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A Virginia doctor was gunned down with his tour guide while on vacation in Belize, according to local authorities.Gary Swank was visiting the Central American country with his family. He had been on a fishing boat with local guide Mario Graniel when they were both shot dead, Belize Police Commissioner Chester Williams said in a press conference Monday recorded by the San Pedro Sun newspaper.In the recording, Williams said the tour guide had a disagreement with a local gang kingpin, and agrees that Swank was a "victim of circumstance."Graniel had earlier reported to police that someone fired shots at his home on Friday, but he never filed a formal complaint, Williams said."We maintain police presence in the area to protect him and the community from further shootings but we can't follow the man everywhere he goes," he said. "He decided to go out with a tourist.""We did what we could have done in terms of detaining those who we believe were responsible and maintaining presence in the area where he lived."CNN has reached out to Belize authorities, but has not heard back.Swank was 'a well-respected and well-loved colleague'Swank was the medical director of Carilion Clinic cardiac catheterization lab and an associate professor of internal medicine at the Virginia Tech Carilion School of Medicine, according to a statement from the clinic. The school is in Roanoke, Virginia, about 170 miles west of Richmond."Dr. Swank was a well-respected and well-loved colleague who, each and every day, embodied the values that we hold dear," the statement reads. "His absence leaves a void in our team and in our community."Swank's patients were devastated to hear of his death."He saved my life, and every time I went to his office he was a very knowledgeable, patient and caring person," Teresa Hodges, who was Swank's patient for 13 years, told 1864
After smoking cigarettes for 15 years, Joe Vondruska decided to make a change in his life. “I have not smoked a combustible cigarette in over seven years. Knowing that, I wanted to spend the rest of my life healthy with my wife, I looked for an alternative to ingest my nicotine,” Joe Vondruska said.For him, that alternative was vaping. His wife Monica says the switch has been beneficial for the both of them.“I’m not smelling cigarette smoke in the morning when I wake up. I’m not hearing him cough and hack loogies off the front deck,” Monica Vondruska said.Monica says multiple people in her life have used vape products to quit traditional smoking. In fact, that’s one of the biggest reasons she and Joe decided to open a vape shop.“We all know that smoking kills, we’ve known that since the 60s and yet today we still have people smoking. In order for us to get that smoking rate down, there needs to be a viable option for people,” Monica Vondruska said.But is vaping a safe alternative to traditional cigarettes? Pulmonary Physician Jeff Sippel with UCHealth in Colorado says first you have to look at the differences between the two. “Smoking of tobacco and marijuana leaves has both dust particulate matter and oils – that’s the tar aspect that someone inhales. Whereas vaping is purified oil from a plant – it’s extracted from a plant,” Dr. Sippel said.According to Dr. Sippel, people who vape aren’t exposed to the harmful particles of combustible cigarettes. However, both products contain oils, which he says isn’t great for the lungs either. “Our lungs like water, our lungs don’t like oil. And so if we vape or smoke, and we get oil products into our lungs, that’s when we have problems,” Dr. Sippel said.Dr. Sippel says vape products often have more concentrated oils of flavoring, CBD, or THC, and that’s why we’re seeing some lung-related illnesses emerge. Consequently, Dr. Sippel says vaping is still a health risk and can’t be recommended by doctors as a good alternative to traditional smoking. Nevertheless, when you put the two side by side, he says there is more evidence to show combustible cigarettes are worse.“We could say that vaping is probably the lesser of two evils.” Dr. Sippel says it will take more time to really study the potential risks to vaping.“Lung cancer as an example takes 20 to 50 years for someone to have that condition related to smoking. So what we don’t know is what is the vaping risk going to look like 20 to 50 years from now,” Dr. Sippel said.He says e-cigarettes haven’t been around long enough for medical professionals to know the extent of their impact. But as a pulmonary physician, Dr. Sippel suggests staying away from both.“I think a goal for this whole category of smoking and vaping would be for somebody to go from their current state of affairs, to less, to zero. And ultimately a goal is zero cigarettes or zero vaping, because that’s in somebody’s health best interest,” Dr. Sippel said.The Vondruska family has witnessed some people achieving that goal with the help of vaping. ”We don’t mind if people get off vaping at all because we’re still a community and we’re still a family and they still drop in which is pretty neat. Probably one of the neatest things about opening a vape shop,” Monica Vondruska said.It’s that community the Vondruskas feel is necessary to help people quit their smoking habit if that’s what they desire. Whatever the case, they stick together like a family. “For years and years and years we’ve been demonized as smokers and kind of outcasted. And when you have a support system of ‘ok let’s step your nicotine down. If this is your goal, let’s do it’. A lot of smokers don’t have that support system,” Monica Vondruska. ************************************If you’d like to contact the journalist for this story, please email elizabeth.ruiz@scripps.com 3869

A tough day today. My office is issuing a 9-count indictment against Geoffrey Drew for allegedly raping an elementary student while working at St. Jude in the late 90s. It’s sickening to know this sort of thing goes on with people we trust to be around our kids. 1/2— Joe Deters (@JosephTDeters) 308
A view of a well-preserved colorful mosaic floor of an ancient Roman villa archaeologists have revealed among vineyards near the northern city of Verona, Italy. The official in charge of archaeology Verona province, Gianni de Zuccato, on Friday said the mosaics appeared to be ‘’in a good state of conservation,’’ from what they are able to observe after gingerly digging a trench between vineyards in the hills of Valpolicella, known for its full-bodied red wine. (Soprintendenza ABAP Verona via AP) 512
Alec Baldwin has played a president on television and now he says he could be one.The actor, who is well-known for portraying Donald Trump on "Saturday Night Live," tweeted Tuesday: "If I ran for President, would you vote for me?"He then followed that up with a pretty lofty campaign promise."I won't ask you for any $," Baldwin tweeted. "And I promise I will win."Since making promises that may or may not be kept is pretty standard for politicians, it sounds like Baldwin at least knows how the game is played."Beating Trump would be so easy," he concluded his tweet. "So easy. So easy."To say there is no love lost between Baldwin and the current President of the United States is an understatement.Baldwin has been a long-time critic of Trump and "SNL" has come under fire from the president for Baldwin's less than flattering portrayal of him."Nothing funny about tired Saturday Night Live on Fake News NBC!," Trump tweeted in February. "Question is, how do the Networks get away with these total Republican hit jobs without retribution? Likewise for many other shows? Very unfair and should be looked into. This is the real Collusion!" 1153
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