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A 36-year-old man who was suffering from chronic heart failure shocked doctors when he coughed up a blood clot closely resembling the bronchial tree in his right lung in late November.Georg Wieselthaler, a transplant and pulmonary surgeon at the University of California at San Francisco told the Atlantic: “We were astonished. It’s a curiosity you can’t imagine—I mean, this is very, very, very rare.”Per the New England Journal of Medicine, the man was an ICU patient at the University of San Francisco Medical Center being treated for end-stage heart failure.During the week of the patient's hospitalization, the man had periodic episodes of coughing, which progressed to one extreme coughing fit when he suddenly expelled the unusual clot. After being supplied oxygen via a tube, the man's coughing ceased two days later, leading to the removal of the tube. Unfortunately, even though the coughing ceased, his health took a turn for the worse.Despite the doctor's best efforts and the assistance of a ventrical device, the man died from heart failure a week later.The source of information in this article has been provided largely in part to an article in the New England Journal of Medicine. 1225

“If you keep your hand here long enough it feels like he’s breathing,” Alan Trujillo said, explaining the lifelike, battery-powered pet he was holding. It’s a toy he brings in for older adults, as part of his job with Home Instead.“We provide senior care for seniors in their home,” he said. “A lot of times the only person our senior will see is their caregiver.” Trujillo works as the recruitment and engagement coordinator for Home Instead in Whittier, California.Right now with COVID-19 concerns, interactions for seniors are limited, and all the more important.“They’re very aware that they are in that high majority group of people who don't survive this, so it does lead to a little depression,” Trujillo said. Depression these lifelike animals help combat.“Well before the pandemic we’ve been focused on this epidemic of loneliness and isolation which is really impacting seniors at an astronomical rate,” Ted Fischer, co-founder and CEO of Ageless Innovation, said. Ageless Innovation is the parent company of the Joy for All line of companion pets.“We currently have cats, dogs and kittens,” he said. “It's not about the technology, it's about the magic. It's about what the technology enables.”A study by the University of California, San Francisco in 2012 found that 43 percent of the surveyed older adults felt lonely. And that was long before the pandemic.Social isolation has also been associated with about a 50 percent increased risk of dementia, among other serious medical conditions, according to the National Academies of Sciences, Engineering, and Medicine as cited by the CDC.It’s an issue that’s only been made worse by COVID-19.“All of these incredibly important protective measures that are put in place are further isolating older adults,” Fischer said. And these furry friends, designed with older adults in mind, bark, meow, and react to your attention just like real animals.“Pets in general have always helped seniors and most people get out of a funk. Coming home to that dog that’s just looking at you and wagging its tail, it’s hard to feel upset because that's unconditional love,” Catherine Baines-Sobczak, a licensed marriage family therapist with the HealthOne crisis assessment team, said.“Essentially it’s a perception of not feeling connected to other people, feeling unsupported or feeling that you’re misunderstood,” she said. She said beyond the online games, book clubs, and phone calls, animals provide something special.“With seniors it's difficult to find things to care for that give you that immediate reaction, so those pets...they do that,” she explained. “Having something to hold that’s tactile, that's soft, that may bring up memories of past pets they've had...that could help them feel less lonely.”Decreasing the sense of loneliness has other health benefits too.“Their memory is also impaired by loneliness, you don't have those outside triggers to remind you of things and to stay connected,” Baines-Sobczak said.As we find new ways to connect with our older loved ones without putting their health at risk, the demand for companion pets, which are sold online, continues to bloom.“I think like most skeptics, the second you see an older adult receive one of these, immediately name it and interact with it like they've had it forever, it’s magical. It really is,” Fischer said. 3346

(NOTE: SOME EVENTS MAY BE CLOSED FOR A PORTION OF DECEMBER DUE TO CALIFORNIA'S NEW REGIONAL STAY-AT-HOME ORDER.)SAN DIEGO (KGTV) – The Del Mar Fairgrounds is sure to be a popular destination for San Diegans hoping to check out a great holiday light display.The Holidays In Your Car event, which kicks off on Dec. 5, will allow guests to safely enjoy the sights and sounds of the season while inside their vehicles.Organizers say the displays will include more than one million LED lights, as well as holograms and other neat features.Guests wll be able to order food and drinks from their cars on the Holidays In Your Car homepage.For more information, including health and safety guidelines and how to purchase tickets visit www.holidaysinyourcar.com.The Holidays In Your Car event ends Jan. 2. 803

A 3-year-old Mesa, Arizona boy was found crying next to his passed out father near a Mesa business.Mesa police report that on May 11, they responded to a business near Stapley Drive and Baseline Road for a man unconscious outside a business. An employee found 33-year-old David Rodriguez passed out with his 3-year-old son standing next to him, crying. Police woke up Rodriguez, but he reportedly kept dozing off as police were questioning him. He did not know where he was or how he got there. He also could not tell police how old his son was. Police located his car in the parking lot with the keys still in the ignition. They also allegedly found several open beer cans in the vehicle. Rodriguez has been charged with child abuse. 777

’Twas days before Black Friday when all around the country, shoppers were gearing up for a day full of shopping.OK, so maybe you haven’t exactly been gearing up for the day after Thanksgiving. Maybe you haven’t done any research at all.No need to worry; we’ve broken down everything you need to do between now and Black Friday to snag the biggest savings — with the least amount of effort.Here’s your last-minute Black Friday guide.Search the web for salesYou’ve probably been getting emails about Black Friday sales since October. Believe it or not, those were the early sales. The actual Black Friday event will take place on Nov. 27, and, yes, more deals are coming.Part of the reason for the longer holiday shopping season? Retailers are in “fierce competition” for sales given the pandemic’s rippling effects of consumer unemployment and lower disposable income, according to Simone Peinkofer, assistant professor of supply chain management at Michigan State University.Most retailers have already announced their planned Thanksgiving Day and Black Friday discounts with shiny websites and flashy ads. Go directly to a store’s website or do an online search for the store’s name plus the words “Black Friday” to preview the deals. Some deal sites like NerdWallet sift through the ads and pull out the biggest discounts for you.Go online — or hold a spot in lineAfter you zero in on what you want, decide how you’ll get it. This year, there’s more than one way to shop on Black Friday: online, at the store or a hybrid of both.Another one of the many retail effects of the COVID-19 pandemic is an increase in online shopping, as opposed to in-store purchases, as people avoid packed indoor spaces.“There will hopefully be no crowds, no stampedes, and no long lines,” said Vicki Morwitz, the Bruce Greenwald Professor of Business at Columbia Business School, in an email.Retailers are making it easy to avoid the traditional physical store experience. You can shop online for home delivery or curbside pickup. If you do choose to go to a store, Target will even let you save a spot in line.Morwitz says stores will probably look different this year as they carry fewer product categories to free up space. The products that occupy the space are changing, too. For example, as business attire gives way to athleisure, retailers may shift space allocations to reflect the current demand.Save a little extraPerhaps most importantly, make it your goal to pay the least amount possible for your Black Friday purchases.Discounts will likely be deep this year because, as Morwitz points out, retailers are counting on a successful holiday selling season, especially after many stores have suffered financially during the COVID-19 crisis. But that doesn’t mean you should pay the first price you see. Compare prices across stores.Online discount strategies will be particularly useful this year for added savings. Search for coupons and use cash back, recommends Tiara Rea-Palmer, head of partnerships at CouponFollow, a coupon website.Make a list of the things you know you absolutely want to buy. Then, you can even prepare to buy any items that you think will be in high demand or at risk of selling out.“Because everyone’s shopping online, no one is going to be lining up in a store,” Rea-Palmer says. “The equivalent of that online is really to put these items in your shopping cart beforehand so that you’re ready to purchase them when they go on sale.”Prep for a return tripIf you buy something you don’t like on Black Friday, you can usually return it. So just in case something goes wrong with your bargain purchases, figure out how you can return them to the store or by mail.Walmart and Best Buy, among other stores, have extended their holiday return windows. Look at retailer websites before Black Friday to familiarize yourself with their policies.As Morwitz points out, longer return periods and easier return methods that don’t require going into stores can help mitigate crowds after the holiday season. Consider making returns by mail when possible.And after all of your planning and preparation, reap the rewards of Black Friday discounts.“I think even this year, these retailers are going to go all out to try to get people to continue to shop in the same way that they did in years past,” Rea-Palmer says. “So the deals are going to be very competitive.”This article was written by NerdWallet and was originally published by The Associated Press.More From NerdWalletBlack Friday 2020 Pandemic Version: Online Hacks and Store HoursHow to Get the Best Apple Black Friday 2020 DealsIPhone Black Friday 2020 Deals: Are They Worth It?Courtney Jespersen is a writer at NerdWallet. Email: courtney@nerdwallet.com. Twitter: @CourtneyNerd. 4754