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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

McDonald's and its franchisees are investing hundreds of millions of dollars into transforming its restaurants across the United States this year and next. 168

Midterms, look what you made Taylor Swift do.In a rare move, singer Taylor Swift has weighed in on politics in a major way, endorsing Tennessee Democrats Phil Bredesen and Jim Cooper, who are running for Senate and House of Representatives, respectively.By her own admission, Swift has been "reluctant" to voice her political opinions in the past, but, she said in an Instagram post, "due to several events in my life and in the world in the past two years, I feel very differently about that now.""I always have and always will cast my vote based on which candidate will protect and fight for the human rights I believe we all deserve in this country," she wrote. "I believe in the fight for LGBTQ rights, and that any form of discrimination based on sexual orientation or gender is WRONG. I believe that the systemic racism we still see in this country towards people of color is terrifying, sickening and prevalent."Swift went after Bredesen's senate race rival, Republican Rep. Marsha Blackburn, in her post, saying the politician's voting record "appalls and terrifies me."Bredesen served as governor of Tennessee from 2003 to 2011.In a tweet, Bredesen thanked Swift for her "kind words.""I'm honored to have your support and that of so many Tennesseans who are ready to put aside the partisan shouting and get things done," he wrote. "We're ready for it.""The choice continues to be clear: voters can either have more of the same old partisan shouting that's coming out of D.C, or they can hire someone who has a track record of getting things done for Tennessee," Bredesen's campaign added in a statement to CNN.Swift included a plea to her young adult fans in her post, urging them to register before the deadline."So many intelligent, thoughtful, self-possessed people have turned 18 in the past two years and now have the right and privilege to make their vote count," she wrote. 1907

McDonald's hopes new breakfast items will draw more customers to the golden arches.The company announced Tuesday that it would expand its breakfast menu. The new items, along with local deals and low prices, should help "win back customers at breakfast," said CFO Kevin Ozan during a call with analysts.With the new items, McDonald's is aiming to reverse a troubling trend: American customers are eating elsewhere.Sales in the United States grew by 2.4% in the third quarter, but that was mostly because people spent more. The number of American customers declined.Over the past couple of years, McDonald's (MCD) has tried a number of different strategies to boost its US business. It put self-order kiosks in restaurants. It added new menu items. And McDonald's added delivery.That helped boost sales among existing customers. But those initiatives, part of a massive effort to modernize its US restaurants, haven't helped McDonald's hold on to existing customers or bring in new ones.The company believes a revamped breakfast menu could help."It's very competitive out there at breakfast," said CEO Stephen Easterbrook. "We're still losing a little share ... it continues to be a battleground," he said. "We want to do better at breakfast."McDonald's didn't offer details on what the new items will be.In recent years, Taco Bell has found success with its breakfast offerings. The chain started serving breakfast in 2014 and now sells items like the naked egg taco, which has a fried egg for a shell. Dunkin' (DNKN), which offers a two-sandwich deal for breakfast, has also done well in the morning.Competitors have upped their game and McDonald's may have "lost a little bit of ground" on breakfast over the past few years, said Morningstar analyst R.J. Hottovy.McDonald's has already made some changes that may entice new US customers. It added coffee and  breakfast sandwiches at some locations. Easterbrook said it's too soon to tell whether those efforts are paying off.Hottovy thinks that McDonald's has a good shot at turning around its fortune."With a little bit of focus," he said, McDonald's "can get right back in.""They've gotten better about product innovation," Hottovy added. Customers responded enthusiastically to McDonald's new buttermilk crispy chicken tenders. That could bode well for the company's new breakfast item.Although McDonald's is struggling to win over customers for breakfast, it has used its popular breakfast items to drive growth in the past. Sales surged after McDonald's launched its all-day breakfast menu in 2015. 2628

LOS ANGELES, Calif. – The mayor of Los Angeles is authorizing the city to shut off the utilities at homes and businesses that host large parties during the COVID-19 pandemic.Mayor Eric Garcetti made the announcement Wednesday, arguing that such large gatherings put the entire community at risk of contracting the deadly coronavirus.Garcetti says he will allow the city to shut off Los Angeles Department of Water and Power service in “egregious” cases, in which houses, businesses and other venues are hosting unpermitted large gatherings.“While we have already closed all nightclubs and bars, these large house parties have essentially become nightclubs in the hills,” said Garcetti. “Many times, the homes are vacant or used for short term rentals. And beyond the noise, traffic and nuisance, these large parties are unsafe and can cost Angelinos their lives.”Starting on Friday night, Garcetti says if the Los Angeles Police Department responds and verifies that a large gathering is occurring at a reoffending property, officers will provide notice and initiate the process to request that DWP shut off service within the next 48 hours.The mayor’s announcement came hours after a city councilman introduced a motion to increase penalties for property owners who hold large parties in violation of public health orders. Under the motion, penalties for these gatherings could also include utility shut offs.The city’s actions come after a deadly shooting at a mansion party on Tuesday, where police say a 35-year-old woman was killed and multiple other people were wounded, KNBC and KCBS report.The Los Angeles Public Health Department continues to advise residents to keep 6 feet apart from others, only gather with those you live with, wash or sanitize hands often, and always where a mask when leaving home. 1821