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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

EL CAJON, Calif. (KGTV) - Months of preparation will finally pay off Saturday for students in the Cajon Valley Union School District.The district is putting on what's now become an annual event, TEDxKids@ElCajon, a local version of popular TED Talks.After working with coaches all year, a select number of students were chosen to give their talks Saturday, speaking about issues they're passionate about.The event kicks of at 9 a.m. at Greenfield Middle School in El Cajon.Entrance is free for CVUSD students and general admission is . 545

Education Secretary Betsy DeVos announced late Friday that the US government will extend a federal student loan forbearance on borrowers for an additional month as more businesses are closing due to a surge in coronavirus cases. This means that payments of federal student loans will not be due in January.The decision does not impact private student loans, which have generally still required repayment by Americans during the pandemic.While the federal student loan forbearance is scheduled to end on January 31, President-elect Joe Biden has discussed taking more permanent action on reducing the student loan burden on millions of Americans.Federal student loans were placed on forbearance in March. In August, President Donald Trump directed DeVos to extend the forbearance through the end of 2020. While those who wanted to continue making student loan payments were able to continue doing so, automatic payments of federal student loans stopped early in the pandemic as unemployment levels jumped to record levels.Amid the forbearance period, the federal government was not charging interest on borrowers."The coronavirus pandemic has presented challenges for many students and borrowers, and this temporary pause in payments will help those who have been impacted," said DeVos. "The added time also allows Congress to do its job and determine what measures it believes are necessary and appropriate. The Congress, not the Executive Branch, is in charge of student loan policy." 1493

Did a 91-year-old woman really get arrested for eating fried chicken with a fork?Yes, but it was a prank.The law does exist though.In 1961, Gainesville, Georgia passed a measure making it illegal to eat fried chicken with anything other than your hands.It was a publicity stunt to promote the city as the “poultry capital of the world.” 344

Don't blame Amazon for the death of Toys "R" Us.It's true, online shopping didn't help matters, but the struggles of Toys "R" Us predate the boom in online shopping. Many of its wounds were self-inflicted.The company's biggest problem: It was saddled with billions of dollars in debt. That debt stopped it from making the necessary investment in stores. And that meant an unpleasant shopping experience that doomed the chain. The company told employees Wednesday that it would close or sell its US stores after 70 years in business."If you're going to have that breadth of inventory, you need someone in the store to help you find it, help you experience it," said Greg Portell, lead partner at retail consultant A.T. Kearney. "It's hard to sell toys in a cold, warehouse environment."Even Toys "R" Us CEO David Brandon conceded in an SEC filing last fall that the company had fallen behind competitors "on various fronts, including with regard to general upkeep and the condition of our stores."Toys "R" Us' debt problems date back to well before Amazon was a major threat. Its debt was downgraded to junk bond status in January of 2005, at a time when Amazon's sales were just 4% of their current level.A year later the company was taken private by KKR, Bain Capital and real estate firm Vornado. The .6 billion purchase left it with .3 billion in debt secured by its assets and it never really recovered.The toy store faced several other big challenges at about the same time. There was the rise of big box retailers like Walmart, which now dwarfs Toys "R" Us in total toy sales. Last year toymakers Mattel and Hasbro each sold about billion worth of their toys at Walmart, more than twice as much as what they sold through Toys "R" Us. Target sold just about as many of their as Toys "R" Us last year.And like most retailers, Toys R Us also lost sales to online rivals such as Amazon that offered lower prices and quick shipping.But much of the chain's resources were devoted to paying off that massive debt load rather than staying competitive.When Toys "R" Us filed for bankruptcy in September 2017, it disclosed it had about billion in debt and was spending about 0 million a year just to service that debt.That burden crowded out critical strategic priorities, like making its stores a nice place to shop and paying employees.Tell us: How will you remember Toys 'R' Us?Brandon said in a filing last fall that the bankruptcy process would allow it to invest million in its stores. The company hoped to add playrooms where kids could try out toys and spaces for birthday parties, but it never got the chance.Brandon also vowed to spend more money on staff. With extremely low unemployment, competitors like Walmart are raising wages, while Toys 'R' Us was having trouble attracting the kind of help it needed. It said last fall it would spend million from 2018 to 2021 to raise starting wages and to reward and keep its most effective employees."Better employees make for happier customers," Brandon said in the filing.Despite sharply declining sales, Toys "R" Us was also extremely late to the game in closing stores. At the time of its bankruptcy filing, the chain had 1,697 stores -- more than it had ever had.In January, it announced plans to shut 182 US stores. Last month it filed for the equivalent of bankruptcy for its UK operations, where it had 105 locations. On Wednesday, hours before announcing the decision to close its US operations, it said it would close the last 75 UK stores.But the closings in recent weeks were far too little, too late. And as a result, now all of US stores will close, and probably most foreign stores as well.The-CNN-Wire 3698