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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

EL CAJON, Calif. (KGTV) - At age 73, Brian Duncan is following his own advice: if you think you can do it, you probably can.When Duncan got out of the Navy in 1967 he wanted to become a police officer. At the time, however, he says departments wanted big, tall men with 20/20 vision. He didn't fit the mold and moved on to a career in the court system.Twelve years ago, the itch came back, and Duncan joined the El Cajon Police Department's Retired Senior Volunteer Patrol, also known as the RSVP program.Now he's taking his service even further, working to become a reserve police officer.If he lands a job, Duncan will be a sworn police officer able to make arrests and carry firearms. The only difference is he'll always have to work alongside a regular police officer.Duncan says his age is not a barrier and he's doing this to make a difference in the community."I've proven I can get through the academy, so I can do it. If I didn't think I could do it or would jeopardize someone's safety, I wouldn't do it," said Duncan.Reserve officers work voluntarily and are not paid.On Friday Duncan graduates from Grossmont College's 32nd Police Academy and already has an application out for a job.  1210

EL CAJON (CNS) - The husband of a pregnant woman killed when her car struck a tree after being rear-ended by an alleged drunk driver in Ramona testified Tuesday that he saw the accident in his rear-view mirror.Christian Foderingham's testimony came as a preliminary hearing got underway for Andrew Milonis, charged with murder, DUI and gross vehicular manslaughter while intoxicated in the May 14 death of 29-year-old Jessica Foderingham, who was eight months pregnant.The victim's husband testified that his wife was following him in her own car on San Vincente Road on the way to her grandmother's house on Mother's Day when he heard a loud bang, saw an SUV swerve onto a sidewalk and saw his wife's 2016 Dodge Dart slam into a tree in the center median.RELATED: Judge raises bail to M in Ramona fatal hit and run"It felt like my heart stopped," he said. "I ran back to her car."Christian Foderingham, a U.S. Marine, said he cut off the seat belt holding his wife's lifeless body in place and pulled her out of the car. Jessica Foderingham and her unborn daughter were pronounced dead later at a hospital.The husband said the force of the accident made it look like someone had taken a sledgehammer to his wife's lower body.According to the California Highway Patrol, Milonis was heading east on San Vicente Road when his 2011 GMC Yukon pickup rear-ended the victim's car near Arena Drive about 6:45 p.m.Milonis fled following the collision, then abandoned his vehicle about a mile away and called for a Lyft driver to give him a ride to a bar on Main Street, CHP public-affairs Officer Kevin Pearlstein said. Deputies found him at the tavern about an hour later and arrested him.According to court testimony, Milonis was arrested for DUI six months before the fatal accident when he allegedly drove drunk and hit a fence.The preliminary hearing will continue Wednesday. When it's over, Judge John Thompson will decide whether enough evidence was presented to order Milonis to stand trial. The defendant faces 40 years to life in prison if convicted. 2067

During a town hall event on ABC on Tuesday night, President Donald Trump defended his administration's response to the COVID-19 pandemic and attempted to distance himself from his leaked admission that he "downplayed" the pandemic.During the event, hosted by George Stephanopoulos, Trump was repeatedly asked about the comments he made to journalist Bob Woodward in March that leaked earlier this month in which he said he wanted to "downplay" the pandemics so as "not to cause a panic."When Stephanopolous brought up the comments, Trump explained that he was simply saying he didn't "want to drive the nation into a panic.""I'm a cheerleader for this nation. I'm the one who closed up our country. I closed up the country long before any of the experts thought I should," Trump said.One study by Columbia University estimates that 36,000 lives could have been saved if the U.S. had locked down and adopted social distancing measures just one week sooner.When asked directly by an audience member about his comments to Woodward, Trump claimed his actions proved he "up-played" the pandemic."Well, I didn't downplay it. In many ways, I actually up-played it in terms of action. My action was very strong," Trump said.Trump pointed to travel restrictions he imposed to China on Feb. 2 and on Europe on March 13 as evidence that he "up-played" his response to the virus. Both restrictions still allowed some travel from the regions to enter the U.S.The President also questioned the effectiveness of masks during the event. While Trump said that he wears masks "in hospitals" and in other situations, he added that "a lot of people think the masks are not good."When asked to clarify, Trump identified "waiters" and restaurant servers in particular, adding that a server "the other day" had been fidgeting with a mask while touching his plate."That can't be good," Trump said.In a press briefing on Wednesday, Press Secretary Kayleigh McEnany said that Trump "agreed with Dr. Fauci" and was pointing out the "unintended consequences" of wearing masks and highlighting proper mask-wearing techniques.The President also explained his skepticism by citing recommendations from the CDC and Dr. Anthony Fauci from March against wearing masks. At the time, health officials did not recommend the use of masks over a fear of nationwide shortage. Since April, the CDC has recommended that all Americans wear masks when in situations where social distancing is difficult, and Fauci has admitted that "mixed messaging" on mask use by the government put the U.S. behind in its response to the virus.Trump also criticized Democratic presidential candidate Joe Biden for not instituting a nationwide mask mandate, despite the fact that Biden does not currently hold public office."Like Joe Biden, they said they were going to do a national mandate on masks...he didn't do it. He never did it," Trump said.Trump closed the segment on COVID-19 by claiming without evidence that the virus would "go away without a vaccine." Trump said that the U.S. "over a period of time" would develop a cure that would be "herd developed," even without a vaccine.Health officials say that the U.S. will develop "herd immunity" when 70% of the country develops COVID-19 antibodies, whether through contraction or vaccination. Because the virus is so novel, it's unclear how long immunity will last or if the immunity or if COVID-19 mutations will limit immunity.During Wednesday's briefing, McEnany clarified that "herd immunity" was not a COVID-19 containment strategy considered by the White House. 3574

EL CAJON, Calif. (KGTV) — A gas leak in the East County forced several businesses to abruptly close Friday, as crews worked to stop the leak.The gas leak occurred North Marshall Ave. and Petree St. at about 12 p.m. when crews with Helix Water District struck a gas pipe while installing a communications line, according to El Cajon Fire Department.A representative with the water district said HWD personnel arrived at the scene after the rupture had occurred and are not responsible for the damage.Crews evacuated a nearby shopping center, where customers at the Black Bear Diner were given five minutes to leave the area. The leak also forced a nearby Rock Church and school to evacuate.For four hours, several blocks were closed to motorists and MTS trolley and bus service were impacted in the area.SDG&E has since stopped the leak by pinching off a section of the pipe in another area. Crews plan to take an additional two hours to repair the damged section of the gas line.No injuries were reported. 1017