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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
ESCONDIDO (CNS) - A man was stabbed in Mountain View Park Sunday, police said.He was taken to a hospital at about 3:30 p.m. Sunday, but the extent of his injuries was unknown, Lt. Mike Kearney of the Escondido Police Department said.Police were trying to interview the victim at the hospital, but he was not cooperative. 328

Fed up with limited leg room onboard airline cabins?Italian seat manufacturer Aviointeriors has come up with a design that allows passengers to stretch their legs as much as they want when they travel without any extra cost.The catch? The seats are so far upright that they'll be pretty much standing up.Unveiled at the Aircraft Interiors Expo 2018 in Hamburg, the SkyRider 2.0 aims to help airlines squeeze in more passengers by allowing an "ultra-high density" and reducing the space between rows.It's a new and improved version of a design the manufacturer revealed in 2010 but failed to get off the ground.The original Skyrider, which was was not approved by the US Federal Aviation Administration, was designed in the style of a horse saddle.Aviointeriors compared the seating position to that of a horseback rider, pointing out that cowboys can sit on saddles for hours without feeling uncomfortable.Stand up idea?The revised seats have extra padding, as well as poles to connect each row from the ceiling to the cabin floor.According to Aviointeriors, the SkyRider 2.0 "ensures an increased upright passenger position, allowing installation of the seat at a reduced pitch, while maintaining an adequate comfort."While it remains to be seen whether Aviointeriors' definition of "adequate comfort" matches the average person's, the company stresses that the seats, designed for short haul flights, have many benefits."The design of this seat enables to increase the passenger number by 20% allowing increasing profits for airline companies," says a spokesperson for Aviointeriors."Furthermore, Sky Rider 2.0 weighs 50% less than standard economy class seats and the reduced number of components enable minimum maintenance costs."Will it take off?The concept of vertical seats has been floating around for nearly two decades.Airbus proposed the idea of standing room flights as early as 2003 and in 2010, Ryanair's CEO Michael O'Leary announced that he was considering introducing special standing-room only areas of his airplanes.But the airline seems to have abandoned the idea for the time being."We have no plans to trial or introduce standing flights," a spokesperson told CNN last year.While Aviointeriors has dubbed the Skyrider 2.0 "the new frontier of low cost tickets and passenger experience," aircraft specialists have pointed out various stumbling blocks ranging from potential evacuation delays due to limited space and the fact that there is no room under the seats for personal items.The innovative seat is yet to be snapped up by an airline. 2592
Every year, millions of kids across the country look forward to dressing up, knocking on doors and celebrating Halloween with lots of candy. But this year, the pandemic is likely changing some of those celebrations.So, is it still possible to celebrate Halloween this year?"That's a great question. I'm not just a doctor, but I'm also a parent to three young boys who are of trick-or-treating age. So, it's certainly a question that gets asked a lot in my wife's pediatric practice, as well,” said Dr. Kenny Banh, an emergency room physician and assistant dean of undergraduate medical education at UCSF-Fresno. “I have to say, I don't want to give a blanket answer, because it really depends on where you are and what the numbers are."Dr. Banh says there are ways to trick-or-treat this Halloween, but you first have to look at your local city and county ordinances."There’s simple things of just maintaining the guidelines. How do you do a mask? There are ways to incorporate masks in a costume and make sure we make or get costumes with masks integrated into them and trying to maintain social distancing,” suggested Dr. Banh. “The good thing about candy is years ago we moved away from homemade candies. Almost all candy is packaged already, so that’s helpful.”Still, limiting the number of people who touch the candy is a good idea along with wiping down the packaging.If you're wanting to pass out candy this Halloween, it's best to do it with a mask on and try to limit the number of trick or treaters handling the candy."Some recommendations are prepackaged candy, give little candy gift bags people can grab as they get by, instead of having kids reach in with their hands and grabbing a bunch of stuff, or you passing out with gloves or getting tongs and just dropping them into or getting a scooper letting kids drop it in," said Dr. Banh.Dr. Banh's biggest concern is with Halloween parties."Having Halloween parties and getting kids from the neighbors or friends all together, that’s really different than you as a nuclear group going as a family going out trick-or-treating and doing it safely,” said Dr. Banh. “Trying to understand that we’re finally making some ground in many states and we can easily go backwards. Labor Day, Halloween all these things sort of letting our guard down on those aspects.”Doctors say it's important to stay vigilant when it comes to protecting yourself from coronavirus so that the only frightening things we're encountering this Halloween are scary costumes and decorations. 2530
Family members of a Tennessee woman accused of ramming a security barrier at the White House said she is mentally ill and needs treatment.Jessica Ford went before a judge Thursday after police in Washington, DC said she plowed into the White House fencing and was immediately taken into custody by the Secret Service.It was Ford's fourth and most dramatic effort to gain access to the White House in recent months. She was charged with three felonies.The question of why Ford did what she did was no mystery. Her family said she suffers from a mental illness and that they actually warned the Secret Service last week that Ford, armed with a BB gun, was again headed for the White House.The 35-year-old insists her children live in the White House, and told the judge in court that her fiance is the President. "She is very delusional. She thinks her children are in the White House. That's why she keeps going up there," said Victoria Walls, Fords' cousin.In Ford's most recent attempt to get to the White House, she thought it was the holiday season."She decided when she left (last week) it was Christmas Eve, and I got to be there by Christmas Day," said her mother Alice Wilson. Authorities were watching for Ford since her family called to warn them that she was in route with plans to ram a gate."I said you can't go do that. They will kill you," said Walls.Ford still went and the Secret Service was waiting."I think that's the reason they didn't kill her, because they knew she was coming and knew she had a BB gun," said Wilson.Ford faces felonies and possibly years in prison."Oh, I love her with all my heart," said Wilson. She said her daughter needs help. Ford's cousin said it all could be prevented if Ford could get mental health treatment.Walls said after each arrest before this latest one "...Ttey take her in for 72 hours to a week and let her out..." allowing her to be back at it again.Davidson County Sheriff Daron Hall said lack of treatment in cases like this is the real issue."Until you arrest the real issue, and it's not the person it's illness or addiction, then you'll see people keep doing this," Hall said.Ford may go to prison or, based on her mental health issues, she could again be released. She would then return home to La Vergne, Tennessee with her children, who doesn't really believe are hers.Ford will likely again be able plot another visit to the White House."They know she has mental problems, but they don't give her help," said Walls.They could give her time behind bars. If convicted, of the three felony counts for ramming the White House barrier Ford could face up to 40 years in prison. 2795
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