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Some of the top scientists and doctors in the country are calling on leaders to do something different immediately to improve the state of the COVID-19 pandemic.The American Association of Medical Colleges released a road map to reset the country's approach to the crisis. It includes evidence-based actions to improve outcomes and overall health.Improvements include things the country still hasn't got a grip on, like critical supply and drug shortages, increasing testing, an setting national standards for face coverings.“There is literally no risk to wearing a mask for the average person. You may be uncomfortable, you may be hot, you may break out, but it is nowhere as uncomfortable as it would be for having me or one of my colleagues intubate you and put you on a ventilator for an extended period of time,” said Dr. Atul Grover, Executive Director at the AAMC Research and Action Institute.A recent study by Duke of various face masks found the N95 respirator with no valve is the most effective. But these should be reserved for health care workers.A disposable surgical mask made from a plastic material called polypropylene was the next best option.Third was a mask with two layers of cotton and one layer of synthetic material.Masks made from cotton fabric alone, as well as knit t-shirts, performed about the same.“So, you are also protecting yourself,” said Grover. “In fact, if we can get up to 80, 90% of us wearing masks in a community, you could start to reduce that transmission by 2 or 3% at a pretty steady rate.”The AAMC roadmap to reset also mentions an immediate need for something we haven't seen yet, a vaccine distribution plan.“But somebody needs to sit down and say within those high-risk groups of comorbidities, whether that’s diabetes, obesity, hypertension, heart failure, who should be vaccinated first? Is it by age? Is it by condition? And even among first responders, do I start with police doctors, paramedics?”The Centers for Disease Control and Prevention (CDC) has not released a vaccine distribution plan. It has asked four states and one city to draft plans for how they would distribute and who would get priority. Those plans will be shared with other states. 2215

is home in Arizona."I was with my father at his end as he was with me at my beginning. In the thirty-three years we shared together, he raised me, taught me, corrected me, comforted me, encouraged me and supported me in all things," Meghan McCain wrote. "He loved me, and I loved him. He taught me how to live. His love and his care, ever-present, always unfailing, took me from a girl to a woman -- and he showed me what it is to be a man."Meghan continued "all that I am is thanks to him. Now that he is gone, the task of my lifetime is to live up to his example, his expectations and his love.""My heart is broken. I am so lucky to have lived the adventure of loving this incredible man for 38 years," Cindy McCain wrote. "He passed the way he lived, on his own terms, surrounded by the people he loved, in the place he loved best." 1065

Some people who have been dealing with COVID-19 symptoms for months are getting hope with a new diagnosis.Doctors are starting to recognize a syndrome called POTS in some of them. It stands for postural orthostatic tachycardia syndrome.POTS is a disorder of the autonomic nervous system, which is responsible for controlling things like our heart rate and blood pressure.It's estimated as many as 3 million people in the U.S. have POTS, not connected to COVID-19, but it's a new diagnosis for some post-COVID patients.“One has to have pots like symptoms at least more than 6 months before we can diagnose pots and that's another reason we are only beginning to recognize pots now because the pandemic started earlier this year and although we feel like it’s been going on forever, we are only recognizing it now,” said Dr. Tae Chung, Director of the Johns Hopkins POTS Clinic.Chung just opened a clinic dedicated to post-COVID patients with POTS-like symptoms about a month ago. Those symptoms include lightheadedness, prolonged fatigue and brain fog.It is a hard condition to recognize and doctors are being cautious in diagnosing it.“The symptoms to a medical provider, they may seem kind of non-specific. Oh you've had an infection, you're going to be tired, but no when people have lightheadedness that is severe and seems to be disabling and limiting activity, we need to be thinking about the possibility of an autonomic disorder,” said Dr. Brent Goodman, who runs the Autonomic Lab at the Mayo Clinic in Scottsdale, Arizona.Goodman has also been seeing post-COVID-19 patients who have developed POTS.The treatment is individualized but can include exercise, changing up how much salt is in your diet, and medication.It's not clear yet how recovery will be for post-COVID-19 patients. Both doctors agree that the sooner someone can be diagnosed, the better for starting treatment. 1894

SPRING VALLEY (CNS) - A juvenile driving a stolen minivan led deputies on a 15-minute East County road chase Tuesday before bailing out of the still- rolling vehicle near Sweetwater Reservoir and making a failed attempt to escape on foot.The chase began shortly after 8:30 a.m., when a deputy spotted the occupied van in the area of Bancroft Drive and Troy Street in Spring Valley and determined that it had been reported missing by the operators of a group home in the area on Monday, according to sheriff's officials.When the deputy tried to pull him over, the boy behind the wheel of the stolen vehicle drove off and refused to yield, Sgt. Scott Roller said. The youth sped to the south and east over various streets before jumping out of the moving vehicle in a school zone on La Presa Avenue and fleeing on foot.The suddenly driverless minivan continued traveling down the street briefly, then crashed to a halt against a jersey wall. Deputies caught up with the underage suspect a short time later and took him into custody.The boy, whose name was withheld because he is a minor, was taken to a hospital for evaluation of minor injuries he suffered while trying to outrun the pursuing patrol personnel, Roller said.The sergeant declined to release the suspect's age, citing ongoing investigation in the case. 1322

Several of President Donald Trump's outside advisers have told him over the past week he requires neither a chief of staff nor a communications director, at least in the traditional definition of those jobs, according to a person familiar with the conversations.Trump has absorbed the advice, but offered little indication whether he's interested in taking it, the person said. He's been warned by other confidants that it's impossible to run the West Wing without a chief of staff.There are no signs Trump is ready to dismiss top aide John Kelly. But the option of running his White House without a chief of staff has been planted in Trump's mind, and he's not rejected it outright, the person said. 708

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