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Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

ESCONDIDO, Calif. (KGTV) -- As San Diego County inches closer to finally being removed from the state’s watch list, it remains unknown what exactly that will mean for businesses that have been waiting to reopen indoor operations.“We have asked the state for guidance for what they think the policy will be, the process will be, for potentially reopening some of the entities that faced additional closures,” said County Supervisor Nathan Fletcher.In the meantime, some cities across the county have been working with businesses to ensure they can still operate outside during the challenging time. Some of those businesses appear to be thriving.“More people are coming out to eat, and as you can see, we’re already almost full here,” said Mia Davis, the owner of Mikko Sushi in downtown Escondido.Davis and her sister-in-law, Minky Jeon, opened Mikko Sushi in February, but just one month later they were forced to shut down indoor dining due to the rising COVID-19 cases across the county.They moved to take out orders only, a struggle for the new business owners.“We were devastated actually because we were just finally starting to build our clientele,” said Davis.Then the City of Escondido stepped in to help businesses move outdoors quickly and easily, making all the difference for business owners like Davis.“The City of Escondido went out of their way to help us,” she said. “They really helped expedite the permit process, and I didn’t have to pay any fees.”Davis told ABC 10News, she was not only able to keep her original staff employed, but Mikko Sushi became so busy with outdoor dining, that she had to hire more employees.“Every Friday night we have a big waiting list,” she said. “I’m thankful that local customers really been supporting us, and I can’t complain.”A walk down Grand Avenue in Escondido reveals how locals have embraced the opportunity to dine outside. The sight is something that brings Amber Tarrac, the Deputy Director of Economic Development for the City of Escondido, much joy.“We’re really happy and proud to be able to support our businesses in that way,” said Tarrac. “The city really took strong, swift action and worked with very closely with our Chamber of Commerce and Downtown Business Association to allow for and facilitate the permit process to allow for our businesses to operate outside. We expanded that to salons, to restaurants and other retail as well.”During a time where there are many uncertainties for small business owners, Davis said the opportunity to try something new and succeed is rewarding.“I’m thankful that our business is doing well during this pandemic, and I’m thankful for what the city did,” said Davis.The City of Escondido recently launched a grant program to help small businesses. Applications will be accepted through August 28th. Business owners can apply here. 2848

ENCINITAS, Calif. (KGTV) - Two third-graders from Rancho Santa Fe are proving you can change lives no matter your age.R. Roger Rowe School third-graders Grace Miller and Madison Stine set out to send a veteran to Washington D.C. with Honor Flight San Diego.They were so successful they ended up sending two veterans."That trip for me was the most fantastic trip of my life. I've been all over the world - and Honor Flight was the most fantastic trip I've been on," said George Sousa, a Korean War veteran who served in the U.S. Army.The girls also helped send U.S. Marine Corps Veteran Marshall Varano who also fought in the Korean War."It's great to see young people like this take care of older folks," said Varano.Fundraising is critical for Honor Flight San Diego. It costs over ,000 to send one veteran to D.C. and over 0,00 for the entire weekend. The organization had to cancel last spring's flight because they did not have enough funding.You can donate online to Honor Flight San Diego.  1014

Ethan Melzer, a 22-year-old US Army private, has been indicted for allegedly plotting a “mass casualty” attack on his Army unit.In its announcement of the indictment, the Department of Justice said that Melzer was sending sensitive military information to members of a neo-Nazi group to help facilitate the attack.Melzer has been charged with conspiring and attempting to murder U.S. nationals, conspiring and attempting to murder military service members, providing and attempting to provide material support to terrorists, and conspiring to murder and maim in a foreign country.The DOJ said that the FBI thwarted the attack in May 2020 before arresting Melzer on June 10.The DOJ said that Melzer was a member of O9A, a group that officials say has participated in acts of violence.Melzer was informed of his unit’s deployment in April 2020. The DOJ said that Melzer then used an encrypted message application to send messages to O9A. The group allegedly planned a “jihadi attack” during the unit’s deployment.“As alleged, Ethan Melzer, a private in the U.S. Army, was the enemy within,” Acting U.S. Attorney Audrey Strauss said. “Melzer allegedly attempted to orchestrate a murderous ambush on his own unit by unlawfully revealing its location, strength, and armaments to a neo-Nazi, anarchist, white supremacist group. Melzer allegedly provided this potentially deadly information intending that it be conveyed to jihadist terrorists. As alleged, Melzer was motivated by racism and hatred as he attempted to carry out this ultimate act of betrayal.”Melzer could face life in prison if convicted on the counts. 1620

ESCONDIDO, Calif. (KGTV) - A baby python caught on video being snatched from a reptile store in Escondido has been recovered.Late Wednesday afternoon, police told 10news a break in case led them to a home in Escondido, where a woman spotted in surveillance video admitted to taking the snake and turned it over. The theft took place at LLL Reptile last Friday afternoon."Just shocking because of the way she did it," said District Mangaer Joe Alvarez.Video shows her walking around the reptile shop for about ten minutes, before something catches her eye. On the video, she's seen staring down an employee before she appears to slide open the top of a tank and grab something. Another camera shows her walking right past the checkout counter. From the final camera angle, a yellow snake is seen squirming in her purse."Looks like the snake is making one last ditch effort to get away, you see her literally grab the snake and put it in her purse before she walks out," said Alvarez.That snake is a baby yellow-colored, green tree python, about ten inches long. "A lot of guys pour their heart and soul into caring for these animals, and someone comes and just rips it out. It hurts," said Alvarez.Alvarez was concerned about the snake's welfare, because it requires high heat and humidity. The conditions are more important because of his young age, about three months old. Those worries dissipated when police stopped by the shop on Wednesday, snake in hand. Employees tell 10news the staff was "over the moon excited." Police tell 10news the woman was wanted on 5 outstanding warrants, including at least one drug-related warrant. She was taken into custody.Employees at LLL Reptile say the snake appears to be healthy and is doing well. 1747