中山治疗痔疮的办法(中山哪家看混合痔的医院最好) (今日更新中)

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

Facebook CEO Mark Zuckerberg has arrived on Capitol Hill. What happens next could be big.Zuckerberg will spend two days answering lawmakers' questions about the powerful social network he helped create more than a decade ago, and whether the company is doing enough to protect users' privacy.It's the first time Zuckerberg will personally sit for questions from Congress, instead of sending a deputy. 408

Emma Gonzalez, a student and survivor of the Parkland, Florida, stood on stage at the March for Our Lives for 6 minutes and 20 seconds."Six minutes and about 20 seconds," she said. "In a little over 6 minutes, 17 of our friends were taken from us, 15 were injured and everyone in the Douglas community was forever altered."PHOTOS: Students participate in 'March for our Lives' throughout the country"Everyone who was there understands. Everyone who has been touched by the cold grip of gun violence understands. For us, long, tearful, chaotic hours in the scorching afternoon sun were spent not knowing. No one understood the extent of what had happened." 663

EPA Administrator Scott Pruitt's 24-hour security in Washington extends to at least some of his personal trips, according to a letter Democratic Sen. Sheldon Whitehouse sent to the department's inspector general and shared with CNN.The letter, written based on information that Whitehouse says he confidentially obtained from an unnamed source, raises new questions about the cost of Pruitt's unprecedented EPA-funded security, and alleges that Pruitt has used his security detail while on non-official business, including trips home to Tulsa, Oklahoma, a family vacation to Disneyland and the Rose Bowl game.Whitehouse, D-Rhode Island, says the new details should be added to the inspector general's ongoing investigation into Pruitt's travel expenses and use of a 24/7 security detail. The documents, he wrote, raise concern "significant agency resources are being devoted to administrator Pruitt's 'round-the-clock security, even when he is traveling on non-official business."Whitehouse adds, "While I consider matters of personal security to be extremely serious, personal security should never be used as a pretext to obtain special treatment."The letter alleges that six weekly schedules and other explanatory documents that were provided to him show that Pruitt used between two and three dozen different agents during a six-week period.Asked about the letter, the EPA told CNN that "Administrator Pruitt follows the same security protocol whether he's in his personal or official capacity," but declined to further elaborate on those protocols.The EPA has said that Pruitt has faced unprecedented threats, including direct threats on his life, leading to equally unprecedented security measures.CNN reached out to the EPA's Office of Inspector General, which did not comment on the case.Pruitt has been under increased scrutiny for citing security as the reason he flew first class on the government's tab, racking up nearly 0,000 in travel costs. On one trip to Italy, from June 5-12 of last year, his security detail alone amounted to more than ,000.Several Trump Cabinet members have faced criticism for their travels. Interior Secretary Ryan Zinke has several open investigations into his use of private aircraft and attendance at political events. Health and Human Services Secretary Tom Price left after probes of his use of private planes. And recently fired Veterans Affairs Secretary David Shulkin began his downward spiral after an inspector general report found he used agency funds on a trip for his wife.Whitehouse's office would not allow the documents or schedules to be reviewed, saying they contain sensitive security information. In addition to the family trips to Disneyland and the Rose Bowl game, the letter also alleges the security officials accompanied Pruitt on a trip to a December 29 University of Kentucky basketball game in Lexington.Whitehouse's letter also states that "more than one source" says Pruitt "frequently requested per diem lodging expenses in excess of the federal government's established daily rate."Pruitt's travel and security costs have gotten the attention of the EPA's inspector general and his fellow Republicans, including House Oversight Committee Chairman Trey Gowdy, who recently made Pruitt turn over all of his travel records for his first year.In a letter to Gowdy, Pruitt said his security team required him to be near the front of the plane for a quick exit in the case of an emergency. However, Pruitt did not turn over the waivers that are necessary to fly in an upgraded cabin.Whitehouse's letter asks the inspector general to see if Pruitt flies first class on non-official trips, and if so, whether the EPA pays for the security detail's flights, accommodations and per diems.Pruitt told CBS News recently: "There's a change coming" in the way he travels, "including flying coach," and in the way his staff will accommodate security threats.In October, CNN reported the EPA was beefing up Pruitt's 24/7 security, hiring a dozen more agents. At the time CNN calculated salaries alone for the full team would cost at least million per year, according to figures compiled from public documents. Those numbers do not include costs such as training, equipment, and travel.CNN also reported that some agents were pulled from other EPA jobs where they had been charged with investigating environmental crimes, and Whitehouse asks the inspector general to look at the impact of the shift in personnel.The-CNN-Wire 4496

ESCONDIDO, Calif. (KGTV) — Escondido boasts a variety of family-friendly fun throughout the city. Located in North County, just 30 minutes east of Carlsbad's coastline, Escondido is surrounded by avocado and citrus groves. The homey farmland mixes old charm with new entertainment found around town, like the amazing performances at the California Center for the Arts, Escondido. Cruisin' Grand gives families the chance to peruse classic cars on display along the city's downtown streets.RELATED: Experience a blast from the past at Escondido's Heartbreak HotelOr visitors can begin their visit at one of the city’s more well-known stops, like Stone Brewing World Bistro and Gardens or the San Diego Zoo Safari Park.Wherever they begin, families are sure to enjoy Escondido’s other local favorites, like Rosie’s Café, Queen Califia’s Magical Circle, or the Escondido Antique Mall.Rosie’s Café117 W. Grand Ave.RosiesCafeOnGrand.comThis diner continues to serve customers down home favorites since it first opened in 2016. Rosie’s is the fourth restaurant at the location within the past 100 years, but it is still a go-to destination for Escondido residents (and out-of-towners) to come together for a good meal and great times.Before it became Rosie’s, the restaurant Champion’s was in place and was offering comfort food and traditional diner fare. When Rosie’s Café took over, much of Champion’s offerings stayed on the new menu. Some of the more popular items include the Jersey Pork Roll, Corned Beef Hash and variety of benedicts.Thanks to the Food Network show “Restaurant: Impossible,” Rosie’s Café recently underwent a makeover that includes some new menu items and interior upgrades, but the retro diner joint vibe remains in place.<hr/>Suzy Q’s Diner258 E 2nd Ave., Ste. 2Suzy Q's Diner on FacebookA visit to Suzy Q’s will take customers back to the 1950s diner scene, with its historical décor and old-fashioned ambiance. From the flooring to the barstools, to the chalkboard displaying the blue plate specials and the dishes named after entertainers of that era, the family owned and operated Suzy Q’s Diner delivers when it comes to the quintessential diner experience.Owner Suzanne Iseminger, who came to the U.S. from Taiwan, worked at numerous restaurants around San Diego County before opening Suzy Q’s Diner in 2014. Iseminger said eating at diners throughout the years inspired her eatery’s 1950s-style atmosphere and menu.Suzy Q’s customers will have a variety of items to choose from, but the restaurant is known for its Corned Beef Hash, the one-of-a-kind Jalape?o Hashbrowns, and new specials like the Elvis-inspired PB and Jelly Sandwich.<hr/>Peterson’s Donut Corner903 S Escondido Blvd.Peterson's Donut Corner menuConsidered by many to be one of San Diego County’s best donut shops, Peterson’s has been offering some great pastries and donuts in Escondido for nearly 40 years.Peterson’s is open 24 hours a day and seven days a week for anyone in the mood for a bear claw, a cinnamon roll, an old-fashioned cake donut or any of the other sweet treats on the menu.<hr/>Queen Califia's Magical Circle3333 Bear Valley Pkwy.Snuggled in Kit Carson Park, families can discover shimmering snakes and totems and let their imagination run wild.Queen Califia's Magical Circle is the last major international project and only American sculpture garden by French artist Niki de Saint Phalle. The garden opened in 2003, sporting 12 acres of large-scale sculptures, including a circular "snake wall," a sculpture of "Queen Califia" standing on an eagle's back, and totem sculptures all covered in mosaic art. Families can explore the artistic wonders through the maze of colors or sit down and enjoy the day surrounded by wonder.The garden is named after the Amazon queen, Califia, who is believed to have ruled a terrestrial island paradise filled with gold and riches near the Indies. Features of the garden are inspired by Califia's reign and the cycle or birth, death, and transformation.The garden took four years to plan and build before Saint Phalle died in 2002. Saint Phalle's grand-daughter, Bloum Cardenas, said Queen Califia’s Magical Circle was, "my grandmother’s gift to the region. Niki’s first significant architectural project was 'The Bird’s Dream' and she called it that because her personal symbol was the eagle. This garden, then, is the final realization of the bird’s dream, Niki’s dream, to create a wonderful legacy for a place she dearly loved.”EcoVivarium136 S Juniper St.A hidden gem or reptile fun in Escondido, EcoVivarium is relatively new but educates and entertains with its assortment of more than 200 reptiles, amphibians, and arthropods.On tours of the museum, guests have the opportunity to pet and hold 15-20 well-trained ambassador animals with tour guides. Nearly all of the museum's animal ambassadors are rescued animals who have gone through rehabilitation, both physically and behaviorally, to be able to interact with guests.The museum also offers summer programs that give kids the chance to get excited about animals through hands-on experiences, projects, and adventures. Immersive programs like this give families tons to explore in the world of reptiles and their role in our environment."We not only have the obligation to educate our children – but a greater responsibility to instill in them a passion and excitement for learning about this world, its history, its many and varied inhabitants and their impact on each other and the planet itself," the museum says.Escondido Antique Mall135 W Grand Ave.A step back in time is just steps from Escondido City Hall at the Escondido Antique Mall. Shoppers can explore a ton of Americana-themed items and vintage inventory between the 42 vendor booths that line the mall. Whether searching for something to use around the house, fix up and put your own mark on, or collectibles to cherish, the wide array inside the shop is bound to turn up something eye-catching.The mall opened in 1985, according to the mall, and while there may not be items from '85 on the shelves today, there are numerous other items to explore from years priors. Vendors are constantly cycling through their inventory, giving customers the chance to discover something new every visit.As newer retailers crop up around town, the Antique Mall gives visitors a slice of something old and nostalgic that feels brand new to them. 6433

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