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Some places are looking empty right now, including doctor's offices and emergency rooms.A poll from Morning Consult and the American College of Emergency Physicians shows that 29% of adults in the United States have avoided or delayed medical care due to concerns surrounding the novel coronavirus.Medical experts stress that routine visits are still necessary for both children and adults. Even emergency room visits can be necessary.“There are people who are having stroke-like symptoms and they don't come to the emergency department,” said Dr. William Jaquis, President of the American College of Emergency Physicians. “If they had, they would've had different types of treatment. But they delayed doing that, and their results and their outcomes are worse than they could have been.”Doctors say people absolutely need to come into the ER if they're experiencing shortness of breath, chest pain, stroke-like symptoms, or if you've recently experienced a bad injury.Hospitals and doctors’ offices are taking their own precautions. All healthcare providers must wear a mask, as should patients. If patients don't have a mask, they are given one. Rooms are also cleaned extensively.“You are coming often into rooms that are isolated, single rooms, which are not exposing you to other patients. So, there's a whole range of things to make sure we're keeping our departments as safe as they can be,” said Jaquis. In fact, doctors’ offices are better able to enforce social distancing during this time because of the low volume of patients.Experts have found some people may be avoiding the doctor's office as a way to avoid putting strain on the healthcare system. 1675

Scans of the lungs of the sickest COVID-19 patients show distinctive patterns of infection, but so far those clues offer little help in predicting which patients will pull through. For now, doctors are relying on what’s called supportive care that’s standard for severe pneumonia.Doctors in areas still bracing for an onslaught of sick patients are scouring medical reports and hosting webinars with Chinese doctors to get the best advice on what works and what hasn’t.One thing that’s clear around the globe: Age makes a huge difference in survival. And one reason is that seniors’ lungs don’t have as much of what geriatrics expert Dr. Richard Baron calls reserve capacity.“At age 18, you have a lot of extra lung capacity you don’t use unless you’re running a marathon,” explained Baron, who heads the American Board of Internal Medicine. That capacity gradually declines with age even in otherwise healthy people, so “if you’re an old person, even a mild form can overwhelm your lungs if you don’t have enough reserve.”Here’s what scientists can say so far about treating those who become severely ill.HOW DOES COVID-19 HARM THE LUNGS?The new coronavirus, like most respiratory viruses, is spread by droplets from someone’s cough or sneeze. The vast majority of patients recover, most after experiencing mild or moderate symptoms such as fever and cough. But sometimes the virus makes its way deep into the lungs to cause pneumonia.Lungs contain grapelike clusters of tiny air sacs called alveoli. When you breathe, oxygen fills the sacs and passes straight into blood vessels that nestle alongside them. Pneumonia occurs when an infection -- of any sort, not just this new virus -- inflames the lungs’ sacs. In severe cases they fill with fluid, dead cells and other debris so oxygen can’t get through.If other countries have the same experience as China, about 5% of COVID-19 patients could become sick enough to require intensive careHOW DOES THAT DAMAGE APPEAR?Doctors at New York’s Mount Sinai Health System analyzed 121 chest CT scans shared by colleagues in China and spotted something unusual.Healthy lungs look mostly black on medical scans because they’re full of air. An early infection with bacterial pneumonia tends to show up as a white blotch in one section of one lung. Pneumonia caused by a virus can show up as hazy patches that go by a weird name -- “ground glass opacities.”In people who get COVID-19 pneumonia, that haze tends to cluster on the outside edge of both lungs, by the ribs, a distinctive pattern, said Dr. Adam Bernheim, a radiologist at Mount Sinai.As infection worsens, the haze forms rounder clusters and gradually turns more white as the air sacs become increasingly clogged.HOW TO TREAT THE PNEUMONIA?There are no drugs so far that directly attack the new coronavirus, although doctors are trying some experimentally, including an old malaria treatment and one under development to treat Ebola.“The best treatment we have is supportive care,” said Dr. Aimee Moulin, an emergency care physician at the University of California Davis Medical Center.That centers around assistance in breathing when the oxygen levels in patients’ blood starts to drop. For some people, oxygen delivered through a mask or tubes in the nose is enough. More severely ill patients will need a breathing machine.“The goal is to keep the person alive until the disease takes its course” and the lungs begin to heal, explained Mount Sinai’s Dr. Neil Schachter.The very worst cases develop an inflammatory condition called ARDS -- acute respiratory distress syndrome — that floods the lungs with fluid. That’s when the immune system’s attempt to fight infection “is going crazy and itself attacking the lung,” Baron explained.Many things besides the coronavirus can cause the condition, and regardless of the cause, it comes with a high risk of death.WHAT ELSE IS IMPACTED?Severe pneumonia of any sort can cause shock and other organ damage. But in a webinar last week, Chinese doctors told members of the American College of Cardiology to watch for some additional problems in severe COVID-19, especially in people with heart disease. The worst off may need blood thinners as their blood starts to abnormally clot, and the heart itself may sustain damage not just from lack of oxygen but from the inflammation engulfing the body.Another caution: The sickest patients can deteriorate rapidly, something a hospital in Kirkland, Washington, witnessed.Of 21 patients who needed critical care at Evergreen Hospital, 17 were moved into the ICU without 24 hours of hospital admission, doctors reported last week in the 4639

Sadness. I was excited and ready to watch some stuff @disneyplus #disneyplus pic.twitter.com/yKiRi3qNYG— Holly (@ItsHollyDayz) November 12, 2019 156

Protesters got into a brief confrontation with police outside President Donald Trump's campaign rally in Minneapolis on Thursday night.At one point hats bearing the president's slogan, MAGA, short for "Make American Great Again," were set on fire.Police moved in to put out the fire, apparently angering the protesters."I am so hurt. I am so sad by all of this, truly, that is what it is," said protester Laura Maki. "It's like heart wrenching to me that someone like this can take over our country and hurt people. Truly, I say, every day, it hurts my heart. I just don't understand and I don't understand how people can just ignore this. It just is heart wrenching."There were also supporters of Trump out Thursday night."He is a man that follows action. He said he was gonna do something, he's done at least 90% of what he said he was gonna do," said Wayne Roden, a Trump supporter. "They're making it hard on him to get this wall done but he has already proceeded on starting that and the parts that are already started already seeing less crime."Police briefly fell back before forming a line of bicycles and horses, with one officer using pepper spray amid the protests.Several protesters wore masks, and some chanted, "Hands up, don't shoot!""I'm out here to make our voices heard," said Bruce Wagner, who was protesting. "Abuse of power will not be tolerated. We stand up for the Constitution and our American values."But the protest quickly appeared to ebb, with protesters beginning an impromptu march.Trump was near the end of his speech by then, and the crowd of thousands had thinned well before the confrontation. 1639

ST. PETERSBURG, Fla. — A St. Petersburg man was stunned to see a credit card arrive with his name. The problem is he never applied for it.Adam Hickson pulled out a Chase Sapphire card from a UPS envelope addressed to him. The card had his full name and a limit of nearly ,000.“How could this happen? How did they get my identity?" asked Hickson. "I have no idea how they got my information right now. I can only speculate.”According to the Better Business Bureau, identity theft is the fastest-growing type of fraud in North America. “There’s not a lot of ways to prevent this from happening to you," said Jen Smith, a personal finance expert.Smith says this type of fraud can happen to anyone, especially in this age of data breaches.“It can be really disrupting because money controls so much of your life," she said.Scammers can pay for names, addresses, even social security numbers off the dark web. Hickson says he immediately called Chase when he got the card and filed a complaint with the Federal Trade Commission. No money was taken. 1059

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