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At this point, a day or two without power seems like just a minor inconvenience. Maybe some spoiled milk in the fridge. Or the frustration of a drained cellphone.But much of eastern Florida hasn't had electricity since last weekend. And parts of the state's battered west coast might not get power for another 10 days.The danger was exemplified Wednesday, when eight people died in Hollywood, Florida, after their nursing home lost air conditioning. The residents' causes of death are being investigated."I'm afraid the death toll from Irma is not over yet," said Craig Fugate, former administrator of the Federal Emergency Management Agency. Fugate himself had no power Wednesday in his Gainesville home.Electricity can literally be a lifeline, powering everything from hospitals to oxygen tanks.So, what will 10 days without power look like? Here's what to expect, and what to do about it: 904

AURORA, Colo. -- An undercover investigation by Scripps station KMGH in Denver has revealed another unlicensed person practicing health care in defiance of multiple state cease and desist orders handed down by regulators. A February KMGH?revealed 28 people had received such cease and desist orders from state regulators, but the state did little to ensure they actually stopped, and most never faced criminal charges. One of those people was Alfredo Ruiz, also known as Alfredo Ruiz Rueda, who received cease and desist orders from the Colorado Medical Board in 2013 and again in 2017. A search of the state’s professional license database shows Ruiz does not hold any kind of license in Colorado. In the orders, the board said Ruiz used laser equipment only appropriate for licensed medical professionals, and ordered him to stop providing skin injections.State records show Ruiz previously operated clinics called CI Laser Clinic and Central Integral de Belleza y Salud in the Denver area.It appeared Ruiz closed his clinics after receiving each order, but KMGH recently called the number posted online for those clinics and discovered Ruiz had reopened his business at another location.A producer left a message and received a phone call back in Spanish and a text with the clinic’s new address. The producer made an appointment for a Botox treatment.  Outside of the clinic’s door, a sign is posted listing various skin care services, injections and laser treatments in Spanish along with Ruiz’s name. Two KMGH producers brought hidden cameras into the office to speak to Ruiz about Botox.  When asked if he was a doctor, Ruiz responded affirmatively multiple times. He said he had 12 years experience and estimated he sees 10 patients per day. He showed the producers needles he would use to administer Botox, and he estimated one 28-year-old producer would likely need extra treatment costing between 5-0. When confronted after the appointment by KMGH reporter Ryan Luby, Ruiz claimed he was a doctor in Mexico. He also pointed out the certificates -- not state licenses -- on his wall indicating he had completed laser training. Ruiz indicated he works under the supervision of two licensed doctors whose names were posted on the sign outside of his clinic. Neither doctor was present in the office. When KMGH reached one of the doctors by phone, he said he had not worked with Ruiz in years and was surprised to learn his name was posted at the office. The other doctor could not be reached.When KMGH returned to the office days after the initial confrontation, the sign bearing the names of the other two doctors had been removed from the door, but the sign with Ruiz’s name and the services he offers remained. State rules allow some unlicensed individuals to provide medical-aesthetic treatmentThe state does allow for some “medical-aesthetic services” including laser treatment and injections to be administered by unlicensed individuals under the close supervision of a licensed physician.The medical board’s rules for such agreements requires documentation of the arrangement be “available to the public at the site where the delegated medical services are performed.” Ruiz did not produce any such documentation nor was it readily visible in his office.The board’s rules also require that patients are fully informed of such arrangements and sign forms affirming they have been made aware they are receiving care from an unlicensed person. “When the delegating physician is not actively involved in the patient encounter, the disclosure shall include: the service the patient is receiving is a medical service; the delegatee of the service is not licensed by the state of Colorado or is acting beyond the scope of his or her Colorado license, certification or registration; the delegatee is providing the service pursuant to the delegated authority of a physician; and, the delegating physician is available personally to consult with them or provide appropriate evaluation or treatment in relation to the delegated medical services,” the rules say in part.KMGH’s undercover producers received no such information during their discussion with Ruiz about Botox treatments.   State regulators, police take actionThe Department of Regulatory Agencies (DORA) acted quickly upon learning from KMGH that Ruiz was still practicing. The state’s medical board convened an emergency meeting and the state obtained a temporary restraining order against Ruiz. The state also referred the case to law enforcement for potential criminal charges for the second time.In 2017, DORA alerted the Denver district attorney about Ruiz but the DA’s office did not pursue an investigation because his previous office was already closed.Aurora police are now investigating Ruiz’s latest clinic, which police say is now vacant. Attorney General subpoenas KMGH again The office of Colorado Attorney General Cynthia Coffman sent subpoenas to KMGH seeking its video and a producer’s testimony to present as evidence in court as it seeks a permanent injunction against Ruiz. That marked the second time the state has subpoenaed KMGH’s investigative materials as evidence in court to seek court orders against unlicensed individuals.Last month, a KMGH producer testified in court in response to a subpoena in injunctive proceedings against Randy Flynt, who claimed to be a clinical psychologist and kept his office open more than a year after the state issued three cease and desist orders against him. In that case, the attorney general’s office played a portion of KMGH’s undercover video in court and the judge granted the temporary injunction. Pueblo police have also issued a warrant for Flynt’s arrest.In the Ruiz case, an injunction hearing is set for April 23. DORA is making changes DORA said it is making numerous improvements to its process for handling unlicensed individuals in the wake of KMGH’s investigation – changes first ordered by Governor John Hickenlooper in the days after the initial stories aired.The changes include: 6166

As the battle between the United States and California over immigration makes its way in court, the war of words is just beginning.The Justice Department sued California late Tuesday, alleging that state policies that prohibit some cooperation with federal immigration enforcement are unconstitutional.California Attorney General Xavier Becerra fired back hours later, saying his state should not be forced to do the federal job of trying to enforce immigration laws."We're not gonna have them coerce us into doing things that they want us to do simply because they don't want to do it them themselves," he told CNN's Anderson Cooper on Wednesday night.Sessions slams policies 684

As start dates for school inch closer, educators and health officials are unveiling plans to go back to school safely. One focus: face masks.“It’s important for people to understand germs,” Laura-Anne Cleveland, an associate nursing officer at Rocky Mountain Hospital for Children, said. Cleveland says everything starts with education. “Trying to get them to understand that air and breath from us can have germs in it," she said.Cleveland said the best way to do that with younger kids is through a little science experiment.“Putting a container of water, putting pepper in it and putting soap on their finger and putting your finger in. The pepper disperses, and so showing that the pepper is the germs and soap and things like that are really good to be able to use,” she explained.As schools finalize plans for reopening--whether that be online, in person, or a combination of the two--masks have become one of the biggest talking points.“I have never dealt with anything like this,” Marty Gutierrez, an 8th-grade math teacher, said. Gutierrez has been teaching for 26 years.“So much is up in the air and we start back to school in three weeks,” he explained. “And we don’t have guidelines or they are changing every day or even two, three times a day.”One of those guidelines is whether masks will be recommended or required.“Like anything recommended or required with middle school kids, it’s that year where you push boundaries,” Gutierrez said. “I get parents and their ideals and values and what they want their freedoms to be. Just getting kids to wear masks is going to be difficult enough, and we know we’re going to have some kids that ‘You know what? My parents don’t want me wearing a mask.'”If schools recommend masks instead of requiring them, there are fears this could open up doors for bullying.“I’m sure that there will be some kids that are harassing kids for not wearing a mask, or kids that have a different mask,” he said.Or conversations about fairness.“If you have a sibling that has to wear a mask but you don't have to, it’s going to not feel fair,” Cleveland said.Masks have become controversial, but to Gutierrez, it’s just an extra layer of safety for everyone in the building, including those who may be at high-risk for getting COVID-19.“People are scared. I have friends that have children that are recovering from cancer, or I have friends that take care of elderly parents that are immunocompromised,” he said.Cleveland and Gutierrez, both parents, themselves, want to keep kids in school and make sure kids remember the why.“Why are we wearing masks? Why are we wearing face shields? Things like that, and getting the children to understand that,” Cleveland explained.“This is the best we can do right now, and if we don't follow these guidelines, you're not going to be seeing these friends again, we’re going to go back to that situation where you’re only going to see them online. So, I think it’s expressing that trade-off,” Gutierrez said. 2991

Attorney General William Barr took aim at his own Justice Department on Wednesday, criticizing prosecutors for behaving as “headhunters” in their pursuit of prominent targets and politically charged cases.The comments at a speech at Hillsdale College in Michigan amount to a striking and unusual rebuke of the thousands of prosecutors who do the daily work of assembling criminal cases across the country.Barr described the prosecutors as part of the “permanent bureaucracy” and said they were in need of supervision from “detached,” politically appointed leaders who are accountable to the president and Congress.“The men and women who have ultimate authority in the Justice Department are thus the ones on whom our elected officials have conferred that responsibility — by presidential appointment and Senate confirmation,” Barr said, according to his prepared remarks. “That blessing by the two political branches of government gives these officials democratic legitimacy that career officials simply do not possess.”As Attorney General, Barr has been aggressive in pursuing certain categories of prosecution himself, including seeking federal charges against those arrested in protests following the death of George Floyd. In fact, later on Wednesday, Barr said wants prosecutors to be aggressive in charging demonstrators who cause violence.So far, more than 300 people have been charged with federal crimes in the protests that erupted following the death of George Floyd.An Associated Press analysis shows that many are accused of serious crimes like hurling Molotov cocktails, burning police cars and seriously injuring law enforcement. Others are not accused of serious crimes, prompting criticism that the effort is a politically motivated effort to stymie demonstrations. 1790

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