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Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

Puff. Puff. Cash.That is what some in the marijuana tourism industry are betting on. “We’ve grabbed a larger section of the mainstream, so now we’ve grabbed the canna-curious,” said CEO of Colorado Cannibs Tours Michael Eymer.Now that recreational marijuana Is legal in 10 states and the District of Columbia, businesses like Eymer’s are sprouting up like weeds.Eymer’s company takes customers on tours of dispensaries and grow houses in the Denver area.“Where we’re at with this whole thing, my company and models like this, I really, firmly feel, it’s simply just the tip of the iceberg in how big this industry can be. You know, I feel that this industry can be as as the public, or social consumption of alcohol.”But these businesses are operating in a bit of a gray area, and it’s not always a smooth ride. "There was a misunderstanding a little over a year ago with the city of Denver, where we had some of our guests and our guides, ticketed, by the city for what they considered to be public consumption,” said Eymer.While pot is legal to possess, sell and consume across the state of Colorado, you still can’t smoke it in public.That became an issue last year, when a Colorado cannabis tours bus got pulled over by Denver police."We do have rules though, where you can legally consume marijuana and where you legally cannot consume marijuana," said Eric Escudero, a spokesperson for the Denver Department of Excise and Licenses.That’s just one of the hurdles different states are facing with the legalization of medical pot.“When the first slate of licenses were granted, it did not include social consumption or delivery,” said Shanel Lindsay who founded Ardent Cannabis.Lindsay is trying to make sure they don’t have the same kind of hiccups in Massachusetts.“I think it’s really important for states, when they’re, when they’re making these laws to make sure there’s a clear pathway for social consumption and delivery, when they’re writing the law," said Lindsay.Massachusetts voted to legalize recreational pot in 2016.The first stores to sell it didn’t open until last year, and the state is still working on the rules for cannabis consumption businesses.“We’ve always had private or underground social consumption events and you definitely still see people running social consumption events in a private way. But really what people want is the ability to legitimately run public events.”Like in California.The popular music festival “Outside Lands” in San Francisco includes an entire area called “grasslands,” where people can buy and smoke weed in an open-air setting.“I came last year and we weren’t able to buy weed, so I was super happy I was able to get a pre-roll," said one concert-goer.Back in Colorado, Eymer worked on passing a state law that will allow for licensing of all kinds of marijuana businesses. He says giving users and sellers that stress free feeling is why he does what he does. 2932

President Trump says it has been determined a quarantine of New York and parts of New Jersey and Connecticut will be unnecessary after floating the idea earlier Saturday."On the recommendation of the White House Coronavirus Task Force, and upon consultation with the Governor’s of New York, New Jersey and Connecticut, I have asked the @CDCgov to issue a strong Travel Advisory, to be administered by the Governors, in consultation with the Federal Government," he tweeted. 485

Rep. Rashida Tlaib (D-Michigan) says a controversy surrounding her fellow Muslim congresswoman is distracting from "real issues."Tlaib was asked about the feud between Rep. Ilhan Omar (D-Minnesota) and President Donald Trump Monday night during an event at the University of Detroit Mercy Law School."We have people that are continuing to target us, to use fear-mongering, hate rhetoric to divert from real issues around healthcare, around immigration reform that need to be addressed," Tlaib said.The controversy surrounding Omar stems from a a speech she delivered at a recent Council on American-Islamic Relations (CAIR) in March. While describing why CAIR had been founded, Omar cited the September 11 attacks."Far too long we have lived with the discomfort of being a second-class citizen, and frankly, I'm tired of it, and every single Muslim in this country should be tired of it," Omar said, according to CBS News. "CAIR was founded after 9/11 because they recognized that some people did something and that all of us were starting to lose access to our civil liberties." CAIR was in fact founded in 1994. Omar's opponents have also called the comments insensitvie to the survivors of the attack.Over the weekend, Trump tweeted a video of Omar's comments along with images from the attack, along wih the caption "WE WILL NEVER FORGET!" Trump also called Omar "ungrateful" during a trip to her home state of Minnesota on Monday.Omar says she has seen an increase in death threats against her since Trump tweeted the video of the weekend. 1556

Rosie O’Donnell's streaming Broadway charity show raised over 0,000 for virus victims. Sunday's show featured Kristin Chenoweth singing “Taylor the Latte Boy,” Gavin Creel singing “You Matter to Me,” Darren Criss singing “Being Alive” and Gloria Estefan singing “There’s Always Tomorrow.”In other entertainment news, Amazon is giving parents free streaming access to more than 40 children’s shows, including “Pete the Cat” and “If You Give a Mouse a Cookie.” And actress and singer Rita Wilson posted a video on Instagram over the weekend in which she is seen rapping along to the classic Naughty by Nature 1992 hit “Hip Hop Hooray.” 649

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