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The use of telehealth has become a common practice during the pandemic. Now, some doctors hope it continues to be an important tool in the healthcare industry."There are a number of bills have been proposed," said Dr. Tesh Monteith, a neurologist and fellow with the American Academy of Neurology.Dr. Monteith says Congress is considering several bills to keep telehealth, which allows patients to video conference with a doctor instead of going in for a physical appointment, around for the long run.When the pandemic hit, rules regarding telehealth changed, allowing for doctors to be financially reimbursed for the virtual appointments."It's allowed patients to access care. They're patients that would normally have to take days off, or to keep providers, multiple providers, and if they can do that, they may have childcare issues and not be able to get to a clinic," said Dr. Monteith.The bills would allow for everything from permanent reimbursement for physicians to allowing doctors to virtually see patients across state lines."Some of these bills are proposing that there are not limitations within states. For example, there are issues of licensing. A doctor licensed in New York should they be able to see a patient with a specialized disorder in Minnesota or does that patient have to come in Minnesota," explained Dr. Monteith.While telemedicine has been an important part of making sure people received medical care and diagnoses during the pandemic, doctors agree that the virtual visits in no way can replace seeing your physician in person."Because I know my patients well, I’m a pediatrician, I can do so much over telehealth with the kids I know. When they're sick I can look at them. I can watch them breathe. I can ask them to jump up and down and have the parents press on their tummy, but I can’t look in their ears. I can’t listen to their heart, and if it’s a family that I don’t know, there is concern that I might miss something," said Dr. Tanya Altmann, a pediatrician in California.Dr. Altmann says telehealth can also be a very valuable tool.As for reimbursement for physicians, Dr. Altmann says, "anyway that a physician or healthcare provider reaches out to a family to help with anything medical, it should be compensated."Dr. Altmann says pediatricians can sometimes spend hours on the phone with patients at night, work they don't get paid for. Getting reimbursed for telehealth visits with patients would be a plus."Patients need to empower themselves to learn about telemedicine, to learn what questions to ask a doctor. Have an advocate or family member there to even help with the physical examination," suggested Dr. Monteith.Dr. Monteith says medical professionals estimate there have been more than one billion telemedicine appointments since the pandemic began. She hopes Congress passes the telehealth-related bills to further expand medical access to people across the country. 2932
The U.S. Food and Drug Administration has expanded a warning about several hand sanitizer products that have been found to contain wood alcohol, which can potentially be deadly to ingest or absorb through the skin.The agency says there has been a sharp increase in products that claim to contain ethanol (also known as ethyl alcohol) but have tested positive for methanol, or wood alcohol.Methanol can be toxic when absorbed through the skin or ingested and can be life-threatening, according to the FDA.Substantial methanol exposure can result in nausea, vomiting, headache, blurred vision, permanent blindness, seizures, coma, permanent damage to the nervous system or death, the FDA says."Methanol is not an acceptable ingredient for hand sanitizers and should not be used due to its toxic effects," the FDA wrote in their statement.While anyone who puts methanol on their hands is at risk, officials say young children who accidentally ingest these products and adolescents and adults who drink these products as an alcohol (ethanol) substitute, are most at risk for methanol poisoning.The FDA says consumers who have been exposed to hand sanitizers with methanol who are experiencing symptoms should seek treatment immediately.The FDA says it is especially concerned with:The dangers of drinking any hand sanitizer under any conditions. While hand sanitizers with possible methanol contamination are more life-threatening than those that are not contaminated, FDA urges consumers not to drink any of these products.Certain hand sanitizers that may not contain a sufficient amount of ethyl alcohol or isopropyl alcohol.Hand sanitizers that are sold or offered for sale with false and misleading, unproven claims that they can prevent the spread of viruses such as COVID-19, including claims that they can provide prolonged protection (e.g., for up to 24-hours).Products that are fraudulently marketed as “FDA-approved” since there are no hand sanitizers approved by FDA.Products packaged to appear as drinks, candy or liquor bottles, as well as products marketed as drinks or cocktails because their appearance could result in accidental ingestion or encourage ingestion. Children are particularly at risk with these products since ingesting only a small amount of hand sanitizer may be lethal in a young child.Below is a list of the products in the warning:CompanyProduct(s)NDCProduct statusGrupo Insoma, S.A.P.I de CV (Mexico)Hand sanitizer Gel Unscented 70% Alcohol75744-0200-375744-0200-475744-0201-575744-0202-175744-0250-175744-0250-275744-0500-175744-1000-175744-1000-375744-1001-1FDA tested product; contains methanol; FDA recommended a recall on 07/01/2020Transliquid Technologies (Mexico)Mystic Shield Protection hand sanitizer75477-435-0275477-435-1075477-435-1275477-435-2575477-435-5075477-534-10Contains methanolSoluciones Cosmeticas SA de CV (Mexico)Bersih Hand Sanitizer Gel Fragrance Free75165-003-0275165-004-0175165-005-0175165-006-0175165-008-0175165-250-0175165-600-01FDA tested product; contains methanol; FDA recommended a recall on 07/01/2020Soluciones Cosmeticas SA de CV (Mexico)Antiseptic Alcohol 70% Topical Solution hand sanitizerNot listedFDA tested product; contains methanol; FDA recommended a recall on 07/01/2020Tropicosmeticos SA de CV (Mexico)Britz Hand Sanitizer Ethyl Alcohol 70%76676-402-0177676-402-0277676-402-0377676-402-0477676-402-0577676-402-0677676-402-0777676-402-0877676-402-0977676-402-1077676-402-1177676-402-1277676-402-1377676-402-1477676-402-1677676-402-1777676-402-1877676-402-1977676-402-20FDA tested product; contains methanol; FDA recommended a recall on 07/01/2020Eskbiochem SA de CV (Mexico)All-Clean Hand Sanitizer74589-002-01Product purported to be made at the same facilityEskbiochem SA de CV (Mexico)Esk Biochem Hand Sanitizer74589-007-01Product purported to be made at the same facilityEskbiochem SA de CV (Mexico)Lavar 70 Gel Hand Sanitizer74589-006-01FDA tested product; contains methanolEskbiochem SA de CV (Mexico)The Good Gel Antibacterial Gel Hand Sanitizer74589-010-10Product purported to be made at the same facilityEskbiochem SA de CV (Mexico)CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol74589-005-03Product purported to be made at the same facilityEskbiochem SA de CV (Mexico)CleanCare NoGerm Advanced Hand Sanitizer 75% Alcohol74589-009-01FDA tested product; contains methanolEskbiochem SA de CV (Mexico)CleanCare NoGerm Advanced Hand Sanitizer 80% Alcohol74589-003-01Product purported to be made at the same facilityEskbiochem SA de CV (Mexico)Saniderm Advanced Hand Sanitizer74589-001-01Product purported to be made at the same facility; product recalled by Saniderm Products and UVT Inc.Click here for more information.This story was originally published by staff at WFTS, with contributions from WTXL. 4799
The strike that closed West Virginia's public schools for four days is over, West Virginia Gov. Jim Justice announced Tuesday evening.School will resume Thursday, he said.Teachers and school-related personnel will get a 5% raise in the first year and all other state employees will get a 3% raise, the governor said.The numbers still have to be passed by the Legislature.Justice said he had spoken to the leaders of the Senate and the House and he was "very, very hopeful" a bill would pass soon.The governor said he had changed his position on giving a raise this size after he had a conversation Monday with a sixth-grader named Gideon.Justice said Gideon was asking questions about tourism and the governor tried to explain about returns on investments in marketing.Turning one dollar into eight is a good investment, the governor told Gideon."Wouldn't it be an investment to invest in smart teachers that make me smart and then I can in turn, turn around and do smart, good things for our state?" the student replied.The governor said Gideon was right and he was approaching the strike wrong."I was looking at it as what the prudent thing was to do and not as investment." he said Tuesday.Dale Lee, president of the West Virginia Education Association, said the organization reserves the right to call teachers and service workers out again at a later date if the legislation gets bogged down or doesn't move ahead at their desired speed.Not all strikers pleasedThe strike put about 20,000 teachers and 13,000 school service employees on the picket lines to demand better pay and benefits.With the pay issue seemingly solved but insurance issues not, there was mixed reaction outside the state Capitol when the news was announced to the people on strike.There were big cheers for the pay raise, but boos for the lack of an immediate change to insurance.After they were told they would go back to schools Thursday with a possibility they might get called to strike again, teachers chanted "Back to the table!" and "Fix it now!"There are other issues, teacher saysWendy Peters, a third-grade teacher who traveled from Daniels, told CNN sister network HLN by phone that the primary issues are pay and insurance. But there are others, such as seniority and less stringent criteria that allow for noncertified teachers -- something Peters doesn't think should happen.She told "On the Story with Erica Hill" that teachers want to feel "valued and respected."Peters, who has 16 years of service and says she makes ,000, said teachers want a wage competitive with surrounding states. "We take care of the most important thing in our state, our children," she said.Legislation sparked strikeThe walkout -- which kept the state's roughly 277,000 public school students out of class -- came after Justice signed legislation late on the night of February 21, granting teachers a 2% pay increase starting in July, followed by 1% pay increases over the next two years.But the bill did not address further concerns of teachers, including issues with the teachers' public employees insurance program, the rising costs of health care and a tax on payroll deduction options, according to Christine Campbell, president of the American Federation of Teachers-West Virginia.Many people in West Virginia said that the high health insurance costs they face are the main sticking point in the work stoppage. That insurance affects all state employees.Tonya Spinella, a fourth-grade teacher in Mercer County, said rising insurance premiums are "going to be a real issue for us, for our family."She said she has a second job, teaching English to Chinese children online."And really, sometimes the only way we can make ends meet is through my second teaching job and through other little side jobs that I do," she?said. 3817
The South Bend Police Department offers its sincerest condolences to Officer Alan Wiegand and his family during this difficult time following the tragic loss of their child while in Puerto Rico. The department asks the community to pray for the entire Wiegand family as they grieve and to respect their privacy.Royal Caribbean Cruises called it a tragic incident and said they were helping the family. They declined additional comment. 443
The White House on Wednesday downplayed comments by national security adviser John Bolton, who recently invoked Libya's decision to denuclearize during the Bush administration as a model for US policy on North Korea, potentially placing a planned US-North Korea summit in jeopardy.Hours earlier, a North Korean official said Bolton's remarks were indicative of an "awfully sinister move" to imperil the Kim regime. North Korea stunned Washington on Tuesday by threatening to abandon talks between President Donald Trump and Kim Jong Un if Washington insists on pushing it "into a corner" on nuclear disarmament.Referring to the Libya comparison, White House press secretary Sarah Sanders said Wednesday that she hadn't "seen that as part of any discussions so I'm not aware that that's a model that we're using."I haven't seen that that's a specific thing. I know that that comment was made. There's not a cookie cutter model on how this would work."She continued, "This is the President Trump model. He's going to run this the way he sees fit. We're 100% confident, as we've said many times before, as I'm sure you're all aware, he's the best negotiator and we're very confident on that front."In April, Bolton suggested that the White House was looking at Libya as an example of how it will handle negotiations with North Korea to denuclearize."We have very much in mind the Libya model from 2003, 2004," Bolton said on Fox News. "There are obviously differences. The Libyan program was much smaller. But that was basically the agreement that we made."The US agreed to ease sanctions on Libya in 2003 in exchange for a promise by Moammar Gadhafi to abandon his country's nuclear program. Eight years later, however, Gadhafi was overthrown and killed by rebels backed by Washington.In a statement published late Tuesday by the state-run Korea Central News Agency, Kim Kye Gwan, North Korea's first vice minister of the Ministry of Foreign Affairs, called Bolton's comments indicative of "an awfully sinister move to impose on our dignified state the destiny of Libya or Iraq which had been collapsed due to yielding the whole of their countries to big powers.""It is absolutely absurd to dare compare (North Korea), a nuclear weapon state, to Libya which had been at the initial stage of nuclear development," Kim said. "(The) world knows too well that our country is neither Libya nor Iraq which have met miserable fate."Singling out the national security adviser for personal criticism, Kim said that North Korea had "shed light on the quality of (John) Bolton already in the past, and we do not hide our feeling of repugnance towards him." 2657