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Psychological first aid. That's the mission of a new program within the Medical Society of the State of New York. It's called "Peer to Peer" and it's a way for doctors to counsel each other, especially as they try to manage the exhaustion and trauma brought on by COVID-19.Dr. Frank Dowling said the medical profession has been stressful from its onset. “You can find journal articles from 1850 talking about docs and depressions alcohol and suicide," Dowling said. Initiating the "Peer to Peer" program has been a career goal of his, a bucket list item.“Because we’re professionals, we expect ourselves to take all this in and, incorrectly in my view, not feel it and we have a professional demeanor,” Dowling said.Dr. Dowling says doctors are under immense pressure to not show the stress they take on. “Could you imagine a cardiac surgeon working on someone you love, bringing them to the emergency room saying 'OMG, I have a life in my hands?' So it gets pushed aside in its own natural way where people know how to do it and we do what we’ve got to do,” Dowling said.Add in insurance headaches, trauma, and then: 2020. And COVID-19. New York's medical system is still dealing with the stress of the pandemic.“Those stressors don’t stop because we have a pandemic, the pandemic adds to the burden of stressors that already exists,” Dowling said.Dr. Charles Rothberg chairs the Medical Society, State of New York's Committee on Physician Wellness and Resiliency. They've been working on the "Peer to Peer" program because physician burnout is not new. COVID-19 hit, and they knew it needed to get off the ground.“The program is essentially for people that are engaged in a stressful profession that from time to time find that their coping mechanisms are exceeded by the stressors they experience,” said Rothberg.There's been doctor suicides, addiction and financial problems, real life struggles, exasperated by the coronavirus. For doctors, there's often a stigma associated with the stress. “There was concern that physicians would not want to consult a peer for fear that they would be reported or trigger an obligation of a colleague to do the reporting,” Rothberg said.Peers, he says, should provide safety, comedy, a connection - and basic support. “A physician should know that they are doing a good job even if sometimes unexpected outcomes occur for example,” Rothberg said.Before they launched "Peer to Peer", they were working on ways to prevent and reduce doctor burnout. Ironically, that program was halted because of COVID-19. Which, then of course, made the burnout even worse."Peer to Peer" offers a number to call- 1-844-P2P-PEER and an email, p2p@mssny.org, to contact, 24 hours a day, 7 days a week, not for treatment, but casual conversation, to talk it out with someone who's going through the exact same thing. “Maybe to just share with a peer that this happened to me also and here’s how I responded to it a lot of the problems that people have are common to each other,” Rothberg said.Or, as Dr. Dowling puts it, head over to the zoom diner, meet a friend and take a load off. “I want the docs that we help in the peer to peer to get well, to get better, to love life again and love why they went into medicine," said Dowling. 3263

Prosecutors accused former Trump campaign chairman Paul Manafort of being a "shrewd" liar who orchestrated a global scheme to avoid paying taxes on millions of dollars as Manafort's trial kicked off on Tuesday.Manafort lived an "extravagant lifestyle" fueled by millions of dollars in "secret income" that he earned from his lobbying in Ukraine, said Uzo Asonye, a prosecutor working on the case with special counsel Robert Mueller's team, in his opening statement."All of these charges boil down to one simple issue: that Paul Manafort lied," Asonye said. 564

PROVIDENCE, R.I. (AP) — Eight acrobats injured when the rigging suspending them by the hair plummeted to the floor during a circus performance in Rhode Island in 2014 have reached a .5 million settlement with ownership and management of the arena where the circus was held.Zachary Mandell, an attorney for the women, confirmed the settlement, first reported by The Providence Journal.A metal clip that held the acrobats 20 feet above the floor of the Dunkin' Donuts Center snapped.The women sued the Rhode Island Convention Center Authority, which owns the arena, and SMG, which manages it.According to the Associated Press, SMG arranged with Feld Entertainment to bring the Ringling Bros. and Barnum & Bailey Circus to Providence.The Department of Labor's Occupational Safety and Health Administration (OSHA) found that the clip was overloaded after the accident, so they cited Feld and imposed a fine, the AP reported.An attorney for both entities said he could neither confirm nor deny a settlement.Mandell added that insurers would pay the settlement. 1070

RAMONA, Calif. (KGTV) — Two people were killed and a third person was seriously hurt in a head-on collision in Ramona on Wednesday.CHP said at about 12:15 p.m., a 56-year-old woman was driving a 2016 Ford Focus northbound on Mussey Grade Road, south of Mahogany Ranch Rd., at a high rate of speed. At the same time, an unidentified woman was driving a 2017 Subaru Impreza southbound on the same road.For reasons that are unclear, CHP said the driver of the Focus lost control of her vehicle and veered into the opposite lane, colliding head-on with the Impreza.The driver of the Focus and a male passenger in the Impreza died at the scene, CHP said. The driver of the Subaru was taken to Palomar Medical Center with major injuries.CHP says they believe both occupants in the Subaru were wearing a seat belt, but the driver of the Ford was not at the time of the crash.It's unclear whether alcohol or drugs played a factor in the crash. 943

RANCHO SANTA FE, Calif. (KGTV) - North County’s Helen Woodward Animal Center will get “pawliticians” involved in Tuesday’s elections with special poll visits by adoptable dogs.The animal shelter will take four puppies to the Rancho Santa Fe library at 17040 Avenue De Acacias to meet voters between 7 and 9 a.m. “The political temperature is tough right now,” said Helen Woodward Adoption Services Manager Ashley Freeman.  “We are hearing that a record-number of people plan to vote tomorrow and that party lines are more sharply drawn than ever before.  It could be tense out there but a cute fuzzy face is something we can all get behind.” Pets are known to lower blood pressure, decrease anxiety, and increase positivity, shelter officials say.For more information on the candiPETS or to apply to adopt them, please visit the center's website, call 858-756-4117 ext. 313 or visit Helen Woodward Animal Center at 6461 El Apajo Road in Rancho Santa Fe. 986

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