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A new ad out Friday for the popular blood thinner Xarelto is different from prescription drug commercials we've seen in the past.At the end of the ad, it shows Xarelto has a list price of 8 a month. However, most patients pay between A Tennessee nurse pleads for Tennesseans to see the COVID-19 crisis through her eyes as the battle, she says, is "getting out of hand."That comes as Tennessee set two troubling new records Thursday -- a record high positivity rate of almost 20 percent and a new daily record of 93 additional deaths just reported.Nurse Emily Egan, who has worked in the COVID ICU unit at Holston Valley Medical Center in Kingsport for the past month, recorded the video diary shared by her employer, Ballad Health.“Ok, I guess, where to start? We started this fight together. We started staying at home, not going out unnecessarily, as a community. I think that everybody did really well. They fought with us.”Egan's own COVID fatigue showed in her eyes."And now I guess they’re tired of it. I guess people are tired of being alone or in their homes and want to get out and be social again."We understand the importance of mental health, but the fight is getting out of hand."As COVID hospitalizations continue to skyrocket across the state of Tennessee, she has seen the faces behind the numbers,"We’re losing more than we’re keeping," Egan said."I’ve put an ungodly amount of people in body bags that I wasn’t prepared to do, that I wasn’t prepared to give up on a patient, but there was nothing else we could do – and we lost them." Across Tennessee, hospitals are feeling the strain.Sadly, some days, the number of available ICU beds depends on the number of people dying."There’s been days that I’ve lost two patients, did their care and got them moved out to the funeral homes and had to take two right back that were equally as sick," Egan continued."I go home. I carry it home. I cry – a lot. I cry a lot. This is real, you know."Nurse Egan said that she gets that some people don't like wearing masks, that breathing through them isn't always easy."But seeing these people die that can’t breathe, it starts to take a toll on you – and you feel so frustrated that they didn’t take it serious, you know. I can’t tell you how many patients that we’ve had that they contracted it at a ballgame or at a family affair of some sort, you know, some birthday parties or dinners," Egan said.In her case, she hasn't seen her own grandparents in months -- because these days, she says, require us to all be willing to make sacrifices."I’m giving these patients my all. I’ve sat with them. I’ve held their hand as they died because family couldn’t be here," Egan said. "And it starts to hurt."And if you could just stop one case by wearing a mask or staying home when you didn’t have to go out, it would help us just so much. If everybody did that for one person, I think we could stop this."As of Thursday morning, there were just 174 ICU beds still available for the entire state. This article was written by Phil Williams for WTVF. 2851 to for the drug. Last year, the Trump Administration proposed a rule to require drug makers to add prices to their ads. But company Johnson & Johnson is doing it voluntarily. Some believe by knowing the cost, consumers can look for lower cost alternatives that could be just as effective. However, Kevin Flynn with Health Care Advocates says seeing the list price could also confuse patients. They might not take into account insurance and copays, think they have to pay the list price, and potentially avoid getting the drug at all, he says. “What you need to do as a patient is call your insurance company, say this is the name of the drug. What are my benefits? What am I going to be paying?” Flynn says. Johnson & Johnson plans to begin including pricing information for other drugs that it advertises on TV later this year. 1094

CHICAGO, Ill. – Shortages of ventilators and personal protective equipment mean many healthcare providers are going into battle unarmed. It’s sparked a heated debate behind closed doors about balancing efforts to save patients versus exposing doctors and nurses to the virus. Who lives? Who dies? Who gets priority to a ventilator? All complex questions health providers are being confronted with. “We've never had this situation before. This is unprecedented,” said Craig Klugman a professor of bioethics at DePaul University in Chicago. Bioethicists say widespread infection, protective equipment and ventilator shortages are creating unique ethical dilemmas for healthcare workers. “We will start to care for the person who is at risk of dying first,” explained Dr. Ricardo Gonzalez-Fisher, a surgical oncologist who teaches healthcare ethics at Metropolitan State University of Denver. “But if we have more people than resources that we have to. Try to save those that are savable.” “The obligation for a healthcare provider to treat the patient doesn't necessarily have a limit,” said Klugman. In Spain, some 13,000 medical workers have been infected. In Italy, more than 60 workers have died since the outbreak began. “It's not just their life. They can assume this risk for themselves,” said Klugman. “If they don’t have the right equipment, they also have the risk of infecting other patients, other healthcare providers. Their family.” Some health systems around the country are reportedly discussing unilateral do-not-resuscitate policies. It’s something that was debated during the Ebola outbreak in 2015. Determining who gets treatment and who does not is something Klugman says is taken very seriously. “We think about it very carefully and with great deliberation.” In Italy, that meant denying some care to the elderly in favor of the young. Klugman says in Illinois, a pandemic flu plan created a decade ago includes care procedures built around ethical frameworks and algorithms that help decide who should for example, get a ventilator. “We have to consider things like what is our most important value. So, the value that we're considering is maximizing the number of years of life that we can save,” said Klugman. Ultimately, a balance must be struck. “You have to make sure that the benefit of the patient overrides the harm or the risk that you're getting in,” said Dr. Gonzalez-Fisher. Otherwise, bioethicists say there may not be enough first responders to treat the infected.“When you call 9-1-1 because your loved one can't breathe, there will be nobody coming. That's the worst-case scenario,” said Klugman. 2653

The Trump campaign tells 13 Action News that President Donald Trump will travel to Nevada on the dates planned, and that additional details will be announced soon, after reports that his rallies this weekend were canceled.Mr. Trump was initially scheduled to visit Reno on Saturday to host a "Great American Comeback Event" and then visit Las Vegas for a second rally in the state the next day. It is not clear if Trump is traveling for the rallies or for new events. 13 Action News has reached out for clarification. The campaign is also accusing Democrats of trying to prevent Trump from speaking to voters but did not offer an example or explanation. Read the full statement from Tim Murtaugh, the Trump 2020 communications director, below: Democrats are trying to keep President Trump from speaking to voters because they know the enthusiasm behind his re-election campaign cannot be matched by Joe Biden – a historically weak candidate controlled by the radical left who could hold a campaign event in a broom closet. The President’s uplifting message of American greatness resonates with people, while everyone knows that Biden is a tool of the radical left who would raise taxes and tank the incredible comeback that is already underway. President Trump will be traveling to Nevada on the dates planned. Additional details will be announced soon. Gov. Steve Sisolak, a Democrat, responded to reports of the canceled rallies on Twitter this morning, saying his office has not spoken to the Trump campaign about the rallies.Read the governor's Tweets below: The Governor’s Office had no involvement or communication with the event organizers or potential hosts regarding the proposed campaign events advertised by the Trump campaign.Current statewide emergency directives include mandatory face coverings, limitations on public and private gatherings to no more than 50 people, and other measures to mitigate the spread of COVID-19.The Nevada-specific White House recommendations have consistently included recommendations to limit the size of gatherings for weeks now. McCarran Airport, one of the airports the campaign announced would host a rally, tells ABC News it has not been contacted by the Trump campaign about the event, even though the event had been announced days ago.Up north, The Reno-Tahoe Airport Authority said in a statement that a campaign rally with a 5,000-person gathering would be in violation of their lease agreements due to Gov. Sisolak’s directive of no gatherings in excess of 50 people and that the event goes against Washoe County’s recommendation to limit the number to 25 or less.Daren Griffin, president/CEO of the Reno-Tahoe Airport Authority, said in the statement: “We would hold our tenants to the same standard whether it was a Democratic or Republican rally or any other type of gathering. We are complying with the Governor’s directive and Washoe County’s recommendation during a pandemic.”Griffin continued and said, "After reviewing the lease, the airport’s attorney found the rally would be in violation of Directive 021 from the Nevada Governor. “This has nothing to do with politics. The letter we sent is about directives and safety and not political campaigns.” ADDITIONAL RESPONSESThis morning, former state AG Adam Laxalt, a Republican, said on Twitter that the reported cancellations were "Outrageous!"He called them "partisan political retribution" and "unprecedented," though he did not offer any supporting evidence for those claims. Read his tweet below: Outrageous! @realDonaldTrump rally venues in NV canceled. Welcome to Sisolak’s Nevada – home of partisan political retribution. This is unprecedented – to cancel an incumbent President’s campaign stop inside 60 days of a major contested election in a swing state. This isn’t over! Similarly, the Nevada Democrats issued a statement responding to reports of the cancellations: The fact that Donald Trump was even considering holding these unsafe events in the midst of a global pandemic is just the latest example of his poor judgment and complete disregard for Nevadans’ public health and safety. The state is currently reeling from a pandemic exacerbated by Trump's disastrous coronavirus response. Limitations on in-person gatherings in Nevada were established to fill the void in leadership created by Trump. Thanks to emergency directives implemented by state leadership, great progress has been made in controlling deadly outbreaks. Trump is only the victim of his own incompetence. This story originally reported by Amy Abdelsayed on ktnv.com. 4637

BALTIMORE, Md. – In looking for creative inspiration, engineering student Qiyuan Fu finds it in a box, with an interesting occupant. Inside: a real, live snake. “We can definitely learn something from them,” Fu said. The snake is a Kingsnake, which is native to deserts in California and Mexico and serves as the model for a new robot, developed in a mechanical engineering lab at Johns Hopkins University. “We added this one directional wheel, so it can only rotate in one direction,” said Fu, as he demonstrated how the robot moves. The “snake robot,” and its colleague, the “roach robot,” are so-called “bio-inspired robots” – taking their cues from mother nature. “We studied snakes here because they are exceptionally good at moving through almost any terrain,” said Johns Hopkins assistant professor Chen Li. Li said it’s an idea with practical applications: the robots could potentially help in search and rescue, by making their way through tight spaces to find people trapped in rubble. “People have actually tried to build snake robots for several decades,” he said. In the past, though, the robots fell short once they left the lab environments, unable to make it through different types of terrain. This time – using specially positioned cameras – they’ve observed how the snakes and roaches move across different surfaces and attempted to mimic what nature already does so well. “What's really unique about our work is that we focus on understanding the physical principles – starting by looking at animals,” Li said. “And then by understanding such principles, we can apply them to the to the robot.” The snakes have 200 vertebrae; the snake robot has 20 segments. It’s progress, these engineers say, with more to go. “There’s still going to be a lot of challenges ahead,” Li said.The engineering lab is now looking into modeling robots based on lizards. That’s because of their ability to leap across surfaces, which could further help robots make their way across uneven terrain. 2008

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