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STOCKTON, Calif. -- Nothing hits the spot like a milkshake — unless, of course, there's a stranger's backwash in there.A DoorDash driver was caught on a home security camera taking a sip of a milkshake seconds before delivering it, KXTL reports.It happened to a family in California. 295

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

So far this week, four Kentucky counties have canceled school due to the flu. Leslie County's Tiffany Lowe, a mother, says she's thankful the schools made the decision to close. She worries about her family's four children, and just how serious the flu can be.Last February, her youngest daughter, Kailyn, got the flu when she was only 20 months old. Kailyn's health quickly deteriorated and she spent weeks at University of Kentucky Hospital. She developed a complication called Acute Necrotizing Encephalitis (ANE) which causes swelling of the brain. 565

Senate Majority Leader Mitch McConnell fractured his shoulder Sunday after falling in his Kentucky home, his office said in a statement."This morning, Leader McConnell tripped at home on his outside patio and suffered a fractured shoulder," David Popp, McConnell's communications director, said in a statement. "He has been treated, released, and is working from home in Louisville."McConnell's injury comes as Democrats demand he reconvenes the Senate to pass gun control legislation after a pair of mass shootings in El Paso, Texas and Dayton, Ohio this weekend left 29 people dead.Popp added that McConell had spoken to Republican Sens. John Cornyn of Texas and Rob Portman of Ohio to convey his condolences for the deadly shootings in their states.The senators discussed "the senseless tragedies of this weekend," McConnell's office said."The Leader will continue to work from home," the statement read. 919

Rana Zoe Mungin, a 30-year-old social studies teacher at Ascend Academy in Brooklyn, had an eight day odyssey from her first fever to intubation with a ventilator pipe, with one ambulance attendant suggesting the woman was having a “panic attack.”That’s just one piece of the story being told by Mungin’s sister, a registered nurse. Along the way, doctors treated Rana Zoe Mungin for asthma, but didn’t give her a COVID-19 test until she returned to the hospital via ambulance a third time, barely breathing. Now Mungin’s family is fighting for her to get access to treatments that, so far, she’s been turned down for. Mungin, a graduate of Wellesley College with a Master’s Degree from the University of Massachusetts, has always advocated for self-empowerment, but now her sister has to be her voice. “My sister went to the hospital on the 15th of March for fever and shortness of breath,” Mia Mungin told PIX11. “They gave her albuterol for asthma and and gave her a shot of Toradol for her headache.”She kept saying, “My headache is so bad.”Mia Mungin works as an administrator for other nurses in home health care. She remembers that a member of her staff “was in the emergency room March 8th and she said she had a fever March 9th. She wasn’t feeling well."Mia Mungin said she herself didn’t feel well March 9 and developed a fever March 10. She lives in the same East New York home as her sister and said Rana started running a fever on Thursday, March 12.The teacher paid her first visit to Brookdale Hospital on March 15, and that’s when she received Albuterol and the medicine for her headache. The hospital didn’t give Mungin a test for COVID19, and she went home. The shortness of breath continued. “She still was having shortness of breath, the 16th, 17th, and 18th," Mia Mungin. "My mother asked her if she wanted to go back to the hospital and she said, ‘No.’”On March 19, Mia Mungin insisted an ambulance be called, and the paramedics gave her sister a nebulizer treatment, she said. Mungin said one of the attendants kept saying her sister’s lungs were clear. “He insinuated she was having a panic attack. She kept saying ‘I can’t breathe,” Mia Mungin recalled. When they got to the hospital on this second visit, Mia Mungin said a doctor told the family “Her lungs are clear. We’re not going to test for corona, because we don’t have enough tests.”Rana Mungin went home March 19 “and she couldn’t get up the stairs," her sister said. "I watched her all night.”By Friday afternoon, March 20, “she wasn’t breathing,” Mia Mungin said. Rana Mungin was taken again by ambulance to Brookdale Hospital and, this time, family wasn’t allowed inThree hours later, “that’s when I was told she was intubated and on a ventilator.”The doctors started the teacher on one experimental treatment for the virus, a mixture of anti-viral Hydroxychloroquine and antibiotic Erythromycin. “Her oxygen levels got better,” Mia Mungin told PIX11. “But she took a bad turn last night.”Mia Mungin said she was told her sister was approved several days ago for transfer to Manhattan’s Mount Sinai Hospital, where she would have access to an ECMO machine that could filter her lungs—sort of like a dialysis machine. But the transfer never happened. “I kept calling and calling,” Mia Mungin said. “They decided to hold off on the ECMO, because she was improving."But the teacher apparently had a relapse in her progress Tuesday. The family was hoping she would be approved for the 3480

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