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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

DULZURA, Calif. (KGTV) - An East San Diego County man was arrested Thursday on suspicion of poisoning his wife with Thallium.The woman was taken to a hospital on March 15 with an unknown illness. Deputies said the woman had a level of Thallium in her system that was so high, medical staff believed her exposure was intentional.Thallium is a heavy metal which has been used in rat poison and ant pesticides.Sheriff’s detectives, along with the FBI, NCIS, and San Diego County HazMat, conducted an investigation and believed the woman’s husband was responsible for her poisoning.Race Remington Uto, 27, was booked into Vista Detention Facility. He is being held in lieu of million bail. Uto is due to be arraigned on an attempted murder charge on Monday, April 2.Anyone with information is asked to call Crime Stoppers at 888-580-8477. 845

Dozens are dead and wounded after an airstrike hit a bus carrying children in northern Yemen Thursday, according to the International Committee for the Red Cross and eyewitnesses.The school bus was hit as it was driving through a market in the rebel-held province of Saada, according to the Houthi-run Al-Masirah TV."Scores killed, even more injured, most under the age of ten. @ICRC_ye sending additional supplies to hospitals to cope with the influx," Johannes Bruwer, the head of the ICRC delegation in Yemen wrote on Twitter.The Saudi-led Coalition, which has been conducting a military campaign to oust the Houthi rebels, didn't immediately respond to CNN questions.Houthi media broadcast gruesome footage appearing to show the dead bodies of children. Other footage showed a young boy carrying a UNICEF backpacks being escorted to a hospital, his face bloodied as medical staff tried to treat his injuries.Witnesses that CNN spoke to said the attack could be heard from neighboring districts.Yahya Shaem, head of the Houthi-held health office in Saada, told CNN that the children in the bus were on their way to their summer camps. 1155

EL CAJON (KGTV): Christmas season is always busy at Family Christmas Tree Farms in El Cajon. But this year, they've been busy for months, trying to save their crop.Excessive heat and drought in the summer, combined with an unusually warm fall, had a significant impact on their Monterrey Pines.During July and August, when temperatures reached 100 degrees, the farm doubled the amount of water it gave the trees.Meanwhile, warm weather in the fall kept the trees growing longer than usual. That meant they needed more maintenance than previous years.RELATED: Where to pick up a fresh Christmas tree in San DiegoManager Tyler Stokes says all the extra work and water has forced the company to raise prices, by a few dollars per tree."This is probably the most significant season we've had in terms of extra time and effort we're putting into the trees," he says.It's not just San Diego. Stokes says the prices on the trees they buy from the Northwest are also more expensive. That's because areas of Washington and Oregon also had unusually warm years.Fortunately, he says, the trees handled the heat well, and they didn't lose any of the crops. Family Christmas Tree Farms will still open as scheduled, the day after Thanksgiving."It's a San Diego Christmas out here," says Stokes. 1289

EL CAJON, Calif. (KGTV) -- A woman was arrested Wednesday morning after police in El Cajon say she reportedly stabbed her grandmother. The department received a 911 call around 10:18 a.m. from a woman who said her grandmother was stabbed during a burglary on the 1200 block of North Mollison Avenue. After officers arrived, they found the woman who appeared to have been stabbed several times. The woman was taken to the hospital with life-threatening injuries. After investigating the stabbing, police determined that the woman’s adult granddaughter, Elektra Del Sol, 19, was responsible for the crime. She was arrested and booked into jail. At this time, the victim hasn't been identified. Anyone with information on the crime is asked to call the El Cajon Police Department at 619-579-3300. 802

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