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In hospitals, one bacterial species is becoming increasingly tolerant to the alcohols used in hand sanitizers, according to research published Wednesday in the journal Science Translational Medicine.Globally, hospitals use isopropyl or ethyl alcohol-based disinfectants, such as hand rubs, to prevent patients from becoming sick from many germs. These are the same active ingredients found in hand sanitizers available for personal use and at schools -- but that doesn't mean people should give up on them.The bacterium Enterococcus faecium resides in our guts, but if encountered in a hospital, it can cause various complicated infections affecting the abdomen, skin, urinary tract and blood. This particular bug is a member of the Enterococci family, which ranks as the fourth and fifth leading cause of sepsis, a life-threatening bloodstream infection, in North America and Europe, respectively.Many hospital-acquired infections have decreased or been kept in check by Australia's strict hygiene practices that rely on alcohol-based hand sanitizers. Yet drug-resistant E. faecium infections have increased in Australian hospitals over time, according to the study authors.This alarming pattern prompted them to investigate whether E. faecium might be developing resistance to the alcohols used in hand rubs. 1343

INDIANAPOLIS -- Ninety minutes after Tonya Holtgrave dropped her dog, Titan, off at Barkefellers on the west side, the doggy daycare called to tell her that Titan appeared to be injured.Holtgrave said they told her that they weren't sure what happened, but she needed to take him to a veterinary hospital immediately."I was just shocked when they called me and said he was hurt, and it's kind of been a shock ever since," she said.According to medical records, Titan fractured his tibia in both legs."They let my dog get hurt," Holtgrave said "That's negligence on their part, not mine."She said the vets told her Titan will need an expensive surgery. She wants the company to help pay for it."I just can't afford that right now, ,000 for surgery," Holtgrave said. "I am already out over ,000 just in all of these vet bills and stuff, and his medicine."Barkefellers said they checked their surveillance cameras and did not see any point where the dog might have gotten injured under their care. Holtgrave said she had Titan's vet call the facility. The manager said they can't pay for anything unless they have proof that Titan was injured on their property."The other vet had already told him it was a traumatic injury, that he didn't walk in there with two broken legs," Holtgrave said.The owners of Barkefellers said they will help pay for the medical bills once they have their own vets review the records and X-rays themselves, and get the proof they need to make sure this injury happened there. 1518

In one of the most divisive political seasons in U.S. history, finding common ground has been a challenge. But one activist decided to put rubber to the pavement in the hopes of finding what connects us.Seth Gottesdiener recently embarked on a cross country odyssey on his bicycle.“It's my preferred method of transportation and I find it really meditative,” said the avid cyclist. “It's one of my favorite things to do athletically outdoors.”The 33-year-old social justice activist mounted his two-wheeler back in late September for what he called "The Great American Bike Ride."“I thought why don't I bike across America and talk to people,” said Gottesdiener. “I'll talk to just denizens of the country and see where they're at and see how this year has affected them and their opinions.”The 45-day journey began in Los Angeles. His plan was to pedal his way through 22 cities and 13 states, concluding his expedition in the nation’s capital on Election Day.“I was not prepared for the great Southwest,” he said. “It was very intense. It was very unrelenting. The heat was over 100 degrees a lot of the days, giant mountains, really dry.”All along the way, Gottesdiener met with Americans from all walks of life. He interviewed them as part of a feature documentary.“I want people to hear voices that they would have never come encounter with on their own. I want to connect Americans together.”The ride also took him on a journey of self-discovery.“There’s parts of the country that I hadn't ever seen before, like Arkansas, like Kentucky, and a lot of Tennessee. And it was beautiful,” he said.It was also an opportunity, he says, to gain a better understanding of fellow citizens bitterly divided by politics. He hopes the journey reminds one another of the human spirit that connects us all.“Be there for each other. Help each other. Pull each other up by the bootstraps, rather than be so divided as we've seen this year.”One of the questions that Gottesdiener asked people on his journey was: “If there's one thing you could say to all Americans right now, what would it be?”He knows what he would say.“I would just say ‘Listen.’” 2147

It's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails.3D surgery seeing huge success rate for those who suffer from bunionsIt's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails. 5829

In updated guidance, the CDC said that those who have recovered from the coronavirus do not need to be re-tested for the virus for three months after their infection barring they’re asymptotic.The refreshed guidance suggests that the CDC expects those with previous coronavirus infections are unable to spread the virus for three months.“People who have tested positive for COVID-19 do not need to quarantine or get tested again for up to 3 months as long as they do not develop symptoms again,” the guidance says. “People who develop symptoms again within 3 months of their first bout of COVID-19 may need to be tested again if there is no other cause identified for their symptoms.”In a statement to CNN, the CDC clarified that does not automatically mean someone is immune for three months. The updated guidance comes after much discussion and speculation on the possibility of becoming infected for a second time with the virus.The guidance is “based on the latest science about COVID-19 showing that people can continue to test positive for up to 3 months after diagnosis and not be infectious to others,” the statement read. 1138