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Sam's Club announced on Tuesday that it will begin offering special shopping hours and "shop from your car" service for seniors amid a rush for supplies amid the spread of coronavirus. Starting on Thursday, Sam's Club stores will have early shopping hours every Tuesday and Thursday from 7 to 9 a.m. for seniors and those with disabilities or compromised immune systems. The special shopping hours will be available until further notice. Also on Tuesdays and Thursdays from 7 to 9 a.m., Sam's Club locations will allow seniors and those at risk to shop from their cars. Shoppers can park at a designated parking locations and can place their order from their car. A Sam's Club employee will retrieve the products for the customer. Sam's Club is among a number of retailers offering special senior only shopping hours. In recent days, Kroger, Dollar General, Target and Walmart have announced special hours for seniors.Justin Boggs is a writer for the E.W. Scripps National Desk. 990

Several auto plants throughout the country have suspended production as demand falls amid the coronavirus pandemic.Scripps station 143

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

President Trump says it has been determined a quarantine of New York and parts of New Jersey and Connecticut will be unnecessary after floating the idea earlier Saturday."On the recommendation of the White House Coronavirus Task Force, and upon consultation with the Governor’s of New York, New Jersey and Connecticut, I have asked the @CDCgov to issue a strong Travel Advisory, to be administered by the Governors, in consultation with the Federal Government," he tweeted. 485

STEUBEN COUNTY, Ind. – A suspected car thief was arrested after authorities say he was caught using a homemade license plate, drawn in crayon on a paper grocery bag. On Thursday, Indiana State Police say troopers stopped to lend a hand to 20-year-old Joshua Anthony Lewis-Brown when they spotted him stranded along the I-80 Toll Road. Initially, officers found Lewis-Brown tending to a flat tire on a Toyota Corolla. The man said he was unable to change the tire and he was in need of a tow truck. Preparing to oblige Lewis-Brown’s request, police say troopers spotted the suspicious license plate on the car and began to investigate further. Officers ran a check on the vehicle identification number (VIN) and discovered the Corolla had been reported stolen out of State College, Pennsylvania, on Wednesday. They also found that the driver, a resident of Rochester, New York, had never actually been licensed to operate a motor vehicle in any state and was on probation for grand larceny. Lewis-Brown was placed under arrest and transported him to the Steuben County Jail, where he was booked and charged with possession of stolen property and operating without ever obtaining a license. He’ll be held on the Indiana charges before being extradited back to Pennsylvania to face local charges.Police say the stolen vehicle had been left unattended and unlocked with the engine running outside a Pennsylvania grocery store. The owner, wanting to keep his car warming in the cold weather, had run into make a quick purchase, only to find his car missing upon return, according to police. “In light of this particular circumstance, the Indiana State Police would remind all motorists that leaving your vehicle unattended with the engine running and doors unlocked, is never a good idea,” wrote police. “Auto theft is often a common occurrence during the winter months. This is especially true in our urban neighborhoods where we find a higher concentration of residents wanting to warm their cars unattended in the frigid early morning hours prior to the morning commute.” 2081