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NASHVILLE, Tenn. — Vanderbilt University Medical Center (VUMC) says it performed the world's first dual heart-lung transplant of a COVID-19 patient in September.The hospital says the patient, described as a young man, had cardiomyopathy — a disease of the heart tissue that can lead to heart failure — before he contracted COVID-19 in June.The procedure, which was completed on Sept. 24, was also VUMC's first heart-lung transplant since 2006. Dr. Ashish Shah performed the complex surgery, along with Dr. Matthew Bacchetta.Shah said the patient's battle with COVID-19 seriously damaged his lungs and may have also further damaged his heart. By September, the patient was critically ill with advanced heart and lung disease. He was referred to VUMC from the University of Mississippi Medical Center."He was slipping fast, in and out of the hospital and certainly by the time we operated on him, his heart was really done," Shah said.Bacchetta and Shah performed the transplant using both lungs and the heart from the same donor, which the hospital says is standard in dual transplants. VUMC says the organs were from a donor who had hepatitis C, and that the hospital is one of the first centers to use such organs for patients awaiting heart and lung transplants.They say the patient has since left intensive care and continues to recover at the medical center, where he is doing well.According to VUMC, a dual heart-lung transplantation is rarely performed in the U.S. and typically only done at high-volume transplant centers, like Vanderbilt."This transplant, like every transplant we perform, serves as a great example of the critical role of teamwork in leading to good outcomes," said Dr. Kelly Schlendorf, the medical director of VUMC's Adult Heart Transplant Program. "It really does take a village.""It continues to lead the way in pioneering this strategy, which has significantly increased the supply of donor organs," VUMC said Friday in a release.This story was originally published by Laken Bowles on WTVF in Nashville, Tennessee. 2053

MOSCOW — Russian opposition politician Alexei Navalny is in a coma in a hospital in Siberia after falling ill from a suspected poisoning.His spokeswoman, Kira Yarmysh, said Navalny felt unwell on a flight to Moscow and the plane made an emergency landing.Yarmysh said Navalny lost consciousness and must have consumed poison in tea he drank before boarding his flight.Russia’s state news agency Tass reported the politician is in grave condition.He is the most prominent member of Russia’s opposition and has set up a network of campaign offices across Russia to put forward opposition candidates in regional elections, challenging members of Russia’s ruling party.Several politicians and other prominent critics of President Vladimir Putin have been poisoned in recent years.In 2018, former Russian spy Sergei Skripal and his daughter, Yulia, were found to have been poisoned in Salisbury, England.In 2012, Alexander Perepilichny — a prominent Russian businessman and whistleblower, died while jogging of suspected poisoning, and in 2004, journalist and Putin critic Anna Politkovskaya survived a poisoning on an airplane, only to be shot to death two years later. 1173

NATIONAL CITY (CNS) -  A pedestrian was struck by multiple vehicles and killed while attempting to cross an Interstate 5 off-ramp in National City, authorities said Friday.The crash happened shortly before 8:25 p.m. Thursday on the Civic Center Drive off-ramp from southbound Interstate 5, California Highway Patrol Officer Jake Sanchez said.A man was attempting to cross the off-ramp from an unknown direction when he walked directly into the path of a Toyota Rav4 driven by a 33-year-old woman, Sanchez said. The man was then struck by two other vehicles, he said.The unidentified man was pronounced dead at the scene, Sanchez said. 652

MOSCOW (AP) — Russia is boasting that it’s about to be the first country to approve a COVID-19 vaccine, with mass vaccinations planned as early as October using shots that are yet to complete clinical trials. But scientists worldwide are sounding the alarm that the headlong rush could backfire and point to ethical issues that undermine confidence in the Russian studies. Moscow sees a Sputnik-like propaganda victory, recalling the Soviet Union’s launch of the world’s first satellite in 1957. But the experimental COVID-19 shots began first-in-human testing on a few dozen people less than two months ago, and there’s no published scientific evidence yet backing Russia’s late entry to the global vaccine race, much less explaining why it should be considered a front-runner.“I’m worried that Russia is cutting corners so that the vaccine that will come out may be not just ineffective, but also unsafe,” said Lawrence Gostin, a global public health law expert at Georgetown University. “It doesn’t work that way. ... Trials come first. That’s really important.”According to Kirill Dmitriev, head of Russia’s Direct Investment Fund that bankrolled the effort, a vaccine developed by the Gamaleya research institute in Moscow may be approved in days, before scientists complete what’s called a Phase 3 study. That final-stage study, usually involving tens of thousands of people, is the only way to prove if an experimental vaccine is safe and really works. 1467

More than 5,000 people could still be missing in Indonesia, following a powerful earthquake that hit the island of Sulawesi last week, officials said on Sunday.Thousands of people are believed to be missing in the towns of Baleroa and Petobo, where rivers of soil swept away entire neighborhoods in the aftermath of a 7.5-magnitude earthquake and ensuing tsunami on September 28.The confirmed death toll from the quake has now reached 1,763, with 265 people missing in central Sulawesi's largest city, Palu, the spokesperson of Indonesia's Disaster Management Agency, Sutopo Purwo Nugroho, told reporters in Jakarta on Sunday.Almost all of the dead have been buried in mass graves. Another 62,000 people have been displaced by the disaster, Nugroho said.The spokesman estimated that 5,000 people could still be missing in Baleroa and Petobo, which had been badly hit by soil liquefaction -- a process where the soil becomes saturated with water, causing it to erupt into torrents that topple buildings. 1010