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As novel coronavirus cases soar across the country, states are struggling to keep up with the demand for testing. Some states are reporting big backlogs and difficulty getting tests.“We need to actually continue doing a bunch of work in America to figure out additional approaches to do testing,” said Dr. Bob Kocher.Dr. Kocher is the former co-chair of California's Testing Task Force. The state formed the team back in March to figure out how to get everyone tested. Back then, they were struggling to do 2,000 tests a day. Now, they're doing more than 100,000 a day.“California, and most states, had giant shortages of the world’s most expensive Q-tips, called swabs, that you need to collect the samples and the people who make them couldn’t make more of them,” Dr. Kocher explained. “We worked with companies to 3-D print them and to source those from other places in the world and buy them and bring them to California.”They worked to find labs that could do high-capacity testing and expanded the number of testing sites. But as cases increased across the state and nation, five months into the pandemic, testing turnaround time is an issue.“It’s something I’m concerned about as demand for testing grows everywhere in the country and on the earth, the labs are going to sporadically have backlogs, and over time, they could have backlogs because it’s hard to make more supply of the test,” Dr. Kocher said.Dr. Kocher says it depends on where the test is sent. Some labs have backlogs and it’s a logistics issue. If the lab your test site is using is in another part of the country, it'll likely take longer to get results.In a statement, Quest Diagnostics said, "We are grappling with surging demand that is outpacing capacity. This is due to surging cases of COVID-19 across much of the United States, particularly the West, Southwest and South. We have a prioritization program to help direct testing to patients most in need. Our turnaround time for priority one patients is 1 day on average."In a recent press conference, California's Health and Human Services Agency Secretary Dr. Mark Ghaly said supply chain challenges forced the state to prioritize who gets tested first.“Surges across the nation have created challenges of getting tests processed, not just collected, and ensuring our guidelines not only say who needs to be tested but give guidance to labs on which specimens to process first,” Dr. Kocher said.Right now, priority means those who are hospitalized, healthcare workers, first responders, social service employees, those who are 65 and older and those with chronic medical conditions. But, we simply need more tests.“The challenge with COVID-19 is that each person infects two, three more people and that leads to exponential growth of people who are infected and exponential growth in demand for testing,” Dr. Kocher said. “The companies who manufacture tests have been extraordinary scaling up their capacity to manufacture tests they can grow them by 10, 30 maybe a 100 percent, but the demand for COVID testing is growing 1,000 percent.”The American Clinical Laboratory Association which represents Quest and other labs released a statement saying many labs are getting more test orders than they're able to process in a single day.In a statement, the company said, "We can’t do it alone. Laboratories, diagnostic manufacturers, ordering providers, public health officials, states and importantly, the federal government – including Congress and the Administration – all have a role to play in addressing the challenges hampering our nation’s response to this public health crisis."The test, Dr. Kocher says, only tells you if you're infectious at the time you were tested. It's yet another hurdle for states to tackle."So, we need to figure out what is the mechanism to test people at the right frequency to make us all safe and fell confident in going to work, school, nursing home or being an essential worker,” he said. “It’s really important.”Figuring out what that looks like means looking at new technologies, getting the government involved and working on our manufacturing sector so we have more tests and fewer logistical problems as we consistently try to keep up with the virus that seems to be one step ahead of us all. 4276

As more businesses open up, along with schools and colleges, there are still some hurdles many people need to get over when it comes to fears associated with COVID-19.Fox 17 spoke with Psychologist Dr. Lyndsay Volpe-Bertram from Spectrum Health about these fears."I don't think six or seven months ago any of us thought we'd be still in this current state," Dr. Volpe-Bertram explained, adding that the differences in the way people are handling the precautions is adding another layer of stress. "I think that range of reaction and behavior is also contributing to our overall stress because everybody is kind of taking a different approach to it."To address a balance, Dr. Volpe-Bertram recommends what's called "Ongoing Calculated Risk Assessment", similar to what many call risk vs. reward."We are looking at it as, 'Is this worth it to me?' Is what I'm going to get as a benefit back from having this experience or putting myself out there in some way, is that worth the possible exposure?", asked Dr. Volpe-Bertram.Essentially she recommends we be efficient and choosy in everything we do, even in socializing or explaining."Rather than saying, 'We have to say yes to everything'. Help us identify what are the most important events for us to be attending? Who are the most important people that we want to spend our time with?"Dr. Volpe-Bertram reminds, as the weather turns and flu season fast approaches, not to stress about it, but instead prepare for more mental well-being."It's important for us to start thinking about what our coping strategies are going to be in the Winter and how are we going to keep ourselves busy. Because we don't want people to stay holed-up in their houses, fearful of going out to places. But we want them to move and feel more comfortable in ways that are safe," said Dr. Volpe-Bertram.This story was first reported by Derek Francis at WXMI in Grand Rapids, Michigan. 1916

ATLANTA (AP) — A federal judge has sentenced a California man to serve 35 years in prison for traveling to Atlanta to have sex with a 9-year-old girl.The U.S. attorney's office in Atlanta said Tuesday that 40-year-old Craig Alan Castaneda of Imperial Beach must also register as a sex offender and serve 10 years supervised release after his prison term.Castaneda was convicted in December.RELATED: Alabama governor signs bill permitting chemical castration for sex offendersAn undercover FBI agent posted an ad on Craigslist in April 2015 posing as a mother seeking a "teacher" for her 9-year-old daughter. Prosecutors say Castaneda responded, describing his prior experience molesting children.Castaneda continued to communicate with the undercover agent for several weeks and made plans to travel to Atlanta. FBI agents arrested Castaneda when he arrived at the Atlanta airport on May 2, 2015. 904

As the coronavirus pandemic surges across the nation and infections and hospitalizations rise, medical administrators are scrambling to find enough nursing help — especially in rural areas and at small hospitals.Nurses are being trained to provide care in fields where they have limited experience. Hospitals are scaling back services to ensure enough staff to handle critically ill patients. And health systems are turning to short-term travel nurses to help fill the gaps.Adding to the strain, experienced nurses are “burned out with this whole (pandemic)” and some are quitting, said Kevin Fitzpatrick, an emergency room nurse at Hurley Medical Center in Flint, Michigan, where several left just in the past month to work in hospice or home care or at outpatient clinics.“And replacing them is not easy,” Fitzpatrick said.As a result, he said, the ER is operating at about five nurses short of its optimal level at any given time, and each one typically cares for four patients as COVID-19 hospitalizations surge anew. Hospital officials did not respond to requests for comment.But the departures are not surprising, according to experts, considering not only the mental toll but the fact that many nurses trained in acute care are over 50 and at increased risk of complications if they contract COVID-19, while younger nurses often have children or other family to worry about.“Who can actually work and who feels safe working are limited by family obligations to protect their own health,” said Karen Donelan, professor of U.S. health policy at Brandeis University’s Heller School for Social Policy and Management. “All of those things have been factors.”Donelan said there is little data so far on how the pandemic, which has killed more than 231,000 people in the country, is affecting nursing overall. But some hospitals had a shortage even before the virus took hold, despite a national rise in the number of nurses over the past decade.With total confirmed coronavirus cases surpassing 9 million in the U.S. and new daily infections rising in 47 states, the need is only increasing.Wausau, Wisconsin-based Aspirus Health Care is offering ,000 signing bonuses for nurses with at least a year of experience and hiring contract nurses through private staffing companies to handle a surge in hospitalizations that prompted the system to almost quadruple the number of beds dedicated to COVID-19 patients.Aspirus, which operates five hospitals in Wisconsin and four in small communities in Michigan’s Upper Peninsula, also is moving nurses around between departments and facilities as hot spots emerge, said Ruth Risley-Gray, senior vice president and chief nursing officer at Aspirus.Outside help still is needed, in part because some nurses have gotten sick from or were exposed to the cornavirus during the current wave, which “came with a vengeance” starting in August, Risley-Gray said. At one point in mid-October, 215 staffers were in isolation after showing symptoms or being exposed to someone who tested positive, and some are just starting to return to work.Aspirus recently was able to hire 18 nurses from outside agencies, and may need more if the surge continues.Because the pandemic is surging just about everywhere in the country, hospitals nationwide are competing for the same pool of nurses, offering pay ranging from ,500 a week to more than ,000, said April Hansen, executive vice president at San Diego-based Aya Healthcare, which recruits and deploys travel nurses.She said demand for their services has more than doubled since early in the pandemic when the greatest need was in hot spots like New York and New Jersey and then moved to southern states. In recent weeks the virus has been spiking across the country, with the new hot spots in places like the rural upper Midwest and southern-border communities such as El Paso, Texas.Now placing nurses where they’re needed is “like a giant game of whack-a-mole,” said Hansen, whose company has about 20,000 openings for contract nurses.In North Dakota, where infection rates are exploding, hospitals may cut back on elective surgeries and seek government aid to hire more nurses if things get worse, North Dakota Hospital Association president Tim Blasl said.In Texas, Gov. Greg Abbott recently announced he was sending 75 nurses and respiratory therapists to El Paso to help handle the city’s surge. Wisconsin Gov. Tony Evers, meanwhile, issued emergency orders making it easier for nurses from elsewhere to practice in his state and for retired nurses to come back.“This has been a challenge, and we’ve been pleading with the community members to protect themselves and others,” by wearing masks and social distancing, said Aspirus’ Risley-Gray, who said the positivity rate among community members tested by Aspirus rose from under 10% in September to 24% last week.To combat the emotional toll and fatigue that comes with caring for COVID-19 patients, including just donning and removing protective equipment all day, Aspirus has been giving nurses microbreaks and quiet places to get away and collect themselves when they feel overwhelmed.Travel nurses say the need at small hospitals tends to be greater than at larger facilities.Robert Gardner, who’s currently assigned to a hospital in a small town about 20 miles west of Atlanta, said he did search and rescue in the Coast Guard during Hurricane Katrina and the pandemic is “a lot worse.”He worked at a large New Jersey hospital when that state was swamped by the virus in the spring, and now worries that flu season could bring further chaos to hospitals. But he’s determined to stick it out, no matter what.“It’s not even a question,” Gardner said. “Nursing is a calling.” 5727

Attorneys for former FBI Director James Comey and the US House of Representatives fought in court Friday afternoon over whether Comey must testify to Congress in a private hearing next week.While Comey technically seeks to pause or kill the subpoena, he is using the case to air his accusation that members of the Republican-led House and Senate selectively leak details for their own benefit when they call witnesses to testify in private.Attorneys for the House called Comey's request "so extraordinary and frivolous that, as far as undersigned counsel is aware, no district court in the history of the Republic has ever granted such a request."Judge Trevor McFadden said at the hearing that he hoped to rule Monday morning after meeting again with both legal teams.The meat of Friday's dispute was how each side characterizes Comey's congressional subpoena. Comey's team says Congress is in violation of its own rules by not conducting its fact-finding hearing in public. The hearing won't require that level of secrecy because no sensitive law enforcement information is expected to be discussed, Comey's team said.The House general counsel countered that because Comey's testimony would be a deposition with staff, a public session isn't required.McFadden asked whether Comey could release a transcript of his testimony to get the full picture before the public. But Comey's lawyers said that would take too much time, allowing leaks of the information before Comey could release his full testimony.When McFadden asked Comey's attorney whether he agreed with the House that a judge has never limited Congress in this way before, the lawyer David Kelley responded, "Here's your opportunity, Judge."Comey has said he would like to testify publicly about the separate investigations into Hillary Clinton's email practices and Russian interference in the 2016 election -- in front of live TV cameras as he has done before."The broader purpose of these tweets and leaks appears to be to mislead the public and to undermine public confidence in the FBI and the DOJ during a time when President Trump and members of his administration and campaign team are reported to be under investigation by Special Counsel Robert Mueller and other law enforcement authorities," Comey wrote in his complaint. He says he is a "victim" of Congress' "unauthorized and abusive tactics."Comey did not attend Friday's hearing in person.He has asked the judge to issue an emergency order to pause the congressional proceedings and to quash the subpoena. In theory, Comey could lose his court challenge and still win what he's seeking, if he manages to convince the judge to pause his subpoena until the House flips to Democratic control at year's end.The case initially was set to be heard by Judge Timothy Kelly, a Trump appointee, then was reassigned randomly to McFadden, also a Trump appointee, after Kelly likely recused from the case. 2941