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Dr. Jose Nieves has been a critical care physician on the frontlines as a hospital intensivist, working at two hospitals in South Jersey--Jefferson Washington Township and Jefferson Cherry Hill hospitals.“When this all first started, we knew things were starting to pick up in Seattle and New York, and you felt it coming down our way,” recalled Dr. Nieves.When the pandemic first struck in the United States, the doctor felt fortunate, because his hospital system had a chance to gather enough PPE gear, create a plan, and brace for it. However, when the surge started in his hospitals, he realized all the planning still could not prepare healthcare workers on the frontlines for what they were dealing with.“It was pretty terrifying,” said Dr. Nieves, “A lot of the stuff we had prepped and talked about in our own little training sessions, you know, was very much kind of like, I wouldn’t say thrown out the door, but it was a lot of rushed implementation of stuff we had never done before."As he would be working on one patient with COVID-19 symptoms, another would walk in. There were days when five potentially COVID-19 positive patients with severe symptoms were walking in at the same time. Physicians were working around the clock to try to save lives while trying to learn about the virus.“The people that were at home were just researching trying to throw data at the people that were in, and when you were in shift and they were out, they were doing the same thing,” said NievesDespite all their efforts, there were days they couldn’t save everyone, and those were the hardest. For Dr. Nieves and his team, the loss of a pregnant mother and her unborn child was the toughest.“Having that traumatic event occur, at an already high stressful level, the staff really had to be gathered around and supported, because people were in tears. It was devastating,” he explained.On top of that, he also couldn’t go home and get a much-needed comforting hug from his girlfriend, for fear of exposing her to the virus.“That, for me, started to hammer it home; that there really was no break from this,” Nieves added.Having no break from the virus coupled social distancing needed to curb its wrath, it was taking a toll on many healthcare workers around the country.“The toll for some people at some points was that they didn’t think that they could do this anymore, that this wasn’t going to be their profession any further and that is always hard to see,” said Dr. Nieves.Jefferson Health leaders saw the toll the pandemic was taking on staff and stepped in early on, leading town halls for workers to vent and offering counseling. Other hospital systems around the country are now doing the same. Seeing the toll the pandemic has had on healthcare workers, Dr. Nieves knows first-hand how important that is and will be for so many on the frontlines of this pandemic.“Doctors that you saw last year are not going to be the same mentally and emotionally in the coming years,” Dr. Nieves explained. 3007

EL CENTRO, Calif. -- The four Marines who died in a Marine Corps helicopter crash during a training mission in El Centro Tuesday have been identified.Military officials say Capt. Samuel A. Schultz, 28, of Huntington Valley, Pennsylvania; First Lt. Samuel D. Phillips, 27, of Pinehurst, North Carolina; Gunnery Sgt. Derik Holley, 33, of Dayton, Ohio; and Lance Cpl. Taylor J. Conrad, 24, of Baton Rouge, Louisiana, all died in the crash.According to officials, the CH-53E Stallion helicopter took off from the Strategic Expeditionary Landing Field at Marine Corps Air Ground Combat Center Twentynine Palms to conduct squadron training.RELATED:  671

Dominic Raab has resigned as Brexit Secretary. In a statement he said he “cannot in good conscience support the terms proposed for our deal with the EU.”The pound has plunged on the back of Raab’s surprise resignation. Last night, after the United Kingdom and European Union agreed on the text of a Brexit withdrawal agreement, British Chancellor Phillip Hammond held a conference call with business leaders to convince them the draft agreement was the way forward. But Raab’s resignation has sent the business community back into uncertainty with the threat of a no deal scenario resurfacing.When addressing the House Thursday morning, British Prime Minister Theresa May said Wednesday's deal is not the final Brexit deal. May said that delivering Brexit involves difficult choices. She said she respected the views of those who resigned and thanked them.“There is no deal which delivers the Brexit the British people voted for without this insurance policy,” May said, referring to the Irish border backstop agreement that has infuriated some Brexiters.Two Cabinet ministers, two junior ministers and a parliamentary aide resigned on Thursday morning, just hours after May won approval from her Cabinet for the draft Brexit deal.   1296

Dr. Anthony Fauci has a stark warning for Americans, reiterating that if our response to the coronavirus does not change, there could be more hospitalizations and deaths.“If things do not change, if they continue on the course we’re on, there’s gonna be a whole lot of pain in this country with regard to additional cases and hospitalizations, and deaths,” Fauci said in an interview Wednesday evening on “The News with Shepard Smith.”Dr. Fauci, director of the National Institute of Allergy and Infectious Diseases, has repeatedly told lawmakers and other news outlets the country’s coronavirus case numbers are going in the “wrong direction.”Cases are rising in almost every state and territory, and coronavirus-positive patients are overwhelming hospitals in some parts of the country.The Midwest is especially hard hit right now, with Wisconsin reporting a 7-day positivity rate of 28 percent. Most municipalities try to keep that number below 5 percent to allow lockdown restrictions to loosen up.Smith asked Fauci if there should be a national mask mandate.“We do. If we don’t get one (national mask mandate) I would hope the governors and the mayors do it locally, if it’s not done nationally,” Fauci responded.Many states across the country have had to tighten stay-at-home restrictions in the last few weeks, putting stricter limits on gathering sizes, indoor business capacities and mask wearing both inside and outside.As of Thursday morning, there are more than 8.8 million confirmed cases of coronavirus since the pandemic started in the U.S., and more than 227,000 deaths.Wednesday alone, nearly 79,000 new people reported testing positive for the coronavirus in this country, and nearly 1,000 people died.“There is very little appetite for a lockdown in this country,” Fauci told Shepard Smith. “There’s going to be major pushback both from above and at the local level, however, what Melbourne did, what Australia did as a country, was very successful.”Melbourne only reopened Wednesday, after residents spent three months under strict lockdown orders.While he doesn’t feel America would be able to commit to something like that, Dr. Fauci suggests being better about mask wearing, social distancing and avoiding crowds.Dr. Fauci’s warning that more pain could come echos warnings from a recent projection that more than half a million Americans could die of the coronavirus by March if there are no changes to our efforts to control the spread of the coronavirus.“We find that achieving universal mask use (95% mask use in public) could be sufficient to ameliorate the worst effects of epidemic resurgences in many states,” the study stated.Researchers found even if 85 percent of universal mask wearing is achieved, an additional 95,000 lives could be saved.According to the study, the national average for self-reported mask wearing is at just 49 percent as of late-September. 2903

DUNDEE, Michigan — A 39-year-old woman was charged in connection with a fraudulent dog sale scheme.Police said Vanessa Young sold twelve sick puppies to unsuspecting buyers.Most of the dogs were sold for 0. Young told the buyers the dogs were healthy and registered with the American Kennel Club. However, the buyers discovered the claims to be false and the dogs became very ill shortly after the sale – and some even died, said police. Many of the victims spent thousands of dollars in veterinary care while trying to save and treat the puppies.Dundee Police Chief Tim Garbo said Young’s arrest came after a year-long investigation.Young is charged with felony defrauding and false pretenses and could face up to 5 years in prison or a ,000 fine.She was arraigned in First District Court of Monroe on Tuesday and has been released on bond. 860

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