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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

Federal authorities have taken a man into custody who claims to be the last person to see a missing Georgia woman, whose 2-year-old son was found wandering alone last month in a shirt and diaper at a South Florida parking lot.Federal authorities arrested Shanon Demar Ryan on two counts of lying to a federal officer, according to an online jail booking log for the Broward County Sheriff's Office.It was not immediately clear if the arrest had any connection to the disappearance of Leila Cavett, the 21-year-old mother whose child was found July 26 in Miramar. 570

ESCONDIDO, Calif. (KGTV) - With studies showing San Diegans are spending more time than ever stuck in traffic, we're listening and looking for answers to your travel headaches.A new technology being hailed as a "game changer" by some experts takes aims at those achy, tiresome commutes.  Cadillac's Super Cruise, the only hands-free semi-autonomous driving feature on the highways, is now on local roads. 10News reporter Michael Chen went to North County Cadillac and took a long for a test drive in the CT6 sedan on I-15.Once on the highway, the feature was activated with the push of a button on the steering wheel.  The feature allows the driver to go feet- and hands-free as long as you stay in one lane. "If someone slows down in front of me, it will slow down our speed," said Drew Doran.While other driver-assistance systems use cameras to center a car, Doran says General Motors has extensive laser mapping of US highways that leads to better accuracy."It actually knows what is ahead of the vehicle," said Doran.  On the hour-long drive, we tracked every curve and every time, it stayed in the center of the lane. The driver still expected to be on standby.  A camera on the steering wheel watches for distractions.  If the driver is doing something like reading and blocking that camera, it will warn the driver.When we blocked the camera, a green light flashed - the first of several alerts - before Super Cruise disengaged.  Doran says he recently went on a trip to Los Angeles with his wife.  He says he used Super Cruise for about 80% of a drive that left him feeling relaxed.    "Not the usual back pain.  I actually felt wonderful," said Doran.The Cadillac CT6 will cost you about ,000, but industry experts says GM could deploy the well-received Super Cruise in vehicles priced around ,000 starting next year.AUTONOMOUS VS. SEMI-AUTONOMOUSPopular Science has a breakdown between the different steps a car can make without human interaction. 2041

FALLBROOK, Calif. (KGTV) - An employee at St. Peter the Apostle Catholic Parish in Fallbrook has been suspended after allegations of sexually inappropriate dating app chats were revealed in a video released by a vigilante group that conducts stings to catch suspected predators. 10News is not revealing the name of the employee because he has not been charged with a crime.A spokesperson for the Roman Catholic Diocese of San Diego confirmed the employee's suspension, telling 10News the church pastor called the San Diego County Sheriff's Department to report the employee after seeing the video posted on social media Saturday morning.The video was captured Nov. 21 by a group calling itself the "CC Unit" -- "CC" stands for "Creep Catching." The group has posted more than 60 videos over the past year, including one that led to the court martial of a Camp Pendleton Marine.In an interview with 10News, the group's leader, who asked to be identified as "Ghost," said they create profiles on dating sites. When someone reaches out, the CC Unit decoy claims to be a minor. In this particular case, Ghost claimed to be 14. Ghost said the conversation turned sexual, with the employee asking for nude pictures and eventually a meet-up. When he arrived for the meeting at a grocery store, instead of a 14-year-old boy, he was confronted by several men who were recording on their phones. The video stretches for several minutes as the employee tries to evade the CC Unit. "He was denying we had his pictures, we had his chat logs," Ghost said. "I was like 'OK, if you're so afraid, if you don't know what's going on, why don't you call the police because that's what any normal human being would do?'"Ghost admits that law enforcement does not approve of his actions. Criminal defense attorney Guadalupe Valencia told 10News that vigilante groups make the job of law enforcement harder and can jeopardize criminal investigations and prosecutions. "They can cause this person to maybe go free of prosecution because they mishandled the situation. That's a really big danger," said Valencia. Valencia said the CC Unit members could be opening up themselves to criminal charges or civil liability.Despite the criticism, Ghost said he stands by his actions. "They say it makes it harder for them, but I haven't seen them do as much work as I have done over the past year. I think the slaps on the wrist they (sexual predators) get right now is nothing compared to the embarrassment they go through when I expose them," said Ghost. 2532

ENCINITAS (CNS) - A man was killed after being hit by an Amtrak Pacific Surfliner train in Encinitas Saturday morning, sheriff's deputies said.It happened at about 5:30 a.m. on the tracks near the intersection of San Elijo Avenue and Cornish Drive in Encinitas, according to Deputy Christopher Campbell of the San Diego County Sheriff's Department.The train had been heading north at about 60-65 mph when the train engineer noticed a man running toward the tracks from the east, Campbell said. The engineer sounded the train's horn, but the man continued running toward thetracks and dove in front of the oncoming train. The engineer activated the train's brakes but wasn't able to stop in time.Authorities pronounced the man dead at the scene, Campbell said. His identity wasn't immediately released.The train involved in the crash was delayed for about three hours, according to the Pacific Surfliner Twitter page. At least four other trains were also delayed while authorities investigated the crash. 1011