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Medical offices around the country are opening back up for routine health checks and they're facing a huge problem; there's still a shortage of protective gear. Now, many are spending huge amounts of money restructuring the way they operate to keep themselves and their patients safe.On a window ledge at ENT and Allergy Associates in White Plains, New York, sits a number of brown paper bags. Inside, face masks labeled for each physician.“We have paper bags on our window sills with a bunch of masks. In there, we have 3-4-5 masks we’re rotating through. Those have to be kept covered to protect them from splatter or anything because once they get dirty, then they have to be thrown out,” Dr. Daniel Gold said. “We circulate gowns as well.”Gold is an E.N.T., which is the medical and surgical choice for anything having to do with the ears, nose or throat. It's a profession that is very much in your face, so protective gear is of utmost importance.“After wearing them for 5-10 minutes, you get short of breath and you’re like this is really hard,” he said.Doctors like Gold are having a hard time getting more gear. In fact, Dr. Gold often uses shields that are designed for sheet metal work because medical grade equipment is back ordered, or entirely unavailable. A surgical mask which once cost 30 or 40 cents now costs to .50.They've also found that knockoffs are being sold.“Not made of same material, not sealing against the face, and some had seam lines and then when you really looked, you’d realize there were holes through the seam lines that’s not blocking 95%,” Gold said. “You’re better wearing a t-shirt mask.”Dr. Gold is far from alone on this issue. It's a statewide and nationwide problem. Dr.Bonnie Litvack is the president of the Medical Society, State of New York.“That is an absolute mess because we can’t deliver the care if we don’t have the resources and the mask is ground zero for that,” Said Dr. Bonnie Livtack, the president of the Medical Society of the State of New York.When asked about whether they were able to negotiate for price on PPE, Litvack said, “With the various companies they either have it or they don’t, or you pay the prices or you don’t.”Dr. Litvack joined other state medical societies in the country by sending a letter to the Senate. They're asking the government to step in."We urge Congress to prioritize the production, distribution, and availability of PPE and testing, and accelerate efforts to conduct contact tracing,” the letter read. “All of these are essential to the safe reopening of medical practices and the economy and must be prioritized for all health care workers."They're also asking for financial help as their costs to operate, while seeing half the patient volume, are mounting.“These additional precautions and equipment is running us about per patient,” Dr. Gold said. “It’s about a million in extra overhead a month just in these extra masks, and gowns, and gloves and wipes. All these other things, which nobody could have thought to budget in because who would have thought we’d have to consider every patient highly infectious.”It's a new way of operating, as everyone is learning how to function in our new, post-pandemic world. 3229

MANAGUA, Nicaragua (AP) — Hurricane Eta is quickly gaining force as it heads for Central America, threatening massive flooding and landslides across a vulnerable region. The National Hurricane Center says the storm has 150 mph sustained winds, as of Monday evening, and is gaining speed as it approaches land. The hurricane was just 6 mph shy of category 5 strength. Eta is expected to hit along the Nicaragua-Honduras border, with landfall coming sometime on Tuesday. The rainfall is expected to be heavy, it could be three feet in some places. The storm surge is predicted to get as high as 12-18 feet above normal tide. "Through Friday evening, heavy rainfall from Eta will likely lead to catastrophic, life-threatening flash flooding and river flooding across portions of Central America, along with landslides in areas of higher terrain. Flash and river flooding is also possible across Jamaica, southeast Mexico, El Salvador, southern Haiti and the Cayman Islands," according to the advisory from the NHC. 1021

MALIBU (CNS) - Santa Ana winds were expected to continue to plague firefighters battling the deadly Woolsey Fire in Los Angeles and Ventura counties Tuesday as officials re-emphasized to evacuated residents that they must stay away until the area has been declared safe.Winds of 25 to 35 mph were forecast to blow with gusts of 40 to 45 mph, National Weather Service Meteorologist Joe Sirard said. Those wind speeds are likely to drop to 25 to 30 mph Tuesday night into Wednesday with gusts to 40 mph.That prompted the NWS to continue its Red Flag Warning through 5 p.m. Wednesday for the Woolsey Fire area in Los Angeles and Ventura counties -- except Malibu, where the Red Flag Warning is set to expire at 5 p.m Tuesday. High temperatures of 70s to low 80s are predicted through Wednesday with lows near freezing ``in wind-sheltered areas,'' Sirard said.The latest Woolsey Fire update from Cal Fire had at least 435 structures destroyed, 24 structures damaged and the estimated number of structures still threatened about 57,000.The blaze has burned about 93,700 acres and was 30 percent contained, with full containment not expected until Thursday, Cal Fire said. The two people who died were found inside a burned vehicle in a long driveway in the 33000 block of Mulholland Highway.``It's the feeling of homicide detectives that the driver became disoriented and the vehicle was overwhelmed by the fire,'' sheriff's Chief John Benedict said.Three firefighters have been injured battling the Woolsey Fire. And Malibu City Councilman and Mayor Pro Tem Jefferson ``Zuma Jay'' Wagner was recuperating at a hospital from conditions related to his unsuccessful efforts to save his home Friday night.Firefighters were focused on making sure any hot spots in Malibu Canyon don't cross into Topanga Canyon, because a falling ember has more than a 90 percent chance of igniting brush, authorities said.Some 3,592 firefighters were assigned to battle the blaze, while, 22 helicopters worked from above, officials said. A total of 619 engines, 48 water tenders, 23 bulldozers and 57 hand crews were sent into the battle, Cal Fire reported. Crews from other areas, including Orange County and Arizona, also sent firefighters and equipment to aid the battle.The continuing danger prompted Los Angeles County officials to re-issue a warning to residents in evacuated areas to stay away until conditions are deemed safe.``Although it may appear that fire threats have passed in some communities, officials warned that the situation remains unstable and can shift dangerously with changes in wind patterns and other unpredictable factors,'' the advisory noted. Officials noted there are downed power poles and live power lines, live embers that could reignite, buckled roads, landslides and unstable ground, massive debris, unhealthy air quality, poor visibility and now power or cell phone access.While some evacuation orders for county communities remained in effect, all mandatory evacuation orders for the City of Los Angeles were lifted as of 7:47 p.m. Monday, authorities said.The Los Angeles County Sheriff's Department also announced that people were returning to their homes in Agoura Hills, Westlake Village, Oak Park, North Ranch and Newbury Park residents affected by the fire. Cal Fire announced Monday evening that evacuation orders have now been lifted for West Hills in Los Angeles and Bell Canyon in Ventura County.But the entire city of Calabasas remained under mandatory evacuation orders Tuesday.Despite messages to the contrary on social media, officials are not escorting residents back into the evacuated areas to retrieve medications, Los Angeles Police Lt. Eric Bixler said.Malibu City Councilman Skylar Peak has asked people to refrain from attempting to get back into Malibu by boat. A community meeting for Malibu-area evacuees was scheduled for Tuesday night at Santa Monica High School's Barnum Hall.The sheriff's department has repeatedly tried to reassure residents that their homes would be safe from looters, with 500 to 600 deputies on 12-hour rotational shifts.Northbound and southbound Ventura (101) Freeway from Valley Circle Boulevard remained open. Pacific Coast Highway remained closed to all traffic from the Ventura/Los Angeles County line to Sunset Boulevard.The fire has also closed libraries in Agoura Hills, Malibu, Topanga and Westlake Village. There's no word yet on when the libraries would reopen.The California Public Utilities Commission was investigating Southern California Edison for its possible role in the fire.According to CPUC, electrical infrastructure may have suffered malfunctions near ground zero of the blazes two minutes before they began.The agency also is investigating PG&E for its possible role in the Camp Fire in Butte County, which has burned 113,000 acres and resulted in at least 42 deaths.Chris Thompson of SCE said there were 13,000 customers who initially lost power, mostly in Malibu, and now that number has been reduced to 9,000.He also said that it will take time to replace the telephone poles destroyed by the fire, especially in canyon areas. He said they will need to use a helicopter to bring in the new poles. ``We can't just drive poles in on a truck to those areas,'' he said.The fire -- which began Thursday afternoon -- has forced the evacuation of at least 75,000 homes and an estimated 265,000 people in L.A. and Ventura counties as it consumed multimillion-dollar mansions and mobile homes.In Malibu, Pepperdine University said the school's Malibu and Calabasas campuses would remain closed through Thanksgiving. All Malibu schools in the Santa Monica Malibu Unified School District will remain closed until at least Thursday, the district announced. City officials said there will likelybe intermittent power outages due to weather and fire conditions.Fire information for Los Angeles County can be found at www.lacounty.gov/woolseyfire. Malibu also has established a website to update fire information at www.malibucity.org/woolsey.The Conejo Unified School District, which includes parts of Los Angeles and Ventura counties, closed its schools for Tuesday after inspectors found that at least two schools required major clean-up.The Federal Aviation Administration sent a tweet reminding drone operators that they could face severe civil penalties and potential criminal prosecution for flying drones over fire areas.Officials with the Santa Monica Mountains National Recreation Area are trying to account for the 13 mountain lions they are tracking with GPS collars. They said eight of the cougars are alive and moving but they have received no transmissions since the fire began from five of them. They also have been unable to locate four bobcats. The park is closed due to wildfire danger.In an about face from Twitter attacks last week against California's forest management, President Donald Trump has tweeted that he has approved an ``expedited request'' for a major disaster declaration for California.``Wanted to respond quickly in order to alleviate some of the incredible suffering going on. I am with you all the way. God bless all of the victims and families affected,'' Trump said.Firefighters made progress on the much smaller Hill Fire north of Malibu and south of Simi Valley in Ventura County. That wildfire, which has consumed about 4,500 acres and destroyed two structures, was 80 percent contained. No civilians or firefighters were killed or injured and fullcontainment was expected Wednesday. 7519

MEXICO CITY (AP) — Authorities in the western Mexico state of Jalisco say they believe three film students missing since last month were killed and dissolved in acid.The Jalisco Attorney General's Office says two men have been arrested and there are arrest orders for four others in the case.The students were abducted March 19 on the outskirts of Guadalajara after working on a film project for school at a location that was apparently being watched by members of the Jalisco New Generation cartel.Authorities said at a news conference Monday that the students were taken to another location where one was beaten to death. Then the other two were killed.Prosecutors say the bodies were taken to a third location, where investigators believe they were dissolved in sulfuric acid. 787

MENTOR, Ohio — Some northeast Ohio salon owners are concerned House Bill 189, which proposes cuts in mandatory cosmetology training, could create a potential public safety issue.The measure sponsored by State Representatives Kristina Roegner (R-Hudson) and Alicia Reece (D-Cincinnati) calls for a reduction in training for cosmetology licensing from 1500 hours to 1000 hours.Bill proponents believe the measure will improve Ohio’s cosmetology laws by allowing more cosmetology graduates to enter the workforce earlier and with less debt, thus increasing entrepreneurship and bolstering the workforce for Ohio’s salons.But some local salon owners, like Jennifer Pealer with Jenniffer and Company Salon in Mentor, believe a reduction in required training can set-up future cosmetologists for potential salon mistakes. Pealer believes 1500 hours of training is needed to insure cosmetologists are prepared to use potentially hazardous chemicals and equipment on a daily basis."The biggest thing is public safety," said Pealer. "Hair damage can occur very easily without proper training. What happens is there is damage to the follicle, the hair breaks off, and if it's not reproduced, there could be balding."Salon owner Nancy Brown owns the Brown Aveda and Casal Aveda Institutes for cosmetology training in Northeast Ohio and believes HB-189, and its companion Senate bill, SB-129, are being considered for the benefit of chain salons, which provide quick hair cuts and not more technical services.Brown believes the measures sets cosmetologists up to be under-trained, and could also cut training for nail technicians to just 100 hours."The equipment we use requires training, the shears we use are sharp enough to perform surgery," said Brown. "Our curling irons at the professional level are 450 degrees. The pedicures and manicures, people have lost toes, they had all kinds of injuries because of uncleanness."News 5 reached out to State Representatives Kristina Roegner about bill benefits, but we're still waiting for a response.Those against HB-189 have set up an on-line petition.Meanwhile, Brown said the bill could be voted on in the House as early as mid-May. 2258