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Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

EL CAJON, Calif. (KGTV) - The City of El Cajon is days away from unveiling their new million dollar animal shelter to the public and gave 10News a sneak peek on Tuesday.The new shelter is double the size of the current facility, which was built in the 1950's, and features state-of-the-art amenities.The city believes it will dramatically improve the adoption experience for East County residents."With more room comes more ability to provide the standard of care expected for these types of animals," said Dirk Epperson, Director of Public Works for the City of El Cajon.The facility has a medical center and operating room as well as a full-service grooming station.There will also be several 'get to know you rooms' where potential adopters can get one-on-one time with the animals.Epperson says efficiency is a theme in the new facility, making it easier and more environmentally-friendly for shelter employees to do their jobs. The grand opening is Saturday, June 2 from 12 p.m. to 3 p.m and adoption fees will be offered for all animals.The shelters will be closed from Tuesday, May 29 through Friday, June 1. However, special arrangements can be made for residents needing to drop off stray dogs or claim a pet.   1250

DURANGO, Colo. – The young bear that was burned in the East Canyon Fire in June was released back into the wild this week not far from where it was found, Colorado Parks and Wildlife said.The 2-year-old bear had been recovering at CPW’s Frisco Creek rehab facility in Del Norte from burns he suffered during the fire. CPW said the bear weighed only 43 pounds when he was first captured in the fire.But after undergoing salve treatment on his paws, and having his bandages changed 16 times over the course of a month, he recovered and was moved from a pen with concrete floors to one with trees and hiding spaces mid-July, where he spent the past monthMichael Sirochman, the veterinary technician and manager at Frisco Creek, said the bear was 110 pounds and had seen its paws toughen up before he was released Monday.“He’s now about the weight he should be for a two-year-old bear and is in good shape for going into the fall,” Sirochman said.CPW officers originally found the bear on June 16 walking near a pond on the east side of the East Canyon Fire, which burned in June outside of Durango. Officials said the bear was released not far from that location on Monday.CPW said the bear originally hesitated for a moment as it looked at and smelled its new surroundings but then jumped from a CPW truck and ran into the forest. No tracking devices were placed on the bear, which officials said is expected to be fine on its own.“Now he’s got food, he’s got water, he’s got everything he needs,” said Wildlife Officer Steve McClung, “And I hope I never see him again.”This story originally reported by Blair Miller on TheDenverChannel.com. 1647

EL CAJON, Calif. (KGTV) - Starting Monday morning, Cal Fire San Diego is suspending all burn permits for outdoor residential burning.The announcement comes after a dry winter and warming temperatures dried out the annual grass crop.The suspension bans residential outdoor burning of landscape debris like branches and leaves.“We are reminding the public that this last winter was drier than last year,” said Chief Tony Mecham, Cal Fire San Diego/San Diego County Fire Chief. “The abundant dry grass will only serve as a fuse to the heavier vegetation that still covers our local open spaces.”RELATED: Volcan Mountain brush fire preventing officials from reaching reported crash siteSince the beginning of January, Cal Fire has responded to 920 wildfires across the state.Mecham is also asking residents to ensure they are prepared for wildfires by maintaining a minimum of 100 feet of defensible space around homes and buildings.“The importance of defensible space cannot be over-emphasized, but just as important is that residents conduct their clearance activities in a safe and responsible manner," Mecham said. “This includes using the proper tools and limiting clearance activities to the early morning hours when the humidity is up and the temperatures are down.”RELATED: Firefighter battling Barrio Logan fire shocked by electrified fenceBelow are some tips to help prepare homes and property: 1423

Drug kingpin Joaquin "El Chapo" Guzman will be examined by a psychologist next week after his lawyer argued the conditions of his confinement in New York have taken a toll on his memory and mental state.US District Judge Brian Cogan in Brooklyn granted permission Wednesday for Guzman to be evaluated following a defense motion alleging that solitary confinement in a cold, small cell at a federal lockup in Manhattan had the drug lord forgetting names and places and suffering from hallucinations, paranoia and depression."I'm not alleging that he's not competent" to stand trial, Guzman's new attorney, Eduardo Balarezo, told reporters after a pretrial hearing."I'm alleging that the conditions that he's been under for the last nine months or so are affecting his memory, affecting his ability to relay information that I need as his lawyer to defend him."Guzman, who is commonly known by his nickname "El Chapo," which loosely translates as "shorty," was extradited to the United States from Mexico in January and immediately brought to the federal courthouse in Brooklyn for his arraignment on a 17-count indictment.His trial in Brooklyn is set to begin in April 2018.Wednesday's hearingThe 60-year-old defendant, dressed in a dark blue prison uniform, entered the courtroom for Wednesday's brief hearing smiling and waving at his former beauty queen wife, Emma Coronel, and their six-year-old twin daughters. He followed the proceedings through an interpreter.Federal prosecutors have turned over 90,000 pages of discovery -- most detailing drug shipments and seizures -- but Balarezo said he took issue with government plans to wait until two weeks before trial to share the testimony of alleged collaborators."Every one of them is going to be here trying to reduce their sentence," the attorney said outside court.The head of the Sinaloa Cartel, Guzman is named in a sweeping 17-count indictment alleging that from 1989 to 2014 he led a continuing criminal enterprise responsible for importing and distributing massive amounts of narcotics and conspiring to murder rivals who posed a threat, according to federal prosecutors.Guzman is also charged with firearm violations related to drug trafficking and money laundering connected to the smuggling from the United States to Mexico of more than billion in cash from narcotics sales.Guzman has pleaded not guilty to the charges, which carry a minimum sentence of life in prison. Federal prosecutors also intend to seek a billion criminal forfeiture order against him.Years as a fugitiveGuzman has been confined to a solitary windowless cell, removed from the general population in a facility that is part of the federal Bureau of Prisons.Chasing 'El Chapo': Prison breaks, hideaways and life on the lamBefore hiring Balarezo, Guzman last summer retained attorney Jeffrey Lichtman, who represented John Gotti Jr. in a 2005 federal trial which ended with the dismissal of murder conspiracy charges.Prior to Lichtman, the man accused of running one of the world's largest drug trafficking organizations was represented by court-appointed public defenders.After more than a dozen years on the run after escaping from prison in 2001 -- allegedly by hiding in a laundry cart -- Guzman was again arrested in 2014.However, a year later he escaped through a hole in his cell block that led to a tunnel nearly a mile long. In 2016 Mexican security forces rearrested Guzman in Sinaloa.Mexican drug cartels take in between and billion annually from US drug sales, and a 2015 Congressional Research Service report estimates at least 80,000 people have been killed due to organized-crime-related incidents since 2006.RELATED: Mexico arrests top Sinaloa cartel heroin trafficker 3743