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As a result of the pandemic, telehealth is a more common way to see your doctor. It's not easy to adjust to a virtual bedside manner, which is why a former news reporter is launching "Webside Manner" for doctors to learn what is not taught in medical school.Twenty years ago, Mark Bernheimer was on camera, reporting daily events for stations in Los Angeles and CNN. When he got out of news, he decided he could use his skills to teach others.“How to be comfortable doing news interviews, how to be comfortable giving speeches on stages and things like that,” Bernheimer said.When the pandemic hit and everyone's audience became virtual, he had to pivot his business "MediaWorks Resource Group."“I started helping my clients figure out how they could do it more efficiently, more professionally, how to do news interviews through Zoom, how to hold webinars and Q and A session through Zoom,” Bernheimer said.And then one day, he said, his medical colleagues asked for help with telehealth.“Doctors don’t get formal training or any training in set design or video production,” Bernheimer said. “This is not what they get out of medical school, they may be excellent doctors and scientists but when it comes time to deliver health care in this forum, they need some help."Things like making eye contact through the computer camera, technical quality, lighting, and where the device is physically placed were all important things that Dr. Bob Murry, a family physician in New Jersey, says could use some work, even though we're almost seven months in to the pandemic.“As this is becoming more routine. Folks do need to up their game a little bit and learn more about how to best use the technology,” Dr. Murry, who is also the chief medical informatics officer for NextGen Healthcare, said.“I had never done a video visit before coronavirus. We didn’t realize how powerful that medium can be. You can really connect with your patients and be really intimate with them and have almost everything that you have in a real person visit,” Dr. Murry added.Now, Dr. Murry says, the way doctors come across needs to be thought out, too, in addition to the actual medical care and advice.“So much of medicine is really talking to your patients from the patient's standpoint. They want to tell their story and get an answer or make sure it's not something to be concerned with and from the physician's standpoint, it's that story which is so important in medicine and that story can happen over video,” Dr. Murry said.“These are people, who don’t forget, who are probably sick to begin with or worried to begin with,” Bernheimer said. “Now they’re anxious; now they’re nervous because they don’t want to be on camera any more than the doctor does. So the doctor or health care provider has to take special precautions into account before conducting those kinds of visits.”Bernheimer is working with NexGen to officially launch "Webside Manner" in November, and says things like body language, tone of voice, and facial expressions are all things that need to be considered during telehealth. He admits they can be challenging visits for all involved.“I spent 16 years looking into a camera as a TV news reporter. It was much easier for me to learn how to look directly into the lens of a TV camera than it has been for me to get used to looking into that tiny spec on the top of the laptop lid, so if it's hard for me, I can only imagine what other health care providers must be experiencing,” said Bernheimer.But, it's a necessary medium, as we're all becoming dependent and quite comfortable with doing everything from our home devices. 3633

Apparently watching the Democratic National Convention from the White House, President Donald Trump sent out three tweets late Wednesday in all caps in as he faced sharp criticism from Democrats during the convention.The attacks came frequently and with vigor among the Democratic speakers, headlined by Barack Obama, Hillary Clinton, and vice presidential nominee Kamala Harris.Two of his tweets were apparently directed toward Obama. In one of the tweets, Trump repeated a claim that Obama spied on the Trump campaign in 2016. While intelligence officials did monitor contacts between the Trump campaign and Russian oligarchs, there is no evidence that Obama directed the intelligence community to spy on Trump. 721

ARCADIA (CNS) - Horse-racing fans and animal advocates calling for a ban on the sport were expected at Santa Anita Park Saturday for the biggest day of the park's racing calendar, with the million Santa Anita Derby headlining a 7-race schedule amid an ongoing controversy over a recent spike in horse deaths at the famed track.The Santa Anita Derby plays a major role in determining the favorites for next month's Kentucky Derby.Twenty-three horses have died at Santa Anita since Dec. 26, but two- time Triple Crown-winning trainer Bob Baffert told reporters last week that he remains confident about the level of safety at Santa Anita."If I thought there was a danger out there, I wouldn't even (send) my horses out there so I'm feeling good about what's going on here. But I don't want to jinx myself," said Baffert, who noted that he hasn't had any issues with his horses at the track since the racing season began Dec. 26.RELATED: Horse suffers fatal injuries at Santa Anita track, marking 22nd death since December"We've been under this dark cloud so hopefully we can move forward," he said.Baffert is expected to have two of his top 3-year-old colts -- Game Winner and Roadster -- in the Santa Anita Derby.A small group of protesters was already at the track Saturday, hours before the scheduled first post at noon.Heather Wilson told KTLA5, "We are here because we are speaking up for the horses that don't want to be here. They're not given a choice: They are forced to perform, and they are forced to race. There's nothing normal, there's nothing natural about horse racing, and we are actually calling for it to end."As for future races at Santa Anita, the California Horse Racing Board will hold a special meeting Friday to discuss "possible reallocation of race dates granted to the Los Angeles Turf Club at Santa Anita Park Race Track."Such a move, however, would require approval of The Stronach Group (Santa Anita's parent group) and Tim Ritvo, COO of The Stronach Group, told Daily Racing Forum that Santa Anita fully intends to maintain its schedule of racing through the end of the current meet, June 23.Santa Anita had been closed to racing for most of March in response to the deaths. Racing resumed March 29, one day after the California Horse Racing Board approved restrictions on certain medications administered to the animals. Two days later, the 23rd horse death occurred when 5-year-old Arms Runner stumbled during the Grade 3 San Simeon Stakes on a hillside turf course that requires horses to briefly cross over the main dirt track.On Tuesday, Ritvo said the track will suspend races on the hillside turf course to "look at data" in the aftermath of Arms Runner's death.Also Tuesday, Sen. Dianne Feinstein, D-California, sent a letter to the CHRB urging it to suspend all racing at Santa Anita "until the cause or causes of these deaths can be fully investigated.""I also ask for more information about what the California Horse Racing Board is doing to both investigate this matter and address some of the concerns that these incidents have rightly raised," Feinstein wrote.The CHRB recently approved proposals to strictly limit the use of anti- inflammatory medications on horses. It also approved a much-discussed 50 percent reduction in the allowable amount of Lasix, a diuretic that helps prevent horses from hemorrhaging. Santa Anita officials had initially proposed a ban on Lasix, but struck a compromise with the Thoroughbred Owners of California and the California Thoroughbred Trainers calling for a 50 percent reduction in allowable dosage.Santa Anita officials previously announced a series of other measures being implemented to help bolster safety of the horses, including:Phasing out the use of whips by jockeys;Complete transparency of all veterinary records;Trainers must apply for permission to work a horse (a timed, high- speed training exercise) at least 48 hours in advance;No therapeutic medications of treatments will be allowed without a qualified veterinary diagnosis from a state licensed veterinarian;Significant and strict out-of-competition testing;Increasing the time required for horses to be on-site prior to a race; andA substantial investment by The Stronach Group in diagnostic equipment to aid in the early detection of pre-existing conditions.Between December and February of the previous year, 10 horses died at Santa Anita, compared with eight in 2016-17 and 14 in 2015-16. The track averaged about 50 deaths per year from 2008-18, according to data from the CHRB.The unusually large amount of rain that has fallen over the Southland last winter has been mentioned as a possible factor in explaining the surge in deaths.Former track superintendent Dennis Moore and Mick Peterson of Racing Services Testing Lab were brought in to conduct a thorough analysis of the main track, and officials repeatedly said they found no problems.Saturday's races also include the 0,000 Santa Anita Handicap. 4974

As Jeffrey Epstein associate Ghislaine Maxwell awaits trial, newly released documents provide insight into the charges she's facing.A deposition from 2016 has been made public that alleges Maxwell was a recruiter for Epstein's underage sex ring.Testimony from Virginia Giuffre, one of Maxwell's alleged victims, implicates Prince Andrew and former New Mexico Gov. Bill Richardson. Both the prince and Richardson have denied the allegations against them.Giuffre also reports seeing former President Bill Clinton on Epstein's private island. When she asked Epstein about why Clinton was there, she said Epstein told her that Clinton owed him a favor.Clinton has previously denied ever going to Epstein's island.Giuffre also said one of the men involved in Epstein's sex ring was a "large hotel chain owner."The in the court filings, Maxwell and her attorney portray Giuffre as unreliable, pointing to errors in certain information she provided. 950

An Elkhorn, Nebraska man accused of sending prostitutes to his neighbor's house was sentenced to four years in prison.Doug Goldsberry pleaded no contest to one count of pandering in September. On Friday, a Douglas County judge gave him the maximum penalty.The judge says Goldsberry's "screening process" by seeing how far he could get the women to go was a concern for the court.Investigators were called to a home in March. The homeowners told deputies with the Douglas County Sheriffs Office they were fearful because women identifying themselves as escorts or prostitutes had been exposing themselves and demanding money.The complaint says a family with two small children lived at the house and the women would go on their porch and strip down or lift their shirts off, and one woman urinated in their bushes.Deputies conducted surveillance and brought in two women who were seen exposing themselves at the home. The complaint says investigators were able to determine through phone records Goldsberry, who lives across the street, had sent the women and would tell them to commit the acts so he knew they weren't undercover officers.According to the complaint, Goldsberry told investigators he would watch the girls out of his kitchen window, which faced his neighbor's porch, and sometimes take pictures and would become sexually aroused. He also told investigators he would meet prostitutes at hotels, the complaint says. 1451

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