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As states begin to reopen, a new stage in the pandemic means elective surgeries are back on schedule.For 51-year-old mother of two Honaire Murillo, the pandemic delayed a much needed spinal surgery.“The shooting pains all the time and you know I had kids I have to run around. And so, it took about a year and I was so disappointed,” says Murillo.Twenty-four years ago, the aspiring pro-bodybuilder’s dreams were cut short when she was hit by a motorboat while visiting Puerto Rico on business.More than 20 surgeries later, Murillo needed another one.“The pain started coming back and so I knew I was going to have more surgery,” she says.Last week, doctors at Rush University Medical Center’s Midwest Orthopaedics in Chicago were able to get Murillo into surgery for a first-of-its-kind procedure.It was a minimally invasive spine surgery that utilized augmented reality.“The efficiency this provides because of the accuracy and the visualization of the spine is remarkable,” says Dr. Frank Phillips, the director and minimally invasive spinal surgeon at Rush who performed the procedure.A headset guidance system allowed Dr. Phillips to see Murillo’s spinal anatomy – essentially giving him X-ray vision.“That's exactly what it is,” says Dr. Phillips. “It really is X-ray vision. Except it's not just X-ray vision, you're actually seeing the real spine through the skin.”The CT scanned images are directly projected onto the surgeon’s retina and then superimposed right on top of the patient’s surgical area.“I was just blown away,” says Dr. Phillips. “The minute I put my headset on and looked down at the spine it was like that wow moment. I was like ‘this is crazy.’”Researchers say the FDA-cleared x-vision system could revolutionize the way surgeons perform complex procedures.“It's so accurate so precise the visualization so good you can do the surgery more efficiently which obviously translates into less anesthetic time and advantages to the patient,” says Phillips.For Murillo, who eventually went pro 15 years after her accident, this latest groundbreaking surgery has her thinking about another return to competition.“I'm still looking to see if I could comeback one more time. I'm not sure. But, yeah to me it's a dream.”Augmedics, the maker of the technology says it plans to explore the x-ray vision technology beyond just spinal surgery. 2365
As tensions between law enforcement and the public rise, more cops are saying they need help mentally.For decades, mental health in law enforcement has been stigmatized, says Lieutenant Alexis Zellinger with the Atlantic City Police Department in New Jersey, and she says it has led to suicide being the leading cause of death among officers for the last few years.According to the group Blue H.E.L.P., which has tracked officer suicide since 2015, 2019 was the deadliest year for police in the United States as 228 took their own lives. The organization also reported 172 officer deaths due to suicide in 2018, 168 in 2017, and 143 in 2016.Lt. Zellinger says traumatic incidents on the job can occur several times in one day and are not always related to use of force situations.“I was on a call where we had to perform CPR on an infant,” said Lt. Zellinger. “Going through something like that as a police officer and a woman who has gone through a miscarriage not too far along from that moment; it is something that can be traumatizing."“The climate of the country right now, it’s not great for law enforcement,” added Deputy Chief Bridget Pierce with ACPD.In 2018, New Jersey Attorney General Gurbir Grewal instituted the Officer Resiliency Program as a way to help offer supports to law enforcement personnel who may need it. The program places at least one officer trained to understand and deal with mental health issues inside each department in the state. Grewal says the program traces back to an encounter he had in 2018 with Pablo Santiago, a deputy with the Mercer County Sheriff’s Department in the state.Only a few weeks after the two met and Santiago invited him to a homeless feeding, Grewal says Santiago shot and killed himself in the parking lot outside of his office on the day after Christmas.“He was the picture of community service,” said Grewal. “[He was] vibrant. You never knew anything was affecting him. There is an argument to be made that it’s a line of duty death because it is the trauma and stress of the job.”In Atlantic City, Deputy Chief Pierce and Lt. Zellinger volunteered to become the department’s first two resiliency officers. They started counseling officers within the department only two weeks ago.“In my career [at ACPD]- I’ve been here 24 years- there have been 6 officers who have committed suicide,” said Pierce. “When one of your own takes his own life, you feel partially responsible that you should have seen it coming. One of the officers that we lost years ago was one of my very good friends, who I worked side by side with, rode in the car with, and for a long time that haunted me.”Since the death of George Floyd, Attorney General Grewal says calls to resiliency officers and state hotlines have increased by thousands.“It’s tough. It’s only getting tougher,” said Deputy Chief Pierce.Blue H.E.L.P. says 125 officers have taken their own lives in 2020. 2919

AUSTIN, Texas – The Texas Medical Association has created a handy chart to help Americans determine how risky everyday activities are when it comes to contracting the novel coronavirus.From opening the mail to going to a bar, TMA’s COVID-19 Task Force and Committee on Infectious Diseases have ranked activities on their risk level for COVID-19.The activities are broken down into these levels: low risk, low-moderate risk, moderate risk, moderate-high risk, and high risk.TMA says the levels are based on input from the physician members of the task force and the committee, who worked from the assumption that – no matter the activity – participants were taking as many safety precautions as they can.No matter the activity, TMA says it’s best if you stay home if possible, wear a mask and maintain at least 6 feet of distance when you have to go out, and practice safe hand hygiene.TMA’s task force is made up of 15 physicians who are experts and leaders in medicine, some of whom are in direct patient care.The task force has researched and written in the neighborhood of 25 whitepapers and guidance documents to help inform Texas physicians as they battle the COVID-19 coronavirus. They created those papers and guidance to help inform and guide the more than 53,000 TMA members across the state as they battle the pandemic and care for Texas patients. 1365
As the coronavirus pandemic continues, doctors are learning more about the damage having Covid-19 can do to the body. Two separate studies published recently indicate the coronavirus can harm other organs in the body, including the heart.One of the studies looked at 100 patients in Germany who recently recovered from Covid-19 and found 60 percent of participants had inflammation in the heart. The study used MRI scans to monitor the inflammation, and was published in JAMA Cardiology.The majority of the patients in this study, 67 of them, recovered from the coronavirus at home with severity ranging from asymptomatic to moderate. It compared the MRIs of coronavirus survivors to scans from healthy volunteers.The data showed there was some sort of heart involvement in those who had coronavirus, whether or not they had preexisting conditions or any heart-related symptoms during recovery.“Our findings reveal that significant cardiac involvement occurs independently of the severity of original presentation and persists beyond the period of acute presentation, with no significant trend toward reduction of imaging or serological findings during the recovery period. Our findings may provide an indication of potentially considerable burden of inflammatory disease in large and growing parts of the population and urgently require confirmation in a larger cohort,” the researchers noted in conclusion.A second study, also published in JAMA Cardiology, found coronavirus could be found in the heart tissue of patients who died.The study looked at data from 39 autopsy cases in Germany in early April. The patients were aged 78 to 89, had tested positive for Covid-19 and there were results of heart tissue analysis in their autopsies.In 16 of the 39 cases, there was a large “virus load” of coronavirus found in the heart tissue, another eight had a coronavirus presence in the tissue.The sample of autopsy cases was small and the "elderly age of the patients might have influenced the results," the researchers wrote. More research is needed whether similar findings would emerge among a younger group of patients."Taken together the studies support that SARS-CoV-2 does not have to cause clinical myocarditis in order to find the virus in large numbers and the inflammatory response in myocardial tissue. In other words, one can have no or mild symptoms of heart involvement in order to actually cause damage," said Dr. Dave Montgomery, who was not involved in the studies, in a statement to CNN.Dr. Clyde Yancy of Northwestern University Feinberg School of Medicine and Dr. Gregg Fonarow of the University of California, Los Angeles, co-authored an editorial that accompanied the two new studies in the journal JAMA Cardiology called ‘Coronavirus Disease 2019 (COVID-19) and the Heart—Is Heart Failure the Next Chapter?”“We see the plot thickening and we are inclined to raise a new and very evident concern that cardiomyopathy and heart failure related to COVID-19 may potentially evolve as the natural history of this infection becomes clearer,” they write. 3076
As summer winds down, doctors across the country are warning flu season is fast approaching. Many are watching Australia to see what may happen here when flu season arrives."Where Australia is obviously in the Southern Hemisphere, they're in winter while we’re in summer. We look at their flu season as kind of a six-month predictor of how ours is going to turn out," says Dr. Kenny Banh, the assistant dean of undergraduate medical education at UCSF-Fresno.The number of flu cases in Australia has taken a dramatic dip compared to last year. Dr. Banh says it's unclear if the U.S.'s flu rates will be as low as Australia's.A lot of it has to do with coronavirus precautions that people are taking, Banh hypothesizes."That's what we predict. It's not really so much a change in vaccination rates as much as the social distancing and all the preventative steps of coronavirus that are having the same effect of spreading any disease, including influenza," says Dr. Banh.Doctors say strict measures in Australia to protect people from COVID-19, such as physical distancing, wearing masks and hand washing, have helped prevent the spread of the virus and, incidentally, the flu. Now, some are wondering whether the United States will also see a drop in flu cases this winter."Seeing that they have a drop in influenza, we will certainly have a small influenza season. The issue is Australia is approaching, and the U.S. is approaching coronavirus very different. Their rates are different and they have a much lower per capita infection rate than we have in the U.S. for various reasons," says Dr. Banh.Australia has taken a broader, nationwide approach to protecting people against COVID-19, unlike in the United States, where each state has implemented different restrictions. That's one reason why Dr. Tanya Altmann with the American Academy of Pediatrics recommends every person, 6 months of age and older, gets a flu vaccine."I think this winter, it may be hard to differentiate between the flu and COVID-19 because so many of the symptoms-- cough, fever, aches, chills, are very similar. So by getting the flu vaccine and decreasing the chance your child has influenza, that will help us figure it out," says Dr. Altmann.Dr. Banh says Australia's plummeting flu rates and nationwide protective measures from COVID-19 will hopefully encourage many here in the United States to take the necessary precautions to keep everyone as healthy as possible this winter. 2470
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