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With hurricane advisories discontinued for Puerto Rico and the Virgin Islands, attention now shifts to potential impacts to the mainland, he said.Dorian is expected to gather strength in the next few days over the Atlantic and become a major Category-3 storm or higher.The latest guidance shows Florida as the most likely target, "and Dorian will likely be a very formidable hurricane as it approaches late Sunday into Monday morning," Hennen said.US Virgin Islands under curfewThe worst of the storm hit the British and US Virgin Islands, where Dorian toppled trees and power lines, leading local authorities to declare a state of emergency.On the US Virgin Island of St. Croix, Stacy Mooney was recording video of the heavy rain outside and captured a sudden flash of blue-green light in the distance. Power went out for a few minutes, she wrote on Facebook."Overall, things are fine," she told CNN. "The winds have been fierce."About 25,000 power outages in St. Croix were restored around 7 p.m. local time, Virgin Islands Water and Power Authority Director of Communications Jean Greaux told CNN."Within an hour of its passage, The Virgin Islands Water and Power Authority mobilized crews to conduct a damage assessment. We immediately commenced restoration of service. Crews are now dispersed addressing isolated or pocket outages in a few locations," Greaux said.Restoration processes began around 4 p.m. local time in the St. Thomas and St. John districts, Greaux said. By Wednesday night, power on St. John was restored and work continues in St. Thomas with a significant portion already re-energized.Greaux said work will continue through the night.Puerto Rico prepared for impactOne man died after falling from the roof of his house while cleaning a drain in preparation for the storm, Puerto Rico Public safety Secretary Elmer Roman said.Otherwise, fears that Dorian would strain Puerto Rico's fragile infrastructure were largely unrealized. But with the memory of Hurricane Maria looming large in the island's psyche, many residents took the threat seriously."Thankfully, I've been preparing since May," said Krystle Rivera, whose family has been stocking up on water, canned food and gas in anticipation of the hurricane season.Puerto Rico Gov. Wanda Vázquez Garced on Monday declared a state of emergency for the island and urged people to prepare for the storm. Schools across Puerto Rico were closed Wednesday.In the city of Ponce on Puerto Rico's southern coast, people still have tarps over their homes from Maria's damage, Mayor Maria "Mayita" Melendez told CNN.Myers feared that Dorian's rains could easily worsen already delicate conditions."There's already so much damage on the ground from (Maria) that this isn't going to take a lot to make a significant amount of damage, especially flooding," he said. 2827

You’ll likely need to tidy up your current place, especially if there’s a security deposit at stake.Housecleaning services typically charge 0 to 0 for a one-time cleaning, according to HomeAdvisor. You’ll save money by doing some or all of the work yourself. 264

While the details of Alyssa's case are extraordinary -- the Grandma Betty trick, the escape from the hospital with police on their heels -- the core of her story is not uncommon in many ways, according to patient advocates.Dr. Julia Hallisy, founder of the Empowered Patient Coalition, says families often tell her that a hospital won't allow their loved one to transfer to another facility. Often, they're afraid to say anything publicly or on social media."You sound like a crazy person -- that your family member was held hostage in an American hospital," she said. "People can't believe that would happen. It's like the stuff of a science fiction story."Kristen Spyker said it happened to her family.When Spyker's son was born with a rare heart defect, she says she told doctors at the Ohio hospital where he was born that she wanted him to have a surgical repair at a hospital with a larger pediatric heart program.She said the heart surgeon at the first hospital refused to send her son's medical records to other hospitals. She also says a surgeon resisted her efforts to transfer her newborn son to another hospital to get a second opinion on what surgery he should have for a rare heart defect."The surgeon said, 'This is my patient. This is my show. I'm the boss, and I say what happens,' " she said.She said a social worker, accompanied by hospital security guards, then came into her son's hospital room and said she was worried that Spyker had postpartum depression that was affecting her ability to make decisions for her son's care.Spyker said the hospital discharged her son only after she threatened legal action.Her son then had a successful procedure at another hospital -- a different procedure than the one recommended by the first doctor.When she told her story on Facebook, Spyker said, other parents shared similar stories."It was parent after parent after parent saying 'this happened to us,'" she said. "They had been so embarrassed to talk about it, but they felt freer when I said it happened to us."Spyker was one of several people who spoke with Alyssa's parents last year while their daughter was at Mayo.In a statement to CNN, the American Hospital Association addressed conflicts between families and hospitals."Communication between physicians and patients is extremely important in working to identify the best treatment," said Dr. Jay Bhatt, senior vice president and chief medical officer of the organization. "Each patient is unique. It is for this reason that the majority of hospitals have patient advocates on staff to help patients and families navigate the care process. Hospitals recognize that patients are critical members of any care team and many are employing new strategies to ensure their voice and perspective is heard and accounted for."When hospitals and families get into intense conflict, Hallisy, a dentist who practices in San Francisco, says human emotions can run amok. She says she saw it happen when her daughter, Katherine, was being treated for cancer."People think that doctors are immune to petty disagreements, but they're human beings, and sometimes ego and primitive emotions take over," she said.She said that in Alyssa's case, she wonders whether a sensitive hospital staffer, perhaps a social worker, could have prevented the situation from becoming as contentious as it did.She thinks back to her daughter, who died at age 10. She remembers the sadness and fear of having a very sick child, as well as the stress of taking care of her two other children and keeping her dental practice afloat while her daughter was in and out of the hospital.She thinks about how Alyssa was near death and how her parents had five younger children 130 miles away, as well as farms and a family business to run."They were under incredible stress," Hallisy said. "They'd almost lost a child, and they had other responsibilities, too. You would think that someone at Mayo would be trained to see that." 3956

Why is the NFL getting massive tax breaks while at the same time disrespecting our Anthem, Flag and Country? Change tax law! President Trump wrote on Twitter. 158

While the air was distinctly chilly when Pence was in South Korea -- he later said he had intentionally ignored Kim Yo Jong -- he has hinted at possible progress. 162