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As a result of the pandemic, telehealth is a more common way to see your doctor. It's not easy to adjust to a virtual bedside manner, which is why a former news reporter is launching "Webside Manner" for doctors to learn what is not taught in medical school.Twenty years ago, Mark Bernheimer was on camera, reporting daily events for stations in Los Angeles and CNN. When he got out of news, he decided he could use his skills to teach others.“How to be comfortable doing news interviews, how to be comfortable giving speeches on stages and things like that,” Bernheimer said.When the pandemic hit and everyone's audience became virtual, he had to pivot his business "MediaWorks Resource Group."“I started helping my clients figure out how they could do it more efficiently, more professionally, how to do news interviews through Zoom, how to hold webinars and Q and A session through Zoom,” Bernheimer said.And then one day, he said, his medical colleagues asked for help with telehealth.“Doctors don’t get formal training or any training in set design or video production,” Bernheimer said. “This is not what they get out of medical school, they may be excellent doctors and scientists but when it comes time to deliver health care in this forum, they need some help."Things like making eye contact through the computer camera, technical quality, lighting, and where the device is physically placed were all important things that Dr. Bob Murry, a family physician in New Jersey, says could use some work, even though we're almost seven months in to the pandemic.“As this is becoming more routine. Folks do need to up their game a little bit and learn more about how to best use the technology,” Dr. Murry, who is also the chief medical informatics officer for NextGen Healthcare, said.“I had never done a video visit before coronavirus. We didn’t realize how powerful that medium can be. You can really connect with your patients and be really intimate with them and have almost everything that you have in a real person visit,” Dr. Murry added.Now, Dr. Murry says, the way doctors come across needs to be thought out, too, in addition to the actual medical care and advice.“So much of medicine is really talking to your patients from the patient's standpoint. They want to tell their story and get an answer or make sure it's not something to be concerned with and from the physician's standpoint, it's that story which is so important in medicine and that story can happen over video,” Dr. Murry said.“These are people, who don’t forget, who are probably sick to begin with or worried to begin with,” Bernheimer said. “Now they’re anxious; now they’re nervous because they don’t want to be on camera any more than the doctor does. So the doctor or health care provider has to take special precautions into account before conducting those kinds of visits.”Bernheimer is working with NexGen to officially launch "Webside Manner" in November, and says things like body language, tone of voice, and facial expressions are all things that need to be considered during telehealth. He admits they can be challenging visits for all involved.“I spent 16 years looking into a camera as a TV news reporter. It was much easier for me to learn how to look directly into the lens of a TV camera than it has been for me to get used to looking into that tiny spec on the top of the laptop lid, so if it's hard for me, I can only imagine what other health care providers must be experiencing,” said Bernheimer.But, it's a necessary medium, as we're all becoming dependent and quite comfortable with doing everything from our home devices. 3633

Andrew Gillum, the Democratic gubernatorial candidate in Florida, conceded to his Republican opponent, former Rep. Ron DeSantis, on Saturday, ending a protracted fight that saw the Tallahassee mayor take back his Election Day concession during a statewide recount.The concession ended Gillum's first bid for statewide office in Florida, but the run -- despite his loss -- vaulted the 39-year old politician into the upper echelons of Democratic politics."R. Jai and I wanted to take a moment to congratulate Mr. DeSantis on becoming the next governor of the great state of Florida," Gillum said in a Facebook video in which he appeared alongside his wife. "This has been the journey of our lives."DeSantis responded to Gillum's concession with a call for unity."This was a hard-fought campaign," he wrote on Twitter. "Now it's time to bring Florida together."The reality, however, is that the race between DeSantis and Gillum was anything but unifying. The contest was a heated affair that largely reflected the broader national tensions over race and class in the Trump era.Those issues, which were already bubbling up throughout the primary, were escalated by DeSantis when he went on Fox News a day after the primary to warn Florida voters not to "monkey this up" by electing Gillum. DeSantis denied there was any racial innuendo in his remark, but race -- and allegations that DeSantis was using it against his opponent -- were never far off during the 10-week general election sprint.They hit a boiling point during the pair's second and final debate. DeSantis loudly objected to suggestions he was in cahoots with far-right figures or that his ties -- unwitting, he said -- to white supremacists should be held against him."Now, I'm not calling Mr. DeSantis a racist," Gillum said in response. "I'm simply saying the racists believe he's a racist."If that line earned Gillum viral praise and national recognition, his indirect connections to an FBI investigation into public corruption in Tallahassee was a drag on his campaign, which at times struggled to explain Gillum's relationship with a former lobbyist and friend and his run-ins with an undercover federal agent. Gillum maintained throughout the campaign that the FBI told him he was not a target of the probe, which could continue to dog him in the coming months or years.DeSantis has largely flown under the radar since Election Day. The conservative lawmaker began to put together a gubernatorial transition shortly after Election Day despite the ongoing recount.Gillum, after conceding the race on Election Night, took back his concession as late-counted ballots brought the race within just over 33,000 votes."I am replacing my words of concession with an uncompromised and unapologetic call that we count every single vote," he said, after Florida election officials ordered a recount in three statewide contests.Gillum's race all but ended on Thursday, however, when the machine portion of the recount ended and DeSantis gained one vote on the Tallahassee mayor. Because Gillum's race did not fall within the .25% standard that automatically triggers a manual recount, there was nowhere near the number of votes need for Gillum to close the gap.The state's Senate race, between Democratic Sen. Bill Nelson and Republican Gov. Rick Scott, and Florida's race for agriculture commissioner did fall within that margin and are currently in the midst of a hand recount.Gillum's fight during the recount, however, became bigger than just winning the race. He and other Democrats repeatedly said they were sticking with the campaign until all legally cast votes were counted. Lawyers for Democratic interests, including Nelson's campaign, looked to expand the number of available votes in federal court by overturning a series of Florida election laws, but those efforts largely failed.Gillum or his campaign were not party to any of those suits, but he could have stood to benefit from them.Gillum acknowledged this fight in his concession video."This was not just about an election cycle, this was about creating the kind of change in this state that really allows for the voices of everyday people to show up against in our government," Gillum said. "We know that this fight continues." 4260

Among many documents on display at the Hinsdale County Courthouse is the invitation sent out to attend the execution of Alferd Packer. 144

As a primary care doctor at Vanderbilt University, Dr. John Scott can understand why people were initially delaying preventative care back in the spring, but now, many of the patients he’s seeing are sicker, having delayed routine care for months.“We’re going to have to pay that bill later, and the cost is going to be much greater,” he said.What worries Dr. Scott the most is the 50 percent drop-off in cancer screenings across the country. With Americans avoiding the doctor, they’re putting off preventative screenings for breast cancer, colon cancer and cervical cancer. Diseases that have a much higher rate of being cured when caught early.“So, the impact of that is significant when you think about the benefit of catching cancer at an early stage,” Dr. Scott added.Nearly one-third of Americans have put off healthcare during COVID-19, which is why physicians nationwide are now urging people to schedule that regular checkup sooner rather than later. According to the CDC, 40 percent of Americans are also struggling with mental health issues and depression right now, something most doctors screen for during regular checkups.“Healthcare is a marathon and you want to put the finish line as far out as possible, so if we start skipping steps, then we aren’t going to get to the finish line we want,” Dr. Scott warned.And since it could be months or even years before the pandemic is over, family physicians across the country are urging people to at least consider making that a trip to the doctor.“It’s safe to return. It’s safer to return than not, when we look at these long-term issues. There is medical care that needs to occur,” Dr. Scott added. 1670

As health experts warn about rising coronavirus cases from spread at indoor gatherings, a new website backed by recent research is trying to help people understand just how many people in what size space is risky for infection. Which could come in handy as some people consider small holiday gatherings.It’s more risky to be in a small room compared to a large gym. If people are calm and quiet, it is safer than singing or exercising no matter how distant they are.Given these types of scenarios, and the “rapidly advancing science” of how COVID-19 droplets behave, scientists at the Massachusetts Institute of Technology created the COVID-19 Indoor Safety Guideline application.Here’s an example:An average suburban house that is 2,000 square feet, with 25 people inside wearing cotton masks and talking in a whisper, can reduce their risk of transmission by only staying inside for 4 hours.If those same 25 people, in the same house, are not wearing a mask and are talking normally, the length of time to reduce transmission drops to just 50 minutes.And if those 25 people, in the same house, are singing along to Christmas music, without masks on, that time to safely reduce COVID-19 transmission indoors drops even further to just 8 minutes.If the size of the gathering is only 5 people, and there is still singing, no mask wearing, and it’s still a 2,000 square foot house, it becomes unsafe after just 27 minutes.The MIT website offers users the ability to select room size, number of people and length of time, then using previous research and scientific knowledge of airborne viruses, it predicts the risk of the indoor event. Users can change elements of the situation, like room size, mask wearing, ventilation, etc.Click here to visit the Indoor Safety Guideline website.In a restaurant, to reduce transmission, 50 people without masks and talking normally should stay for only two hours. If the restaurant has 100 people, to reduce transmission risk, they should only remain inside for 64 minutes.The researchers note current general social distancing guidelines (remain 6 feet apart) suggest 138 people would reduce their risk in the same size of space for an indefinite amount of time.Another example, a Boeing 737, the researchers’ model predicts 100 people can be onboard a 737 wearing masks and still reduce their risk of transmission by staying onboard less than 6 hours.The CDC updated their guidance about COVID-19 this fall, acknowledging ongoing research that shows coronavirus droplets “can remain suspended for many minutes to hours (in the air) and travel far from the source on air currents.”The Centers for Disease Control and Prevention also says coronavirus droplets can remain even when an infected person has left the room and can travel farther than six feet. 2800