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MIAMI (AP) — President Donald Trump is postponing his planned rally Saturday in New Hampshire citing a tropical storm threatening parts of the mid-Atlantic and southern New England.Press secretary Kayleigh McEnany tells reporters traveling with the president Friday to Florida that the event — slated to be held in an aircraft hangar in Portsmouth — will be delayed by a week or two.She cited the threat of Tropical Storm Fay, which is expected to bring heavy rain to the region.The event was to mark Trump’s first political rally in three weeks, after his return to his signature campaign events from a coronavirus-induced hiatus was overshadowed by an embarrassing display of empty seats and questions about the campaign’s ability to attract people to large events in a pandemic. 789

Millions of older Americans are growing old all alone. As Baby Boomers age, and start losing loved ones, loneliness can take its toll.The issue is becoming such a concern some national organizations are stepping in.“This was the one thing I said when I retire, I want to do Meals on Wheels,” says volunteer Donna Reuss.Reuss has been volunteering for the organization Meals on Wheels for six years. She not only brings seniors a free meal, but she’s often the only person they really interact with for weeks at a time.“One of the things that really surprised me when I first started this was how many seniors live alone,” Reuss says.Loneliness can have a big impact on their health. Research shows that lacking social connections can be as harmful to someone’s health as smoking 15 cigarettes a day.“It's a much bigger problem I think than people realize,” says Mary Lee Anderson, with Senior Services of Alexandria.Anderson’s nonprofit organization helps deliver food for Meals on Wheels. She’s helping with a new pilot project that lets volunteers delivering meals use a cell phone app to report any changes in behavior or concerns they notice while visiting with a senior.“It lets our volunteers, if they notice a problem, report it right on their phone,” she explains. “That information is sent back to us at the office and we can then contact the individual who is responsible, a family member or their city social worker if they don't have a close family member.”The pilot program is currently being tested in 10 cities across the country, and it’s expected to expand to another 50 cities early next year. 1619

Many Americans have dealt with new, stressful situations during the COVID-19 pandemic. Loss of work, isolation, lack of exercise and routines, and much more. Now, headache and migraine specialists across the country say those new stresses are bringing in more patients to their offices."This has been the perfect storm for people who suffer from migraines. First of all, we know stress and anxiety and depression can increase even the amount of headaches. Certainly, people who aren't even anxious or depressed before are experiencing this," said Dr. Charisse Litchman, a headache specialist and neurologist at Stamford Health in Connecticut. Dr. Litchman also serves as a medical adviser for Nurx, a digital practice for women's health that's just started doing home delivery of migraine medications to help patients during the COVID-19 pandemic. Dr. Litchman says triggers from the pandemic, including a spike in stress on top of irregular sleep and diet, has prompted the increase in patients where she works."I would say we are given a great deal, maybe 20% more [headache] patients reaching out for help who had never reached out before," said Dr. Litchman.Dr. Litchman says she's also seen more headache and migraine patients who were coping well before the pandemic, but suddenly needed help again.Dr. Merle Diamond with Diamond Headache Clinic in Chicago agrees. "I'm actually seeing some people I haven't seen in three to four years. And they were like, 'I was doing fine,' and I'm like 'yes, these are really challenging times,'" explained Dr. Diamond. Diamond Headache has also seen a 20% increase in patients since the start of the COVID-19 pandemic. "I think patients' schedules are being disrupted in this piece. I think the anxiety, everything going on. I also think that we don't have a lot of our other outlets going on. We can't watch sports, there's just a lot of changes and I think that's been really difficult for patients," said Dr. Diamond.Dr. Diamond has some pieces of advice for those experiencing increased headaches or migraines during this time. The first and most important is to get a diagnosis and plan for treatment from a doctor. The second is to get into a regular routine."When you have a migraine, one of the things we know about a migraine brain is it likes things regular. So you've gone from going into the office where your day job is and now you're working from home and managing all those home issues at the same time. So try to keep yourself on as reasonable a schedule as you can," said Dr. Diamond. Also, don't skip meals, keep yourself hydrated and lower caffeine intake. 2627

Mick Mulvaney, the director of the Office of Management and Budget, will become the acting White House chief of staff replacing John Kelly, President Donald Trump announced on Friday."I look forward to working with him in this new capacity as we continue to MAKE AMERICA GREAT AGAIN! John will be staying until the end of the year. He is a GREAT PATRIOT and I want to personally thank him for his service!" Trump tweeted.Trump appointed Mulvaney to the position in an acting role about a week after Vice President Mike Pence's chief of staff Nick Ayers declined Trump's offer to become chief of staff, refusing to agree to a two-year time commitment the President had requested.Mulvaney will step down from his role as OMB director, a White House official said.Trump tapped Mulvaney for the position as one candidate after the next withdrew from consideration or agreed with the President to take themselves out of the running, including earlier this week Rep. Mark Meadows of North Carolina and former New Jersey Gov. Chris Christie.Mulvaney had indicated that he was not inclined to take the position of White House chief of staff, with a source close to him instead indicating Mulvaney was interested in moving up to Treasury secretary or secretary of Commerce. 1282

Medical offices around the country are opening back up for routine health checks and they're facing a huge problem; there's still a shortage of protective gear. Now, many are spending huge amounts of money restructuring the way they operate to keep themselves and their patients safe.On a window ledge at ENT and Allergy Associates in White Plains, New York, sits a number of brown paper bags. Inside, face masks labeled for each physician.“We have paper bags on our window sills with a bunch of masks. In there, we have 3-4-5 masks we’re rotating through. Those have to be kept covered to protect them from splatter or anything because once they get dirty, then they have to be thrown out,” Dr. Daniel Gold said. “We circulate gowns as well.”Gold is an E.N.T., which is the medical and surgical choice for anything having to do with the ears, nose or throat. It's a profession that is very much in your face, so protective gear is of utmost importance.“After wearing them for 5-10 minutes, you get short of breath and you’re like this is really hard,” he said.Doctors like Gold are having a hard time getting more gear. In fact, Dr. Gold often uses shields that are designed for sheet metal work because medical grade equipment is back ordered, or entirely unavailable. A surgical mask which once cost 30 or 40 cents now costs to .50.They've also found that knockoffs are being sold.“Not made of same material, not sealing against the face, and some had seam lines and then when you really looked, you’d realize there were holes through the seam lines that’s not blocking 95%,” Gold said. “You’re better wearing a t-shirt mask.”Dr. Gold is far from alone on this issue. It's a statewide and nationwide problem. Dr.Bonnie Litvack is the president of the Medical Society, State of New York.“That is an absolute mess because we can’t deliver the care if we don’t have the resources and the mask is ground zero for that,” Said Dr. Bonnie Livtack, the president of the Medical Society of the State of New York.When asked about whether they were able to negotiate for price on PPE, Litvack said, “With the various companies they either have it or they don’t, or you pay the prices or you don’t.”Dr. Litvack joined other state medical societies in the country by sending a letter to the Senate. They're asking the government to step in."We urge Congress to prioritize the production, distribution, and availability of PPE and testing, and accelerate efforts to conduct contact tracing,” the letter read. “All of these are essential to the safe reopening of medical practices and the economy and must be prioritized for all health care workers."They're also asking for financial help as their costs to operate, while seeing half the patient volume, are mounting.“These additional precautions and equipment is running us about per patient,” Dr. Gold said. “It’s about a million in extra overhead a month just in these extra masks, and gowns, and gloves and wipes. All these other things, which nobody could have thought to budget in because who would have thought we’d have to consider every patient highly infectious.”It's a new way of operating, as everyone is learning how to function in our new, post-pandemic world. 3229

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