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The rise in telemedicine could lead to more problems for people who need to keep an eye on their heart health.A study published by JAMA showed televisits accounted for 35% of primary care cases from April to June. Office-based visits declined by half.The study found blood pressure tests also declined by 50% and cholesterol checks went down by 37%.A doctor with the American Heart Association says that could be the result of the uncertainty surrounding the start of the pandemic.“They were doing the COVID tests in the same place as normal labs, so people were hesitant to go, and when you think of cholesterol panel, its fasting, which means a lot of lab places were getting top heavy with people in the mornings,” said Dr. Reshmaal Gomes, a volunteer with the American Heart Association.Gomes says labs now separate COVID-19 tests from other lab work. She says home lab testing has become more efficient and many insurance companies now pay for it.She says telehealth has also proved to be important for those recovering from heart attacks and strokes.“They have shown that telehealth rehab after a stroke is working and working for patients who would not have been able to make those three or four visits to the physical therapist,” said Gomes.Gomes says people who had blood pressure and cholesterol checks done in between doctor visits reduced their likelihood of a heart related emergency by 50%. 1412

The U.S. has now recorded more than 3 million new cases of COVID-19 in the month of November alone, according to a database kept by Johns Hopkins University.According to Johns Hopkins, the U.S. has recorded at least 3.1 million cases of COVID-19 since Nov. 1 — more than 25% of all the cases the country has seen since the pandemic began.The spike in cases has led to a concerning jump in virus-related hospitalizations across the country. According to the COVID Tracking Project, more than 83,000 people across the country are currently battling the coronavirus in a hospital — the most the country has seen since the pandemic began. The COVID Tracking Project reports that while the entire country is seeing a spike in hospitalizations, the Midwest and South have been hit particularly hard — 69% of all COVID-19 hospitalizations across the country have occurred in those two regions.The spike has led to a concerning increase in hospital resources. In some rural hospitals in the Upper Midwest, there aren't beds to spare.The COVID Tracking Project also reports that there has been a significant uptick in deaths since the start of November. Since Oct. 31, the 7-day average of daily deaths has increase from 810 to 1,470. The current rate of deaths per day hasn't been seen in the U.S. since mid-May. The concerning spike occurs as much of the country sees the weather turn colder ahead of winter months, and comes as Americans prepare to celebrate the holiday season — something health officials warn could further facilitate the spread of the virus. The CDC has recommended that Americans not travel to celebrate Thanksgiving with loved ones and recommends against hosting large gatherings this year.It also comes as several drug companies, including AstraZeneca, Moderna and Pfizer have all reported encouraging results from their COVID-19 vaccine trials. While the companies are all pre-producing millions of doses of the drugs prior to authorizaiton, health experts say they likely won't be widely available until spring 2021. 2049

The US Food and Drug Administration pressed forward with its investigation of e-cigarette companies Friday, sending letters to 21 companies in an effort to uncover whether they are marketing products illegally and outside the agency's compliance policy.This latest phase of the investigation addresses more than 40 e-cigarette products and is part of the agency's ongoing efforts to combat e-cigarette use among youth. It also comes less than two weeks after the agency conducted a surprise inspection of e-cigarette maker Juul's corporate headquarters in San Francisco, seizing thousand of documents, many of which relate to its sales and marketing practices."Companies are on notice," FDA Commissioner Dr. Scott Gottlieb said in a statement Friday. "The FDA will not allow the proliferation of e-cigarettes or other tobacco products potentially being marketed illegally and outside of the agency's compliance policy, and we will take swift action when companies are skirting the law."In September, Gottlieb called the increasing teen use of e-cigarettes "an epidemic," adding that teen nicotine use is dangerous to young people's health and brains.Federal law prohibits the sale of e-cigarettes to people under the age of 18, but more than 2 million middle and high school students were current users of e-cigarettes in 2017, according to the FDA. The US Centers for Disease Control and Prevention says it's the most common nicotine product used by middle and high schoolers.Also last month, the FDA requested that five major e-cigarette manufacturers, including Juul, explain how they plan to combat the use of their products by minors. The agency said it was looking into steps to eliminate the sale of flavored products and unveiled a public education campaignabout e-cigarettes.The FDA said it's considering civil and criminal avenues to enforce these regulations, including fines, seizures and injunctions, according to Friday's announcement.CNN reached out to some of the companies that received letters for comment but did not immediately receive a response."We're going to address issues related to the access kids have to e-cigarettes, as well as the youth appeal of these products," Gottlieb said Friday. "We know flavors are one of the principal drivers of the youth appeal of e-cigarettes and we're looking carefully at this."No reasonable person wants to see these products reaching epidemic use among kids," he said. 2500

The roaring American economy will probably sink into a recession before President Trump stands for re-election in 2020.At least that's the view of Ray Dalio, the billionaire investor who predicted the 2008 financial crisis."The probability of a recession prior to the next presidential election would be relatively high, 70% or something like that," Dalio said on Wednesday evening during an appearance at the Harvard Kennedy School's Institute of Politics.  471

The Trump campaign has dropped a lawsuit in Arizona in which they were requesting a review of ballots cast on Election Day.The lawsuit was filed Saturday and claimed some voters were worried their ballots didn’t count correctly if the machines classified a race as “overvoted”, where more than one selection was made by mistake.A judge in Phoenix held a six-hour evidentiary hearing Thursday in the case. Later that night, CNN reports, the lawyer for the Trump campaign revised their earlier request and said they would only seek a review of vote counts if the number of “overvotes” exceeded the margin of victory.In paperwork filed with the court Friday morning, the secretary of state and officials with Maricopa County noted that the difference in votes between President-elect Joe Biden and President Donald Trump is 11,414 votes, with 10,315 ballots left to be counted.They also said 191 votes classified as “overvotes” in the presidential race, and they said that number is consistent with previous elections.Friday, lawyers for President Trump’s reelection campaign dropped the lawsuit, filing a notice of “partial mootness” with the court."Since the close of yesterday's hearing, the tabulation of votes statewide has rendered unnecessary a judicial ruling as to the presidential electors," wrote Kory Langhofer, a lawyer for the Trump campaign, in court papers. The lawyer said he did want the judge to rule on their requests to review votes for two down-ballot races. 1485