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Medical offices around the country are opening back up for routine health checks and they're facing a huge problem; there's still a shortage of protective gear. Now, many are spending huge amounts of money restructuring the way they operate to keep themselves and their patients safe.On a window ledge at ENT and Allergy Associates in White Plains, New York, sits a number of brown paper bags. Inside, face masks labeled for each physician.“We have paper bags on our window sills with a bunch of masks. In there, we have 3-4-5 masks we’re rotating through. Those have to be kept covered to protect them from splatter or anything because once they get dirty, then they have to be thrown out,” Dr. Daniel Gold said. “We circulate gowns as well.”Gold is an E.N.T., which is the medical and surgical choice for anything having to do with the ears, nose or throat. It's a profession that is very much in your face, so protective gear is of utmost importance.“After wearing them for 5-10 minutes, you get short of breath and you’re like this is really hard,” he said.Doctors like Gold are having a hard time getting more gear. In fact, Dr. Gold often uses shields that are designed for sheet metal work because medical grade equipment is back ordered, or entirely unavailable. A surgical mask which once cost 30 or 40 cents now costs to .50.They've also found that knockoffs are being sold.“Not made of same material, not sealing against the face, and some had seam lines and then when you really looked, you’d realize there were holes through the seam lines that’s not blocking 95%,” Gold said. “You’re better wearing a t-shirt mask.”Dr. Gold is far from alone on this issue. It's a statewide and nationwide problem. Dr.Bonnie Litvack is the president of the Medical Society, State of New York.“That is an absolute mess because we can’t deliver the care if we don’t have the resources and the mask is ground zero for that,” Said Dr. Bonnie Livtack, the president of the Medical Society of the State of New York.When asked about whether they were able to negotiate for price on PPE, Litvack said, “With the various companies they either have it or they don’t, or you pay the prices or you don’t.”Dr. Litvack joined other state medical societies in the country by sending a letter to the Senate. They're asking the government to step in."We urge Congress to prioritize the production, distribution, and availability of PPE and testing, and accelerate efforts to conduct contact tracing,” the letter read. “All of these are essential to the safe reopening of medical practices and the economy and must be prioritized for all health care workers."They're also asking for financial help as their costs to operate, while seeing half the patient volume, are mounting.“These additional precautions and equipment is running us about per patient,” Dr. Gold said. “It’s about a million in extra overhead a month just in these extra masks, and gowns, and gloves and wipes. All these other things, which nobody could have thought to budget in because who would have thought we’d have to consider every patient highly infectious.”It's a new way of operating, as everyone is learning how to function in our new, post-pandemic world. 3229

MARICOPA COUNTY, Ariz. – Arizona's most populated county will dismiss all pending and unfiled charges of possession of marijuana now that voters have passed Prop 207, which legalizes recreational marijuana in the state.The Maricopa County Attorney's Office made the announcement on Monday, nearly a week after residents voted on the measure. 350

Michael, now a Category 1 hurricane slashing Cuba, is forecast to be a "dangerous major hurricane" when it smacks the US Gulf Coast on Wednesday, the National Hurricane Center said.The forecast indicates Michael may be a Category 3 hurricane -- with winds from 111 to 129 mph -- when it strikes."Life-threatening storm surge is possible along portions of the Florida Gulf Coast regardless of the storm's exact track or intensity," the center said. "Well-built framed homes may incur major damage or removal of roof decking and gable ends. Many trees will be snapped or uprooted, blocking numerous roads. Electricity and water will be unavailable for several days to weeks after the storm passes."Floridians scurried to prepare after Gov. Rick Scott declared a state of emergency for 26 counties and activated 1,250 National Guardsmen for hurricane duty."Heavy rainfall from Michael could produce life-threatening flash flooding from the Florida Panhandle and Big Bend region into portions of the Carolinas through Thursday," the hurricane center said.Michael has undergone a period of "rapid Intensification" -- defined as an increase of sustained winds of 35 mph in a 24-hour period. The storm went from 40 mph on Sunday to 75 mph on Monday and is expected to undergo rapid intensification again in the next 24 hours.The storm now has maximum sustained winds of 85 mph. A Category 1 hurricane has sustained winds of 74 to 95 mph.Monday night, Michael's center was about 60 miles north-northwest of the western tip of Cuba, with the storm moving northward at 12 miles per hour. Hurricane-force winds extended outward up to 30 miles from the center and tropical-storm-force winds extended outward up to 175 miles.Track the stormThe storm is aiming at a region that stretches from Mobile, Alabama, through the Florida Panhandle and into the Big Bend area of northern Florida.A hurricane warning from the National Weather Service was declared for the Alabama-Florida border to the Suwannee River in Florida. A warning means that hurricane conditions are expected somewhere within the designated area, and warnings are typically issued 36 hours before tropical-storm-force winds are expected, the weather service said.Storm and storm surge watches were issued for the Gulf Coast from the Mississippi-Alabama border to Chassahowitzka, Florida, north of Tampa Bay.As forecast, Michael would be the first Category 3 or higher hurricane to hit the Panhandle since Hurricane Dennis in 2005. Monday, it became the seventh hurricane of 2018 in the Atlantic Basin. On average, the Atlantic would have about five hurricanes by October 8. 2632

LYNDON TOWNSHIP, Michigan — Michigan State Police say a USPS mail carrier was killed when she was hit by her own truck delivering mail on Wednesday afternoon.According to police, the mail carrier was on Blind Lake Rd. in Lyndon Township, northwest of Ann Arbor, around 1:30 p.m. Wednesday.She was delivering a package at a resident with the USPS mail truck parked at the top of the driveway. For reasons not known at this time, the vehicle rolled down the driveway, struck the mail carrier and then pinned her between the truck and a guardrail.The woman, identified as a 56-year-old Tracy Sylo, of Pinckney, was pronounced dead at the scene. 649

Michael Cohen said in court Wednesday that he had been living in a "personal and mental incarceration" under President Donald Trump and that his prison sentence would, ironically, help him get back his freedom.That's particularly true if he goes to a certain minimum-security prison not far from the city.In federal court on Wednesday, US District Judge William Pauley agreed to recommend that Cohen serve his 36-month prison sentence at FCI Otisville, about 70 miles northwest of New York City.FCI Otisville has sometimes been viewed as a preferable prison option for inmates convicted of white-collar crimes. In 2009, Forbes named it one of "America's 10 cushiest prisons."Despite the judge's recommendation, the decision as to where Cohen will spend time is ultimately up to the Bureau of Prisons, which has sole responsibility for determining where offenders spend their prison sentences.The decisions are made at the Designation and Sentence Computation Center in Texas. The DSCC attempts to send inmates to prisons within a 500-mile radius of their residence, which for Cohen is in New York. However, the decision also is made using a series of criteria, such as security needs, medical needs, availability of counseling services, and bed space.Bureau of Prison data shows the bureau complies with 74% of judicial recommendations, wholly or in part, according to an analysis of the DSCC published in Criminal Justice magazine in 2016.  1454