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COVID-19 is presenting many challenges for the U.S. healthcare system. To combat the problems and fears some might have, healthcare facilities are having to adapt quickly to telemedicine and rely more on technology, just like other industries."All of a sudden, we're in the middle of a pandemic, and I need to figure out how am I going to take care of my wellness patients and sick patients," Dede Chism, a nurse practitioner and executive director of Bella Health + Wellness, said. Chism said the idea of telemedicine came about when she was trying to decide who needed to go in and who didn't. "We launched telemedicine overnight," Chism said.She said within ten days of launching, over 50 percent of their patients were taken care of via telemedicine visits.Bella Health + Wellness is not alone, and health systems have been leaning more heavily on telemedicine and conducting appointments through HIPAA-compliant video chat as the nation deals with the COVID-19 pandemic."The role of telemedicine is several-fold," Dr. Alexander Mason, a neurosurgeon and Medical Director for Specialist Telemed said. "It's allowing specialists to connect with patients both in the hospital but also in clinics and at home."Dr. Mason said Telemed allows the sick people to stay home and not get others sick. "This has been a very, what I would describe as linear progression up until COVID-19," Dr. Mason said. "What we see now is an overnight acceptance of that."Dr. Mason explained that telemedicine had been around for decades. "What's changed there for us in the last five years is increasing availability of good high-quality technology both software and hardware," he said. "We see the ability for telemedicine to shine, not only in the traditional three specialties of neurology, psychiatry, and pulmonary critical care but also in a huge number of other specialties in the inpatient and outpatient space."However, telemedicine isn't for every type of doctor's visit. "Telemedicine can not and should not be used for every patient and in every clinical scenario," he said.The Centers for Disease Control and Prevention said telehealth had grown exponentially since the late 1990s, predicting it will be a billion corner of the healthcare market by 2020."I think patients are going to feel a lot more comfortable reaching out via camera if we're able to do this and proof of concept," Dr. Nick Tsipis, an ER physician at Swedish Medical Center and Chief of ER telemedicine for CarePoint Health, said. He sees firsthand how coronavirus is impacting the emergency room,"It can keep folks in areas that are most safe for them by using telemedicine. That's one of our primary applications for it," Dr. Tsipis said.Which is just how Dede and Bella Health are using telemed -- to help their patients feel comfortable."One of the things that have risen amid this virus is gratitude," Dede said. "So much gratitude that we've instituted telemedicine that they can see us, and they know we are seeing them.""The innovation is what we're seeing is both physician acceptance, patient acceptance, and payer/government acceptance," Dr. Mason said.Dr. Tsipis says he hopes telemed will take on more of role if after the pandemic is over"When this is over, physicians will feel more comfortable in an expanded scope of telemedicine as well as a better understanding of several different platforms," Dr. Tsipis said. 3409

Christmas is always full of excitement and wonder. But for these five families, Christmas 2018 meant much, much more.1. A new ring. 143

DENVER, Colo. – Experts across the country are working to make schools safer, especially when it comes to mass shootings. One aspect they’re focusing on is mental health.In the past 10 years, there have been 180 school shootings, according to studies done by CNN and information from the Department of Education.“In Colorado, we are the state that has had more school shooting than any state, so we take it very seriously,” said Ellen Kelty, the Denver Public Schools director of student equity and opportunity.According to Kelty, school shootings have been something districts and lawmakers deal with far too often since Columbine.While districts figure out how to make schools safe when it comes to security, some psychologists and lawmakers in Colorado believe it starts with addressing mental health.“The FBI has determined that most students who have done school shootings are suicidal.” Kelty said. “It is very related. I’ve done a lot of work outside of DPS about this topic and we do believe that if we had stronger mental health, we would have less school shootings.”According to the CDC, youth suicide increased by 56 percent in a decade. Psychologists believe addressing mental health and suicide in schools can help prevent school shootings.“We have 18 school-based centers that provide comprehensive health and mental health services,” Kelty said.DPS has increased the number of psychologists and social workers by 96 percent in the last five years.“We have a suicide risk assessment process that they go through if they think they’re in danger to suicide,” Kelty said. “We also have a threat assessment process they go through.” Last year, DPS did more than 2,700 suicide assessments.Lawmakers like Rep. Dafna Michaelson Jenet have dedicated their service to youth mental health. Jenet helped pass a law that students 12 years old or older can ask for mental health help without parental consent.“This approach is directly stopping school shootings,” Jenet said. “Our kids know what they’re going to do. They know if they’re going to commit suicide when they’re 16 years old and shoot up the school and take their friends with them and it ends in suicide. I believe every school shooting is a suicide mission. But if we’re able to identify a youth with suicide ideation well before they’re ready to commit suicide, we can keep our schools safer.”For victims of school shootings, this topic is complicated.“Kendrick sacrificed his life to help save his fellow students with a couple of other boys who helped him,” said John Castillo, the father of Kendrick Castillo who lost his life in the shooting at STEM School Highlands Ranch in Colorado last year. Castillo has dedicated his life to combating school shootings. While he said there are many factors to make schools safer, mental health is one of the important ones.“The way I see it is there are two things that happen in school safety,” Castillo said. “One of them is early detection and prevention, and that’s where mental health comes in. Our teen suicide rate is off the charts, and those are all things that we need to consider and look at.”Experts agree that mental health is one of the most powerful tools to not only help identify potential school shooters, but also to help prevent school violence. 3287

English Premier League players are able to show solidarity with the George Floyd justice campaign during games without facing sanctions.The Football Association has endorsed FIFA's new stance that common sense would be applied when assessing the context of on-field messages on players' equipment.The laws of the game prohibit "any political, religious or personal slogans, statements or images." ut the English FA has given the green light for players using games to protest against social and racial inequality. The Premier League is due to resume on June 17.  579

Days before a gun rights protest that is set to take place this weekend at the Virginia Capitol, Gov. Ralph Northam declared an emergency, which will ban protesters from entering the grounds around the Capitol with firearms. The emergency, which was declared by executive order, will span Friday, January 17 at 5:00 p.m. until Tuesday, January 21 at 5:00 p.m.“Law enforcement intelligence analysts have identified credible threats of violence surrounding the event, along with white nationalist rhetoric and plans by out-of-state militia groups to attend,” said a statement from Northam’s office. Northam tweeted that the order was to protect citizens and lawmakers. “We support citizens’ rights to peacefully protest and express their views to their elected officials. But we must also keep the public, as well as those who work around Capitol Square, safe,” the governor tweeted.Northam, a Democrat elected in 2018, now enjoys partisan support from the Virginia House and Senate. Following the 2019 election, Democrats have the majority in the Virginia House of Delegates for the first time in more than two decades. With Democrats holding the bicameral legislature, there has been a push to enact gun control. While a bill to ban assault weapons was dropped earlier this week, other bills are still being considered. One is limiting the purchases of firearms to one a month. Earlier this month, Northam signed legislation to prohibit firearms inside of the Capitol building and adjacent legislative office building. The law does not prohibit guns from the grounds near the Capitol, which is why Northam signed an executive order for this weekend. The response to gun legislation in Virginia has been swift, prompting an expected protest for this weekend. Many counties in Virginia have enacted “second amendment sanctuary” laws, also in response to Democratic proposals. 1885