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For frontline healthcare workers battling COVID-19, the hospital can feel like a war room. Patients are in need of quick help. Some face life-threatening symptoms that need immediate care. Some cannot be saved.They are split-second decisions that have to be made as more patients funnel into hospital beds, and the effects can weight heavily on those tasking with making them.“The mental health symptoms tend to peak about 12 months after the actual event,” said Dr. Chris Thurstone, director of behavioral health at Denver’s largest hospital, Denver Health.In January, a few months before the pandemic hit, Denver Health implemented a program developed at Johns Hopkins called Resilience in Stressful Events (RISE) to help its employees deal with burnout symptoms, unknown to the influx that was to come.In the first few weeks of the program, the hospital’s drop-in center saw around 30 hospital employees a day. Now, months into the pandemic the same drop-in center is seeing more than 300 hospital employees a day.“[Frontline healthcare workers] describe it as this different of burnout than they’ve felt before,” said Dr. Thurstone.“We’re certainly seeing increased rates of people who are struggling and having a difficult time,” added clinical psychologist Dr. Thom Dunn.It is an unprecedented challenge among doctors, nurses, and other hospital staff that is not only being felt in the United States but globally.Researches in Wuhan found 30 to 50 percent of healthcare providers were in a burnout stage before COVID-19. Now, that number is up to 75 percent of healthcare providers.“Depression, anxiety, insomnia, substance use: those are the four things we watch out for,” said Dr. Thurstone. “As things start to settle down and people actually get a chance to breathe and think and be themselves again, they might notice that they’re not completely themselves.”The RISE program offers counseling and an area for frontline workers to take a load off, through board games and other activities that could help ameliorate the stressors they are experiencing elsewhere in the hospital.At Denver Health, calls into RISE have increased tenfold as well, proving that once COVID-19 becomes manageable, another epidemic may soon start to emerge.“We can’t just get through COVID and then pretend nothing happened,” said Dr. Thurstone. “This is placing a stress and strain on every human being, and healthcare workers are human beings and no exception.” 2458

Former Trump campaign aide Sam Nunberg said Monday that he is refusing to comply with a grand jury subpoena in the Russia investigation led by special counsel Robert Mueller."Let him arrest me," Nunberg said in an interview with The Washington Post. "Mr. Mueller should understand I am not going in on Friday."The Post said Nunberg provided the paper with an apparent copy of a subpoena seeking documents related to President Donald Trump and nine others, and that Nunberg said he was asked to appear before the grand jury in Washington on Friday.The Trump campaign fired Nunberg in August 2015 after a series of racist Facebook posts came to light, and Nunberg indicated in interviews Monday there was still bad blood between the President and him but that he did not want to spend time cooperating with the investigation and Trump is right to call the probe a "witch hunt.""They want me to come in to a grand jury for them to insinuate that Roger Stone was colluding with Julian Assange," Nunberg said on MSNBC, referencing Stone, a controversial Trump ally, and Assange, the founder of WikiLeaks.He continued, "Roger was my mentor. Roger is like family to me. I'm not going to do it." 1210

Following the same path as the ill-fated Titanic voyage of 1912, a cruise ship named Titanic II will hit the open sea in 2022.According to a report from USA Today, Blue Star Line's ship features the same cabin layout as the original ship and will carry the same amount of passengers (2400) and crew (900).The ship will sail from Dubai to Southampton, England and then to New York, following the same route the original ship took before it sank on April 12, 1912.Despite being a replica of the original, the Titanic II features modern navigation technology. The modern ship will also be slightly wider than the original to give it more stability. Tickets are not yet available for purchase but will be available in three classes, just like the original Titanic. Updates on the ship's progress are posted on bluestarline.com. 851

French President Emmanuel Macron tested positive for COVID-19 on Thursday, according to CNN and the Associated Press.Macron's office confirmed Thursday that the 42-year-old Macron received a test after experiencing symptoms of the virus, which later came back positive.Macron will isolate himself for seven days but will continue to carry out his duties as president remotely.Macron's wife, Brigitte, 67, has no symptoms but will also self-isolate. She tested negative for the virus on Thursday, according to the Associated Press.According to CNN, Macron has met with several other world leaders in recent days, many of whom have now said they plan to isolate. Among them is Spanish Prime Minister Pedro Sanchez and European Council President Charles Michel. French Prime Minister Jean Castex is also self-isolating.The Associated Press also reports that Macron met with the prime minister of Portugal on Wednesday.Macron's planned trip to Lebanon next week has been canceled.Macron is just the latest world leader to test positive for the virus. President Donald Trump contracted the virus in October, which resulted in a short stay in the hospital. Several other top White House officials also contracted the virus.British Prime Minister Boris Johnson contracted the virus this spring and spent a week in the hospital — a stay that included three nights in the intensive care unit. 1391

Federal student loan borrowers haven’t had to make payments since March. But without continued government intervention, those unable to pay can expect long waits for help come October when bills are scheduled to restart.Automatic, interest-free forbearance provided by the first coronavirus relief package was not extended by the Health, Economic Assistance, Liability Protection and Schools Act proposed by Senate Republicans. There’s no additional relief for student loan borrowers in the proposal.While that legislation could still change, your best safeguard if your job or finances are shaky is to act now.“It’s a disaster waiting to happen,” says Seth Frotman, executive director of the Student Borrower Protection Center, a Washington, D.C.-based nonprofit.Restarting payments for tens of millions of student loan borrowers will likely lead to delinquencies and defaults, says Frotman. And there’s precedent for his assertion: Data from the Education Department in 2019 shows defaults increased when forbearances expired after natural disasters.On top of that, the number of borrowers affected by the pandemic dwarfs any previous challenge for student loan servicers.The servicing system was “never meant to handle high volatility moments; it was built to handle servicing on a normal cycle,” says Scott Buchanan, executive director of Student Loan Servicer Alliance, a nonprofit trade association representing student loan servicers. Buchanan urges borrowers to contact their servicers today for guidance.You don’t have to wait for congressional approval to take control. If you don’t think you can handle your monthly payments, an income-driven repayment plan is your best option to avoid default. Here’s why you should enroll now and what your other choices are.Opt for income-driven repaymentFederal loan borrowers can — and should — apply now for income-driven repayment. Each of the four plans available will cap payments at a percentage of your income and extend repayment to 20 or 25 years, with any remaining balance forgiven at the end.The most broadly available plan, Revised Pay As You Earn, or REPAYE, caps payments at 10% of discretionary income. If you have no income, or your income is at or below the poverty line, your payments would be zero.It’s vital to enroll as soon as possible. Many student loan borrowers who are out of work may apply for income-driven repayment all at once, which is likely to overwhelm the servicers. You’re more likely to get your application approved sooner if you apply now.“This is the moment for you to reach out and call us so we can talk specifically about your situation,” says Buchanan.He adds that servicers are planning outreach to borrowers in the coming weeks. In the meantime, they’re internally discussing increased staffing to meet an influx of demand from student loan borrowers.Recertify your existing income-driven repayment planFederal loan borrowers already enrolled in income-driven repayment must recertify their income each year or revert to a standard repayment plan.If you’ve had a change in income, now is a good time to update the amount with your servicer. Recertification will make sure your payments are updated and affordable.The fastest way to recertify your plan is at studentaid.gov, but a paper form is also available.Request another payment pause — this time with interestYour alternate option is to pause payments through forbearance or an unemployment deferment. Neither is quite like the payment pause you currently have — you have to request it, and interest will likely accrue during the entire pause and increase the total you owe. To prevent this, you can ask to make interest-only payments during these periods.An unemployment deferment allows you to postpone repayment for up to 36 months. You must be receiving unemployment benefits or working part time while seeking full-time work. Only apply for an unemployment deferment if you know you’ll be out of work for a short period of time and if you can prove you have looked for a job at least six times within the last six months. Otherwise, an income-driven repayment plan is the way to go. Interest won’t accrue on subsidized loans during an unemployment deferment.A forbearance is a last-ditch effort to avoid student loan default, which could lead to your wages being garnished or your tax refund being seized. Interest will accrue on all your loans and be added to your balance at the end. Only use forbearance if you can’t pay your loans, you plan to restart repayment soon and you won’t qualify for an unemployment deferment. You can request a forbearance with your servicer.Ask your private lender about hardship optionsPrivate student loan borrowers were left out of the original Coronavirus Aid, Relief, and Economic Security Act as well as the HEALS Act.But private lenders usually offer student loan forbearance or can temporarily lower your payments, though these options are far less generous than federal ones. Private lenders are also making relief options available temporarily to borrowers facing financial challenges. Options like additional temporary forbearance periods won’t count against existing limits.More From NerdWalletHow to Get Student Loan Relief During the Coronavirus and BeyondEmergency Financial Aid for College Students: What Are Your Options?Don’t Fall for COVID-19 Student Loan Relief ScamsAnna Helhoski is a writer at NerdWallet. Email: anna@nerdwallet.com. Twitter: @AnnaHelhoski. 5475

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