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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

Editor's note: An earlier version of this story repeatedly referred to the governor as "Mike Parsons." Scripps regrets the error. Missouri Gov. Mike Parson said in a radio interview on Friday that he still supports reopening schools in the fall despite the fact that he knows children will contract the novel coronavirus when they return to the classroom.Parson made the comments in a radio interview with Marc Cox, a talk show host on 97.1 FM in St. Louis. Cox asked Parson to respond to local politicians that he felt were "overreacting" to the pandemic, particularly when it came to youth sports."These kids have got to get back to school, they're at the lower risk possible," Parson said. "And if they do get COVID-19, which they will, and they will when they go to school, they're not going to the hospitals. They're not going to sit in doctor's offices. They're going to go home, and they're going to get over it."Parson went on to say that "science" proved his point, though he did not cite and specific statistics.Watch the interview in the player below. Parson's comments about children in schools begin at about the two-minute mark.The CDC does say that children do not appear to be high risk for COVID-19, and that the vast majority of confirmed cases have appeared in adults. However, children are still able to spread the virus to friends and family members.And while children are often spared from the most serious cases of COVID-19, the CDC reports that the virus has sent dozens of children to the hospital. Currently, the agency's COVID-19 Associated Hospitalization Surveillance Network currently reports that for every 200,000 children aged 5-17, about 1 is sent to the hospital every week. The network doesn't monitor hospitals in Missouri, but if those statistics hold true, between four and five public school students in pre-K through high school would be hospitalized in the state each week. According to Education Week, there are more than 900,000 students in the state.Parson also did not mention teachers, administrators and other school staff members, all of whom could catch the virus from children or other adults in the school.Parson also argued that keeping students out of school could cause more issues than if students were to come back to class."The risk of not putting them back in school — I guarantee it will cause more problems than the virus than we'll ever think creates long-term for our state," Parson said.Dr. Anthony Fauci, the nation's top infectious disease expert, has said that he feels schools outside of virus hot sports should try and reopen for that very reason. In addition to furthering children's' social and cognitive development, with schools open, more kids will have access to nutritious meals as well as mental and physical health evaluations. However, Fauci has said schools in areas where the virus is rampant need to be careful."We should try as best as possible to keep kids in school," Fauci said. "...however, that's going to vary depending on where you are in the country." 3050

EL CAJON (CNS) - Murder and attempted murder charges were filed Friday against a man accused of shooting two men in El Cajon earlier this year, killing one of them.Roberto Hernandez, 26, faces 59 years to life in state prison if convicted of the charges stemming from the March 20 shooting that killed James Bowens, 20, and injured another 20-year-old man, both El Cajon residents, according to Deputy District Attorney Clayton Carr.Police said officers responded just before 8 p.m. to reports of gunshots in the area of 700 Applewood Drive. Witnesses said "a confrontation had taken place in the street near the intersection of Applewood Drive and Cedar Street," according to El Cajon police.Bowens died at a hospital of at least one gunshot to his upper body and the other man was shot in the leg, police said.A suspected motive for the shooting, and the relationship, if any, between Hernandez and the victims, was not disclosed.Hernandez, who entered a not guilty plea, is being held without bail and is due back in court June 29, according to county jail records. 1076

EL CAJON (KGTV) -- In response to growing concerns of the rapidly spreading coronavirus, Grossmont-Cuyamaca Community College District officials have announced that they will be canceling in-person classes for a week as a precautionary measure.Grossmont and Cuyamaca college campuses will close the week of March 16-20 and temporarily shift to online instruction as a precautionary measure.“We are taking these extraordinary measures out of an abundance of caution,” said Chancellor Lynn Neault. “We are doing everything we can to ensure a safe and healthy environment for our students, employees and the public, while ensuring that our student can complete their classes.”The colleges join numerous local and national institutions that are also announcing face-to-face instruction to quell the spread of coronavirus, including Chula Vista's Southwestern College, San Diego State University, and USD.Non-instructional employees will be on site during their regular work hours, according to officials."All student events for the next two weeks are canceled, and intercollegiate athletics games are cancelled through March 29. Staff and student travel on district business outside of the state and country has been cancelled, and in-state travel is being reviewed on a case-by-case basis," officials said.“We recognize the challenges imposed by these measures, and we regret any difficulties to students or faculty, but the health and safety of our campus communities is our utmost responsibility,” said Linda Cartwright, president of the Grossmont-Cuyamaca Community College District Governing Board. Classes are scheduled to resume on March 30 following the March 23-27 spring break. 1691

Dunkin' is permanently closing about 800 locations throughout the country — about eight percent of its restaurants in the U.S.The company detailed the changes in its quarterly earnings report on Thursday.Dunkin' described the closures as "real estate portfolio rationalizations." It also said the locations have low sales volume and represent only two percent of its U.S. sales last year.More than half of the closures are in Speedway convenience stores — a change Dunkin' previously announced in February.The company said it may permanently close about 350 locations outside of the U.S.The announcement comes a day after McDonald's said it would close around 200 locations, most of them in Walmart stores. 714