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Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, said on Tuesday that he will celebrate his 80th birthday virtually through a Zoom call.Fauci turns 80 on Thursday, and has been working long hours as the federal government’s leading infectious disease expert amid the coronavirus pandemic. In an interview with CNN’s Wolf Blitzer, Fauci said he normally spends his birthday with his daughters.With the coronavirus pandemic still spreading through the US, Fauci will only be spending the milestone in person with his wife.Fauci’s birthday comes one day before Christmas. He is following the type of advice he has been giving to Americans amid the holidays. The US is averaging more than 2,500 coronavirus-related deaths and is still battling a surge spurred by Thanksgiving gatherings.“I am going to practice what I am preaching to my fellow Americans in this country,” Fauci told Blitzer. “I am going to do something that is quite modified from what I had done traditionally. I am going to have a quiet dinner in my home with my wife. I would love to have my three daughters who are on different parts of the country, different states that would have to fly in for the most part. We are going to do a Zoom together. We are going to be talking to each other and toasting each other.”Fauci cautioned that people should avoid traveling during the holidays.“This type of travel is risky,” Fauci said. “Particularly if people start congregating, when they get to their destination in larger crowds in indoor settings, I'm afraid that if in fact we see this happen, we will have a surge that's superimposed upon the difficult situation we are already. And so it could be a very difficult January coming up. If these things happen.”In the District of Columbia, Thursday has been proclaimed “Dr. Anthony S. Fauci Day” by mayor Muriel Bowser.“We are incredibly proud to count Dr. Fauci among the many DC residents who are sacrificing so much to keep our communities healthy and safe,” Bowser said. 2036

Editor's note: There are no triggering images embedded in this story. However, to explain to those without trypophobia what the disorder is like, we have had to use a few descriptive phrases of common triggers. Please be cautious while reading.It was supposed to be a fun lunch outing in the Big Apple with her mother and grandmother. But when Jennifer Andresen saw an advertisement for this season's "American Horror Story" on the side of a New York taxi, she had to pull her car over, and fast."I was having a full-blown panic attack," said Andresen, who lives in Norwalk, Connecticut. "My pulse was racing. I was so nauseous. I thought I would throw up. My mother and grandmother were like, 'What is wrong with you?' I didn't want to ruin my family's day, but I couldn't help myself."What Andresen has is trypophobia, an intense, irrational fear of small holes and clusters of circles and bumps, such as those in a honeycomb, lotus flower or bubble bath. The phobia is a key part of this season's "American Horror Story: Cult," as the main character, Ally Mayfair Richards (played by Sarah Paulson), is overwhelmed in the first episode by some holes in her soufflé and a coral in her therapist's office that she feels is staring at her."My husband and I were watching 'American Horror Story,' and I didn't have any idea what the show would be about," Andresen said, her voice rising nervously. "The piece of coral she saw freaked me out so badly that I had to tell my husband. Up to now, I've kept it to myself because it seemed so silly, so odd."Andresen has general anxiety and "a bit" of obsessive-compulsive disorder, so her family was comforting. But that's not the reaction she gets from others. Other people say, 'What is wrong with you?' They don't understand," Andresen said. "But it's like anything else people can get upset about. People are scared of spiders, heights, clowns, and I'm scared of this. It's an actual phobia. It's real. It's definitely not a joke.""American Horror Story" is promoting its new season widely, with bizarre images of body parts and clowns photo-edited full of holes. (The main character is also scared of clowns.) It was one of those large posters -- an image of a woman's face licking upward with a tongue riddled with holes -- that triggered Andresen."With the media exposure from 'American Horror Story,' it's going to get worse, and people are going to try to trigger us," said Sue M. of Hampshire, England. Sue, who has suffered from trypophobia since she was 5, did not want her last name to be used."I've seen an exponential increase of trigger images on Facebook and across the Internet," Sue said. "We'd had people join our Facebook support group, be welcomed into the community and then post a trigger picture and do harm to the group."Why do people do that? I suppose they enjoy seeing the reaction," she mused. "They are not only bullies but cowards as well, hiding behind their false name and the anonymity of the Internet." 2994

EL CAJON, Calif. (KGTV) - A Little League in El Cajon reeling from COVID-related hardship was targeted in a weekend theft."It's horrible. I don't now how someone could steal from a little league ... It was gut-wrenching," said Erik Weichelt, President of the Fletcher Hills Little League."Just devastating for the league," said Weichelt's son Gage, 12, who plays in the league.Discovered on Saturday: a damaged fence, gate shoved open, and a locked batting cage that was broken into. A bevy of equipment was stolen, including a riding mower, a pitching machine, two custom hitting mats, two sets of catcher's gear, three catcher's mitts and hundreds of baseballs."To steal from the kids just doesn't make sense," said Weichelt.The total loss was about ,000."What a troubling year for this to happen," said Weichelt.So far this year, COVID-19 health orders have canceled the team's main fundraiser, along with limiting all activities to practices and no games. In the concession area, there is ,500 worth of food which will likely go unsold."No revenue has come in. We're losing money because fees are still there. The cost of lights and maintenance isn't going away," said Weichelt.Their financial dilemma is now a bigger issue because of the theft. The loss of the equipment will limit the activities the kids are able to do, during a time when baseball, for many, has become a lifeline."No pitching machine means we can't hit. No lawn mower, no grass to play on. Right now, baseball is like an important sport for kid to get outside and play, and now we can't," said Gage.The league is insured, but it's unclear if the theft and vandalism will be covered.A Gofundme campaign has been set up to help the league with the cost of replacing the stolen items. 1768

Doctors say a second wave of mental health devastation brought on by the pandemic is imminent and has the potential to overwhelm parts of the mental healthcare system.“This is going to be a long-haul situation,” said Chuck Ingoglia, president and CEO of The National Council of Behavioral Health, which offers services to 3,400 local mental health organizations around the country. “I’m certainly hearing from our members that they’re feeling a lot of tension right now.”In a survey of more than 5,000 people released by JAMA last week, 40.9 percent reported feeling at least one adverse mental health condition including depression, anxiety, and substance abuse, tripling to quadrupling rates from one year earlier. And remarkably, 10.7 percent reported seriously considering suicide within the last 30 days.“We are concerned that these [symptoms] could get worse,” said Dr. Vail Wright, senior director of healthcare innovation at the American Psychological Association. “We’re anticipating that we’ll continue to see mental health challenges including an increase in diagnostic categories as this continues if people don’t take active steps to manage their stress.”One of those major respites has been the outdoors during the summer months. Dr. Wright says as the days get shorter and the weather gets colder more people will stay indoors, losing a source of happiness as Vitamin D boosts energy and mood.This is all happening as COVID cases across the country increase drastically. This past week 500,000 positive COVID-19 cases were reported in the United States, the most since the pandemic started, which has prompted some states to tighten their restrictions on activities and capacities in restaurants.The increase also has the potential for hospitals to leave more beds open for patients, taking away psychiatric beds in the emergency room for those who come for treatment.The shift puts even more strain on the local organizations Ignoglia oversees that have been dealing with funding issues.“Our members are reporting about a 20 percent reduction in revenue,” said Ignoglia. “You deal with that by closing programs and laying off staff, which then means you serve fewer patients which then means your revenue stays low. So it’s kind of this self-perpetuating problem that we’re having.”Ignoglia says he has been focusing on the Trump administration and Congress as a source of relief in hopes more stimulus money comes to these programs so this concern does not evolve into something worse. 2510