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A steady gust of an early winter’s wind was whipping through the last few pieces of corn still left standing on Paul Hamilton’s Northern Kentucky farm, their golden kernels exposed to the elements, naked wilted stalks all but dead. The corn here will soon be gone from this rolling farmland and so too will Paul Hamilton’s prized herd of dairy cows. Paul’s family has been on this 80 acres for three generations. His grandfather first purchased the land in the 1950’s before handing it over to Paul’s father, who ultimately sold it to Paul when he was in his 20’s.A legacy of family farming though will end with Paul Hamilton by the end of the year. He refuses to subject his 16-year-old son John to the uncertain life of farming. “If I had to do it all over again, 29 years ago when my dad offered me the land, I would have turned it down,” Paul admits as he struggles to cut a piece of plastic rope holding together a 100 pound barrel of hay. Paul has taken one vacation day in the last four years. There are no sick days for dairy farmers, no holidays and no weekends. Every day his 35 Holstein cows must be milked at 5 a.m. and then again at 5 p.m. to keep them producing. This 56-year-old hasn’t shaven in days; the bags under his eyes are so heavy they seem to stretch halfway down his face. His boots are caked with a thick layer of mud and manure that refuses to come off no matter how much he washes them. And yet he loves it here, if for no other reason than the fact that he knows no other way of living. “When you’ve done it your entire life, it gets to be where it’s a part of you,” he says leaning against the tire of a 1971 John Deere tractor that he repairs almost daily. Paul admits though that the end is near,“We’re hemorrhaging money. We’ve run through a pretty rough time right now and next year doesn’t look better either.” Last month, the Hamilton family farm lost ,500. The price of milk is playing a large role in the struggle dairy farmers are facing. While most consumers pay an average for a gallon of milk at the grocery store, most farmers only get about from that sale. Nearly 60 dairy farms have shut down across Indiana, Kentucky and Tennessee since the start of the year. Paul’s wife Paula Hamilton has run out of hope. “Always before it was maybe next year we’ll have a better crop, maybe next year prices will go up. And now we’re looking at it and we’re no longer saying next year and that’s really sad,” she said. Sitting in the front yard of the family’s century-old white farmhouse, beneath a bright orange maple tree, a small tear falls down her face.“We no longer have hope it’s going to keep going.” And that is a reality facing hundreds of farmers across the United States right now. A prospect so grim, that some are choosing to take their own lives instead of letting go of farms that have been in their families for decades. “You know I worry about him a lot. He’s working so hard and getting so tired and I wonder if he’s gotten to a point that he can’t come back from emotionally,” Paula says holding her husband’s hand. Farmers are notoriously reserved with their feelings and thoughts. The solitary occupation often leaves some feeling as though they have nowhere to turn as they are facing financial and emotional ruin.According to the University of Kentucky’s Vital Statistics Office, 15 farmers died by suicide in 2015. The number was even higher the year before as 21 farmers took their own lives. Since 2005, 142 farmers died by suicide in the Bluegrass State leaving behind countless broken families and prompting some public health officials to label this a “crisis.” That includes Debbie Reed who has worked as a nurse and professor at the University of Kentucky for nearly three decades. “When someone dies in the farming community people always bring over casseroles, but when someone commits suicide, it’s known as the ‘no casserole death’ because no one wants to bring a casserole over when a person has taken their own life,” Dr. Reed said. Dr. Reed believes suicide in farming communities are vastly underreported mainly because of the stigma associated with suicide, “These people are living in communities where they don’t interact with each other daily, so it’s hard for people to reach out for help.” The prospect of having to give up on his farm by the end of the year has left Paul Hamilton dealing with a severe case of depression. He’s never thought about taking his own life, but his wife Paula says the likelihood of facing financial ruin often leaves her feeling hopeless, “Sometimes I just feel overwhelmed. Sometimes you’re by yourself and at night you’re thinking, ‘God, how could I do it where he gets the insurance,’ but then you think, ‘I don’t need to be thinking this way.” Paula’s hope is that farmers start opening up about their feelings, especially when so many are facing such uncertain futures. Her eyes turn to a grazing herd of cattle nearby, “No one is telling the farmers about it, no one is saying, ‘Hey there’s other people that feel like you feel and it’s okay to feel like that.”’ But even with everything they are facing, both Paula and Paul aren’t ready to give up until they’ve exhausted every option. Their family’s legacy is all they have left.“You’re connected to the land, but the land is killing you.”   If you or someone you know is struggling and in need of help there are number of resources available:National Suicide Prevention Hotline: 1-800-273-8255https://suicidepreventionlifeline.org/ 5626

A simulation program to train nurses is gaining in popularity. Shadow Health is using virtual patients to train real people in hopes of quickly bringing those real students into the workforce.From pediatrics to maternal health, the future of nursing school is happening now.“The technology is so good, you’ll get an answer. You might not get the answer you’re looking for; you’ll have to rephrase and that’s the way it is in real life too,” said Lorrie Rilko, an assistant professor at George Washington University’s School of Nursing.She was a nurse practitioner for 30 years and then decided it was time to help the next generation of nurses.“My greatest responsibility is to prepare future nurse practitioners in the art of accurate history taking and skilled physical exam and then putting all of the pieces of the puzzle together to come up with a clinical diagnosis,” Rilko said.She says George Washington University was already using this simulated technology when the pandemic hit. The pandemic put the program in the perfect position to continue training new medical professionals and it allows them to learn, practice and fail on computers rather than on real live patients.“It's kind of like telehealth,” Rilko said. “We’ve had telehealth and until we had to really rely on telehealth, there were a lot of barriers to overcome."Brent Gordon is the managing director for Elsevier's nursing and health education business, which recently acquired Shadow Health.“One of the challenges in higher education institutions, specifically in the United States and this is true worldwide, is that they have challenges meeting the demand, they have capacity constraints,” Gordon said. “One example is shortage of clinical space. Digital simulations help solve that problem.”He says one of the real problems that the virtual education solves is that of communication, which he says can be at the root of medical malpractice claims.“Nurses are increasingly graduating, passing the (National Council Licensure Examination) NCLEX but not entering practice with the clinical reasoning skills they need to be successful on day one," said Gordon.Rilko said her students enjoy the virtual interaction, and they like training on their own time. Some are currently working on the front lines and taking the course in their spare time. 2330

A pair of districts in the Midwest will add Muslim women to the ranks of the US Congress for the first time.Michigan Democrat Rashida Tlaib and Ilhan Omar, the Minnesota Democratic-Farmer-Labor Party's nominee, will secure their respective seats in strongly Democratic districts following primary victories earlier this year that effectively decided their races.Tlaib is endorsed by the Democratic Socialists of America, a burgeoning left-wing group that also counts New York Democratic congressional nominee Alexandria Ocasio-Cortez among its members.Omar, in addition to being one of the first Muslim women in Congress, will also be the first Somali-American member. She came to the US more than two decades ago as a refugee. Tlaib actually campaigned with Omar ahead of the latter's primary race earlier this year.Omar also had the backing of Ocasio-Cortez in her primary race, and she will come to Congress having been an open critic of the Israeli government's treatment of Palestinians.Omar will take the seat vacated by Minnesota Rep. Keith Ellison, the first Muslim elected to Congress. Ellison is leaving Congress as he vies to become Minnesota attorney general.Tlaib will fill the seat formerly occupied by Michigan Democratic Rep. John Conyers, who left office last year amid accusations of sexual misconduct. She ran unopposed on the general election ballot following her primary win.Tlaib is the daughter of Palestinian immigrants and became the first Muslim female member of Michigan's state legislature a decade ago. A self-styled progressive, Tlaib is a vocal critic of President Donald Trump and was arrested two years ago for disrupting a Trump speech in Detroit.Only two other Muslims have been elected to Congress, and both are men currently in office: Ellison and Indiana Democratic Rep. Andre Carson. 1830

A Milwaukee woman applied for a job only to be told by the company that they don't hire people with "ghetto" names.Quinntellia Fields says she received the email response on Monday after applying for a receptionist job at Mantality Health through a third-party site.Mantality Health has multiple locations in the Midwest. Fields said she was applying for a job at their Brookfield, Wisconsin location."First, I thought it was a joke," she said.The quick response looked legit, until she got to the line that said, "Unfortunately we do not consider candidates that have suggestive 'ghetto' names.""That’s pretty offensive," Fields said. "I was pretty shocked and then I was hurt."She contacted the company who told her the outside job board was hacked.In a statement posted on the company's website, Mantality says it's working with law enforcement and considering appropriate legal action."We share the anger and frustration of those who received these bogus emails," the company's statement read in part."Seems like the typical response," Fields said. "If someone’s in trouble on the internet, 'Oh it’s just a hack.'"Fields isn't the only job seeker who received this reply. According to local news reports, two women in Missouri also received the same email."I just want to know why that person thought it was OK to just target one group of people," Fields said.Here’s the full statement Mantality posted on its website: 1440

A news anchor has accused actor Kevin Spacey of groping her son, bringing the number of those accusing him of sexual misconduct to 14.Former TV news anchor Heather Unruh came forward on Wednesday with the new allegations and said the assault took place in July 2016. Unruh spoke during a press conference about the incident. She said Spacey sexually assaulted her son in 2016 when he was 18 years old. 424