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The coronavirus outbreak has put a hold on many things over the last few months, including some elective surgeries.When Nohely Uriostegui and her husband, Jose Pava, found out they were pregnant with a little boy, they were ecstatic. Then, the unfortunate news: their baby had spina bifida."After that, she said we’re going to do a test. You might be eligible for an in-utero surgery," said Uriostegui.That means surgery while the baby is still in the womb, and it had to be performed before 26 weeks of pregnancy. Everything was set up to go in Chicago until a phone call came from her doctor."He said, 'You know what? Based on COVID, everybody here on the team doesn’t feel like it’s an essential type of surgery,’" recalled Uriostegui.The same situation was unfolding for all types of patients around the country. Those hoping surgery could help their chronic pain were told they’d have to endure it for months longer. Organ transplant candidates were forced to wait as well. For Nohely and Jose, a delay meant they might miss their window to help their baby. But then, hope from three states away in Colorado."For this family, the clock was ticking. She had until she was 26 weeks to have fetal intervention, and that was literally five days, four days away. And they had to get from Chicago to here, be evaluated, have surgery set up to be performed, and so, we were able to do that for them," said Colorado Fetal Care Center surgeon Dr. Ken Liechty.The couple decided to travel to Colorado to have the procedure done."I got there on the 4th; my surgery was set for Monday, April 6, which was the exact same date that I was going to get it done in Chicago, and it was one day before I hit the 26-week mark," said Uriostegui."It’s open fetal surgery on the fetus as the actual patient," said Dr. Liechty. "We excise the cyst, we put the spinal cord back into the spinal canal."Doctors then put the muscle back over to seal it, close the skin over it, and then close the uterus. Without the in-utero surgery, Dr. Liechty says 90 percent of babies with spina bifida have a shunt put in to decompress the brain. However, that likely wouldn’t have been the only surgery he would have needed."These shunts fail, they can get infected, they can have all kinds of problems, they average seven surgeries at least for these shunts in their first few years of their life," said Dr. Liechty.In the time of this pandemic, that could mean more waiting as hospital beds begin to fill back up with coronavirus patients."COVID-19 caused a lot of places around the country to reexamine what cases could be done in their facilities, and a number of fetal centers are actually located in adult centers," said Dr. Liechty.Those places are filling up faster than children's hospitals, causing families like Uriostegui and her husband to almost miss opportunities to help their children before they even enter the world."The neurosurgeon over there actually said to us last time, that if you were to look at him, you would have never guessed that he’s born with spina bifida or that we went through this whole journey," said Uriostegui. 3126
The Centers for Disease Control and Prevention released a report today that says fentanyl has become the deadliest drug in the nation, overtaking heroin.From 1999 to 2016, drug overdose deaths in the United States tripled from 6.1 per 100,000 people to 19.8 per 100,000 people, the CDC report says. The study examined decedents who were U.S. residents with an underlying cause of death being a drug overdose, including people who did it unintentionally and intentionally (suicide and homicide and undetermined reasons)."The top 10 drugs involved in overdose deaths remained consistent throughout the 6-year period, 622

The coroner misidentified two of the Humboldt Broncos hockey players involved in a fatal bus crash, according to the Royal Canadian Mounted Police.Xavier Labelle, who was originally listed among the deceased, is actually alive, while Parker Tobin, who had been listed among the survivors, died as a result of the Friday collision, the RCMP said in a Monday news release."The Office of the Chief Coroner apologizes for the misidentification and any confusion created by it," the news release said. "The Coroner's office extends its deepest sympathies to the families and friends of those who lost their lives as well as those who were involved in the collision."At a news conference, a spokesman for the Saskatchewan Ministry of Justice said the young men involved in the crash were similar ages and builds, and the teammates had dyed their hair blond in solidarity for the Broncos' playoff run."A lot of these boys looked alike," Drew Wilby said.Dental records are the best way to ensure an identification is accurate, and it takes time to procure those records, especially considering some of the players hail from British Columbia, a province hundreds of miles to the west, the spokesman said."New information came to light last night that raised questions with the health care professionals," Wilby said, adding that the information was not related to dental records.Health care professionals were then able to correctly identify Labelle, and the Labelle and Tobin families were notified Sunday night, he said.The Labelle and Tobin families were involved in the initial identification processes, Wilby said, without elaborating.Citing Canadian privacy laws, Wilby declined to provide details of Labelle's injuries other than to say he is "an active patient in the system."After being informed that Labelle had died, brother Isaac Labelle told CNN he was at the gym when he got a text about the bus wreck. He called his father, an emergency room doctor, who had been en route to the game but had changed course to the crash site.Once there, Isaac Labelle said, his father told him that there didn't appear to be any survivors. Isaac Labelle went on to say his brother was "well-loved by everybody.""I also want people to know the good person he is," he said.The Labelle family could not be immediately reached to discuss the news that Xavier Labelle had been misidentified.Tobin is among the 15 killed in the crash in Canada's Saskatchewan province. The death toll includes nine other Broncos players, two coaches, two employees of a broadcasting company and the bus driver.The crash occurred around 5 p.m. Friday north of Tisdale, according to the Royal Canadian Mounted Police, as the team was headed for the town of Nipawin for a playoff game. RCMP Assistant Commissioner Curtis Zablocki said the tractor-trailer, traveling west on Highway 335, collided with the bus, which was traveling north on Highway 35.The cause of the crash is not known, and "the scope and complexity of this investigation means it will take some time to determine the cause of the collision and the circumstances surrounding it," said RCMP Assistant Commissioner Curtis Zablocki.The tragedy was felt across Canada, where hockey is the dominant sport and many young players take long bus rides to tournaments.Humboldt, a town of about 6,000, has a tradition of fielding teams in the Saskatchewan Junior Hockey League. The players, ranging in age from 16 to 21, come from different parts of Canada and stay with host families during the season, according to?the team's website."Our Broncos family is in shock as we try to come to grips with our incredible loss," Kevin Garinger, the team's president, said in a statement.The hockey community and others rallied around the victims and their families, offering financial assistance.By Monday morning, a GoFundMe page for the players and their families had raised more than .8 million, the result of about 70,000 donations. 3998
The forensic pathology industry is facing a workforce shortage. These are the men and women who determine how and why a death happens. They are being overwhelmed, and the pandemic has only made things worse.“What you’re seeing now is part of our autopsy examination room,” said Francisco Diaz as he walked around the Office of the Chief Medical Examiner in Washington D.C. He is the deputy chief medical examiner.“The purpose of the medical examiner is to do two things, to determine why people die and to classify the manor of death,” he said.Diaz and his team have their hands full. Here, bodies are brought in, x-rayed, and analyzed every day. Most of them are bodies of those who have died of unnatural causes, like homicide, suicide, and certain accidents.They’re brought here, where seven forensic pathologists work.“As medical examiners and forensic pathologists you are dealing with death and tragedy every single day,” he said.This year the volume has been higher than usual, in large part because of the COVID-19 outbreak. “The peak of our pandemic was April, May. At that time we had that emergency morgue off campus,” Diaz explained. “We handled approximately 400 descendants or dead bodies.”The increase in autopsies needed is not only due to COVID-19 directly, but other ripple effects.“What I see as a consequence of the pandemic is a lot of people are dying at home because they choose not to seek medical attention because they may have concerns that they may get contaminated at hospitals,” Diaz said.If they die at home, they’re sent straight to D.C.’s Medical Examiner’s Office. Most people who die in a hospital are handled by the hospital, except for in certain jurisdictions like D.C. where they will help out with the hospital's cases as well.Regardless of where the cases are coming from, jurisdictions are strapped for resources. It’s a problem across the industry right now -- one that’s been facing a workforce shortage for years.“A lot of the policy makers think that it's a waste of money. You're just spending money on the dead, but everything we do is for the living,” said Victor Weedn, Forensic Science Professor at George Washington University. He’s an expert in the forensic pathology industry.“We are terribly undermanned, under served these days. It is thought we have 500 to 600 board certified forensic pathologists working in the field across the United States and that's simply not enough. It’s estimated we really ought to have 1,200 to 1,500 forensic pathologists.”The lack of workers has become more evident due to the pandemic, and also a growing epidemic. “And then the opioid crisis hit. That immediately caused 10% to 30% more cases because of all the overdose deaths,” Weedn said. “On top of that you have the COVID pandemic. The overdose cases have not declined, in fact they've continued to increase. And now we’re seeing a wave of homicides increasing our caseload still further. We are facing a true workforce shortage.”Weedn also talked about how some of their investigations on COVID-19 patients who passed helped answer some questions we had early on in the pandemic.Increasing a workers caseload is not a great option, according to Weedn. The National Association of Medical Examiners has accreditation standards.“A forensic pathologist really isn't supposed to do more than 250 autopsies a year. If you have more than that it’s considered an infraction of the standard,” he said. “When you start doing more than that, things get lost. Details get lost.”This puts many offices in a bind. “In the face of such a severe workforce shortage you find that people have changed the criteria for what deaths they will investigate and that means there are certain deaths that will go uninvestigated. A murderer could get away with murder. That’s certainly a possibility,” Weedn explained.As the workload remains heavy for many jurisdictions, Diaz said education and exposure for the industry might be their best bet in getting more interest.“I think every crisis brings an opportunity. And I think this is an opportunity for forensic pathology to be on the forefront and let the public at large know what we do, how we do it, and to encourage young people to pursue a career in forensic pathology,” Diaz said. 4266
The Equifax data breach was bad for a lot of people but good for a few companies that sell identity theft protection.The hack, which Equifax announced last Thursday, exposed Social Security numbers, drivers licenses and other personal information of 143 million people. And that was just in the United States.Equifax said people in the U.K. and Canada were also affected by the data breach, but it hasn't said how many. Equifax says it has records on more than 800 million people worldwide.Demand for identity theft protection just went up. A lot.One company, LifeLock says it has gotten over 100,000 customer signups since the Equifax news broke. It said it's enrolling 10 times as many customers every hour now as a result.The Equifax breach was not the largest ever, but it was notable for the kind of information that was put at risk.LifeLock says its increase in business is greater than it was after two other big breaches -- an attack on Yahoo last year and one in 2015 against insurance giant Anthem."We've had more people sign up for LifeLock in the past three days than during the entire Yahoo or Anthem breaches," Fran Rosch, executive VP and GM of Symantec's consumer business unit, told CNN Tech on Monday.LifeLock sells identity protection like credit monitoring, black market surveillance, stolen fund reimbursements, crimes committed in your name, and fake identity monitoring. Its service costs between .99 to .99 a month.Another company that says it has seen an uptick in business is CreditKarma, which provides free credit reports and monitoring. It told CNN Tech it saw a 50% increase in signups over the weekend and a 50% increase in search traffic.CreditKarma analyzes credit profiles, suggesting product recommendations to help users save money. If you take its recommendations, it then makes a cut from the bank or lender behind the product.Equifax itself is in the fraud alert business. It has a host of products under the Equifax brand, as well as an offshoot called TrustedID. In the wake of the data breach, it is offering one year of free credit monitoring and identity theft protection with TrustedID Premier. It clarified this week that those who sign up will not be automatically renewed and charged.Of course, a year of the TrustedID service for free could be enough to convince some customers to renew and start paying."They can exploit this breach to market to consumers who never had to worry about their credit report before," said Amanda Werner, campaign manager with Americans for Financial Reform and Public Citizen.Equifax did not respond to a request for comment for this article.Experts warn that one year is not enough to cover the damage caused by the breach on consumers."Criminals will certainly try to monetize the leaked data and perform ID theft for far longer than one year after this attack," Katie Moussouris, founder of Luta Security, told CNN Tech.Bill Kowlaski, director of operations at Rehmann Corporate Investigative Services and a former FBI agent, agrees. "You're basically required ... to be extra diligent for the rest of your life."The identity theft protection market is expected to bring in .8 billion in revenue this year, according to research from IBISWorld. LifeLock has 24% of the market, with a company called Intersections owning the next biggest share, 6%. Intersections did not immediately reply to request for comment.IBISWorld said that identity theft protection offshoots owned by Experian and Equifax has a market share of less than 5%.RELATED: How to protect yourself from a data breach 3581
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