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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

Dolly Parton spent Thursday at Vanderbilt's Children's Hospital to celebrate a deeply personal milestone. Her niece, Hannah Dennison, turns 30 years old on Sunday — a birthday Parton wasn't always sure she'd be able to celebrate."Twenty-six years ago is when Hannah was diagnosed with leukemia, and for five years we didn't know if we'd be keeping her or not," Parton told a room full of doctors, nurses, patients and families. "But Hannah now stands here as our chemo hero. She shows that miracles do happen with good care, great doctors and great nurses."Parton met some of those doctors and nurses last fall when she visited the hospital to release her first-ever children's album. During that visit, she decided to donate million to the hospital."They took such good care of her and just looking at the little faces of the kids going through this and the parents who suffer so much as well; it's just touching and moving," she said. "If you're in a position where you can do something, you should do something."In return, the Children's Hospital dedicated it's second floor butterfly garden to Dennison on Thursday."Now that we have Hannah's butterfly garden, we may come up and do little shows now and then and bring some joy to the kids," Parton said. "Or just come up and say, 'Hey, I got my guitar, want to sing some songs?' Bring a few smiles to the kids faces." 1422

Dozens of people are gathering outside of the TCF Center in Downtown Detroit, trying to get inside to challenge votes which are being counted.People outside of the center say they are not being let in to challenge the votes. The Detroit Health Department said TCF Center is at capacity and that's what police are enforcing.Republicans are hoping to challenge the vote and claimed they were unfairly being kept outside where the absentee ballots are being counted. Hundreds of challengers are already inside TCF Center.Video from our photographer inside the center showed one poll challenger being escorted out of the TCF Center to cheers. 646

Dominica Prime Minister Roosevelt Skerrit confirmed on his Facebook page on Monday that he was rescued as Hurricane Maria hit his small island nation.  Hurricane Maria made landfall just before 10 p.m. ET on the island of Dominica with top winds of 160 MPH. Skerrit's roof was one of many that were ripped off as Maria came on shore. "My roof is gone. I am at the complete mercy of the hurricane. House is flooding," Skerrit said just before being rescued. Hurricane Maria is the second Category 5 hurricane to strike the Caribbean in the last two weeks. Hurricane Maria is following a similar path as Hurricane Irma, which devastated parts of the Caribbean before coming on shore in Florida on Sept. 10.Local radio reports said that parts of Dominica are flooded, and there has been roof failure at a local hospital. Dominica has a total population of 73,000 residents.  934

Dr. Anthony Fauci said Wednesday that he thought that a fellow White House staffer's attempt to discredit him in a USA Today op-ed was "bizarre" and urged others in the administration to stop public partisan bickering about the pandemic.In an interview with The Atlantic, Fauci called the infighting "nonsense" and urged the administration to "reset.""When you look at the numbers, obviously, we've got to do better. We've got to almost reset this and say, 'Okay, let's stop this nonsense,'" Fauci said.Fauci's comments were published a day after the White House's top trade expert, Peter Navarro, published an op-ed in USA Today in which Navarro claimed that Fauci had been "wrong about everything." On Wednesday, both President Donald Trump and the White House said that Navarro did not receive clearance to publish the column. Trump said in an interview on Wednesday that Navarro "shouldn't be doing that.""Well, that is a bit bizarre. And I have to tell you, I think if I sit here and just shrug my shoulders and say, "Well, you know, that's life in the fast lane ..." Fauci said, according to The Atlantic.Fauci later said that he "can't explain Peter Navarro," adding that "he's in a world by himself."Fauci also told The Atlantic that he had spoken to White House Chief of Staff Mark Meadows about Navarro's column and told him that he felt it was detrimental to the president. Fauci added that he did not receive an apology from Meadows.Once a fixture at daily Coronavirus Task Force Briefings and on cable news, Fauci has been notably absent from national television in recent weeks — though he appears to make regular media appearances on internet streams and podcasts. When asked if the Trump administration was limiting his media appearances, Fauci told The Atlantic that he couldn't comment, "but I think you know what the answer to that is."Fauci also said in the interview that he and Trump haven't had a one-on-one talk "in a while," and that his input goes "through the vice president."Earlier this week, Trump told reporters that he continues to have a "good relationship" with Fauci.Polling shows that Fauci, who has served as the head of the National Institute of Allergies and Infectious Diseases since 1984, has become one of the most trusted administration officials when it comes to giving advice amid the pandemic. He's broken with Trump on several aspects of the administration's response, including school reopenings and testing. 2464