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Are you tired? Tired of the lack of normalcy, the closed public spaces, the news that we are trending in the wrong direction with this pandemic?COVID-19 fatigue is a real thing, and it’s affecting billions of people around the world.“It’s a very uncomfortable experience for us as human beings to not have a plan and not know how is this going to turn out,” said Dr. Kaye Hermanson.Hermanson is a clinical psychologist at UC Davis Health and compares the emotional fatigue to climbing a mountain. You have just spent hours hiking up, and just when you think you have hit the peak, you realize it is a false summit and see this daunting second hill in front of you.That sinking feeling knowing you have done so much, yet still have so much longer to go, is what Hermanson says this second spike in COVID-19 numbers can feel like."We’re actually hoping for the absence of something,” said Hermanson. "Not getting sick isn’t quite as reinforcing as something that happens where we’re like, ‘Oh, I did this behavior and it resulted in this good outcome.'"“[Fatigue] can be internal, where you feel like you’ve got these sandbags on your shoulders and you can’t take another step,” added Bob Ciampi.Ciampi is a licensed clinical social worker and says the feeling is something a lot of us are familiar with: burnout. The same kind you might feel at work or at home when you are overwhelmed.To ‘refill the tank,’ many people might go out for a night of fun with friends, or go to the gym, but COVID-19 has closed many of these places nationwide only exacerbating the issue. So, it begs the question: what can we do?“The things that we need to do are be aware of our thinking,” said Dr. Hermanson. "To say I’ll control what I can control. I’ll take it a minute at a time.”“Some people call that bite-sized pieces,” added Ciampi.Ciampi and Hermanson say the idea is to make things more manageable. Instead of looking at the daunting whole, they suggest breaking it up into more attainable parts.Small victories can help give that reinforcement. “It can be a little bit of learned helplessness,” she said. “It’s the idea that in certain circumstances where we feel like nothing we do is good enough, nothing that we do keeps bad things from happening, and so we kind of give up.”Another thing Hermanson and Ciampi suggest is adjusting our mindset or going to therapy.Hermanson says the simple knowledge that millions of other people feel just like us can be empowering and help push us through. 2494

As COVID-19 first started to spread in the U.S., hospitals around the country were forced to stop elective surgeries. Now, hospital officials say they're facing perhaps the biggest financial crisis in their history."We've had to curtail regular operations, some of which involve these non-emergent procedures that you mention, and as a result from March to June, we saw a loss of revenue of 0 billion or billion a month," said American Hospital Association President Rick Pollack.Hospitals have also taken on major expenses when it comes to preparing and caring for COVID-19 patients. Plus, many patients they treat don't have insurance.Pollack says hospitals collectively are one of the largest employers in the country, employing more than 5 million people."Half of hospitals' budgets, over half, is devoted to labor costs. So, of course, when all regular operations are shut down and you’re incurring additional expenses to prepare for treating the virus for the community, you have to find ways to cut costs," explained Pollack.Some hospitals have resorted to laying off or furloughing staff."So, it's the last choice,” Pollack said. “It's a bad choice and we try to avoid it, but sometimes, it's inevitable to just stay afloat.”"Whether the disruptions in the health industry remain temporary or permanent is an interesting case because it affects everyone," said Jack Strauss, the Miller Chair of Applied Economics at the University of Denver.Strauss is concerned about how the healthcare industry will recover from the COVID-19 pandemic, especially amid a possible second wave of infections."They make their money on elective surgery and those were not occurring, and so, they're not probably positioned to recover," said Strauss.While a number of states are allowing elective procedures again, the wait time for these patients may be detrimental."Whether it's the detection for a tumor or a scan of a part of a body for a diagnostic procedure, a replacement of a heart valve. So, when you talk about electives, they're really not all that discretionary and we’re really concerned in the period that we shut down all non-emergent procedures that there was a deferral of care,” said Pollack. “We do hear, anecdotally, that the people that are coming back are in a much sicker position because they didn’t get the care that they needed.”Pollack says in order for the healthcare industry to recover, they're going to need a lot of help from the federal government."There's no question, if we don't get the additional assistance it will put the financial viability of a lot of hospitals at risk, particularly in rural areas and vulnerable urban areas," said Pollack.As possibly the biggest industry in the country that's been on the front lines of treating COVID-19, hospitals hope they're one of the first to get major federal help so that the healthcare industry can survive this pandemic. 2909

ANTIOCH, Tennessee (WSMV) -- Exactly one week after a gunman opened fire on a Waffle House in Antioch killing four people and injuring others, community members gathered at the site to remember the victims.At exactly 3:20 this morning, people held a moment of silence, prayers and sang a song at Waffle House in honor of the victim's of last week's shooting.The group Partners in the Struggle organized the event at Waffle House this Sunday morning so that the community could gather in prayer as well as offer comfort and support to those affected by last week's shooting."What I would tell the families is [to] stay strong," said Earl Jordan of Partners in the Struggle. "God's grace and mercy [are] tremendous and we're praying. We're praying for them. We're praying for James Shaw Jr. Thank God for him, for coming out of his own self to save himself and save others."Supporters say the goal of the event is to continue the healing process and help the community move forward from the terrible tragedy.At 7 a.m., community members held another moment of silence, "standing tall" five minutes for or each of the eight victims of the Waffle House shooting.The group stood silently for 40 minutes total. 1212

An advisory committee is recommending Americans age 75 and older, along with essential workers like firefighters, teachers, and grocery store workers should be next in line for the COVID-19 vaccine.This second wave of people comes after the first tier of health care workers and long-term care facility residents that was agreed to by the Advisory Committee on Immunization Practices earlier this month should get the first of the vaccine shots that started last week.The committee, composed of health experts in the field of immunization, makes recommendations to the CDC, and they are almost always adopted.They voted Sunday afternoon on the recommendation, it was 13-to-1. They also discussed the next tier, which could include Americans age 65-to-75, as well as those who are age 16-to-64 who have high-risk medical conditions, and other essential workers not already vaccinated, according to CNN. It comes as a second COVID-19 vaccine, made by Moderna and the National Institutes of Health, begins being shipped around the country for approved emergency use and a second week of shipments arrive of the Pfizer vaccine.The CDC says roughly 556,000 Americans received the first dose of the vaccine last week. The Pfizer vaccine started being given on Monday, December 14.The general overseeing the distribution of the COVID-19 vaccines says they are on track to deliver about 20 million doses before the end of the year. Each person must receive 2 doses of the vaccine for full effect, which has been shown in both vaccines to be higher than 90% effective.As for when the second tier of frontline workers and those age 75 and older will receive their vaccines is up to state governors depending on their vaccination plans and distribution of the vaccine. The advisory panel is offering guidance to state leaders about how to handle distribution of the vaccine. 1872

American Airlines is no longer recognizing some emotional support animals.The airline says insects, goats, snakes, spiders and hedgehogs are just some of the animals that cannot travel as comfort animals.RELATED: Delta revises animal carrier on policy | United has new pet transport policy | United prohibits emotional support peacockThe guidelines were revised Monday.If you want to bring a support animal on board, American Airlines says you now have to file paperwork 48 hours before a flight.Even with the paperwork, some animals are off limits entirely because they pose a safety or public health risk.The full list is on the American Airlines' website.The airline's revised rules go into effect on July 1. 729