkward, she says you can always ask. A majority of the states across the country have mask requirements or recommendations. Most of them say you should wear a mask when social distancing is not possible or when you’re inside a business.The CDC also issued a recommendation in April that face coverings should be worn when social distancing is not possible."The hardest thing for me and for others I think is when you’re outside exercising and you’re not within the vicinity of others. And, I think the rules are a little unclear for that. If you’re not within six feet of others then I think it’s okay, but certainly if you’re on a crowded hiking trail, or are in a condition where you’re near others, you should wear a mask and at least put it on when you’re within six feet of others," said Dr. Savor Price.She says the biggest reason to wear a mask isn’t necessarily for your own protection, although you do get moderate protection from them. But, it prevents your respiratory droplets from infecting others if you have the disease. 1649

As the holidays approach, many people are wondering how to safely celebrate. The CDC has urged Americans not to travel for Thanksgiving, and offering guidance for those who still want to go somewhere. Health officials weighed in on whether you need to quarantine before you visit family for the holidays."My own family, we usually have 100 relatives every year at Thanksgiving. Now, clearly, that’s not going to be happening this year. It’s going to be on Zoom for the big family, but I think there are ways that you can celebrate with your smaller family and get together safely, but it's going to take some work and some planning," said Dr. Tanya Altmann, a pediatrician and spokesperson for the American Academy of Pediatrics.Dr. Altmann says there are a number of steps people can take to protect themselves from getting COVID-19 this holiday season. Ideally, everyone would quarantine for two weeks before and after a get-together. Some families may think about switching their kids to remote learning if they are not already doing it."I don’t think its drastic. If you want to get together with elderly grandparents for Thanksgiving, I think keeping your kids home from school for a week and then testing them on day five to seven, assuming everybody is asymptomatic, can make a lot of sense. Again, I would still try to keep them a little distanced from the grandparents," said Dr. Altmann.But what if you can't switch your kids to remote learning? Dr. Altmann says then it won't be a true quarantine, but most schools that are in-person right now are doing everything right."They're masking, they’re distancing, they’re sanitizing and disinfecting, they’re hand washing. So, what we’re seeing is most kids are not catching COVID-19 in the school classroom during the school day, they're catching it at after-school activities, they're catching it on the weekends when they're gathering with friends or their families or doing things that maybe they shouldn’t necessarily be doing," said Dr. Altmann.So, how long should you quarantine last? For medical professionals, a quarantine usually refers to a person who's potentially been exposed but is not showing symptoms. It's a waiting period to help determine infection."I think really the best guidance is to wait that 14-day quarantine period to have some degree of confidence that you’re not going to become infected," said Dr. Beth Thielen, an Assistant Professor of Pediatrics at the University of Minnesota Medical School and an infectious disease physician. Dr. Thielen says, to be extra careful, you could also test yourself seven days into your two-week quarantine."A testing in between without symptoms is somewhat helpful because we also know there are a certain percentage of people who will develop asymptomatic infections and, in particular, this is probably important for children," said Dr. Thielen.However, testing rules and access varies in each state, so it's best to reach out to your local health official or doctor to find out about availability and turnaround times for results."So, I think for some, where now I'm hearing people are waiting days after a test, and so if you're planning to get tested before a trip and it's going to take four to five days to turnaround the test, that could be the entirety of your trip," said Dr. Thielen.Health officials advise erring on the side of caution, especially if you're planning on visiting elderly family members."I think the most important thing is to be really aware of that it's not just your family. 'Oh, we don't want to catch COVID, we might get sick' but that you could spread it to others who are even more vulnerable," said Dr. Altmann.Experts say to take the highest precautions to create the least amount of risk. 3756