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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
EL CAJON, Calif. (KGTV) -- El Cajon city leaders will consider the possibility of a ban on the sale of vaping products at their next meeting in November. Tuesday evening, city council leaders heard from dozens of people for and against the idea; but the issue was not on the agenda.Councilman Gary Kendrick first brought up a city-wide ban in July. Tuesday afternoon, he was joined by school leaders, doctors, health officials, and parents who all believe vaping is an epidemic targeting kids. "These people who are selling vaping devices and vaping liquids to our children are profiting from the suffering of our children," said councilman Kendrick. A member of the Cajon Valley Union School Board said vaping is rampant in children as young as elementary age. "The liquids that are being used our being promoted to our youth , having vaping devices available at a very low cost in our liquor stores or 7/11/'s for approximately a dollar is promoting to our children that they can easily have access to them," said Jill Barto. Joey Johnson works at United Smoke Shop and Vape. He says if it weren't for vaping, he'd still be smoking two packs a day. "It's astonishing how much it’s truly helped me," said Johnson. Johnson believes a ban punishes legitimate businesses and will only create a bigger black market. "Gas stations places like that don’t care, so it’s either that or people on the streets or getting THC cartridges from people on the street who don’t know what they’re doing , they’re adding stuff to it to make it “vapable” or able to smoke and that’s the people that are dying," said Johnson. At least twenty-three people across the country have died from vaping related illnesses. In San Diego County, there have been no deaths, but at least twenty-two people have been sickened. One high school student told the council that vaping is rampant in the school bathrooms."The athletic kids vape, the honors kids vape, the college prep kids vape and their parents vape and at this point, it's sad to say, I think it's become a part of high school culture," said the student. Deborah Kelly told city leaders she was outraged at the failure of government to protect children. "Flavored tobacco products taste like candy, but act as poisons and kids don't smoke marijuana, they vape it," said Kelly. The council decided more research is needed before it takes any action on a possible ban. City leaders did vote to increase suspensions and fines for businesses that sell tobacco products to minors. Under the new rules, fines start at ,500 instead of ,000. If a business has a fourth violation within a five-year period, the retailer is subject to a permanent suspension. 2692
Dr. Anthony Fauci has a warning for young adults who think they will bounce back from COVID-19.Speaking at an event with the American Society for Microbiology, Dr. Fauci pointed out that many young adults and kids who believe they had a “mild” case of the coronavirus take a significant amount of time to recover from all symptoms.“We’d better be careful when we say ‘Young people who don’t wind up in the hospital are fine, let them get infected, it’s OK.’ No, it’s not OK,” Dr. Fauci said during the briefing.He went on to say that those who don’t require hospitalization and are otherwise healthy can end up in bed for two or three weeks with COVID-19, and have residual symptoms for weeks or sometimes months longer.The country’s top infectious disease doctor said check-ups down the road with patients who supposedly recovered have shown many “have a substantially high proportion of cardiovascular abnormalities, evidence of myocarditis by MRI and PET scans, evidence of emerging cardiomyopathies.”He called these findings “really troublesome” because they are constantly evolving as the world learns more about COVID-19 and the long-term impacts on the human body. 1179
EAST VILLAGE (KGTV) -- A woman was wounded in an officer-involved shooting in the East Village Saturday night.San Diego police received numerous calls to an apartment complex on Market Street and Park Boulevard around 10 p.m. about a woman throwing objects out of a window. Officers arrived and found broken glass and furniture on the sidewalk below an apartment.Officials say the woman refused to listen to police and brandished a knife while out the window, continuing to throw objects. The woman refused to come out of the building, prompting police to force their way into the apartment. The woman locked herself in the bathroom, police say. Police used verbal directions, chemical agents, and a police canine to attempt to get the woman into custody, but the woman continued to refuse.The woman grabbed and punched the police canine. When officers made their way into the bathroom, police say she threatened them with a knife. “One officer fearing that he was going to be struck or stabbed with a knife, fired at least one round striking the female,” said Capt. Rich Freedman of the San Diego Police Department.The woman was treated at the scene and taken to the hospital with non-life threatening gunshot injuries. The officers were not injured, although some people were hit by objects being thrown out of the window. The woman has not been identified, but she is a 26-year-old resident of San Diego, according to SDPD.The name of the officer involved in the shooting was not released, be he has been with the department for more than 11 years, police said. 1572
EL CAJON, Calif. (KGTV) - A man with dementia and schizophrenia has been missing from an El Cajon nursing facility for two weeks, and the family needs your help locating him. Sixty-six-year-old Agustin Cerda walked away from Avocado Post Acute Skilled Nursing Facility on March 4th and never returned. His family says he was allowed to leave the facility.Now they’ve posted flyers around the city in hopes that someone will recognize him and call police. They’ve also put his picture on Facebook and received over 200 shares. Cerda’s niece Aly Cerda said, “He may be sleeping on the streets, and we have a large homeless population so he can be anywhere. So it’s hard to say where to look next, but we’re going to keep our efforts in place to make sure he’s found safe.”Cerda had gone missing twice before but was found in Tijuana the next day at his brother’s house. If you see him, Aly asks that you call the police and not try to approach him because he has mental issues. 985