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When you're facing a medical emergency, you trust your life to the doctors at in the emergency room. Those doctors sometimes have just seconds to make life or death decisions. Four in Your Corner is giving you an inside look as to what it's like to be an ER doctor."I love the pace of things and it takes a certain person to be an ER doctor," Dr. Keith Burley, who works in Cape Coral Hospital's emergency room, said/ "Emergency medicine is a true team sport. It takes the whole department to really resuscitate someone who is very sick.""Say someone comes in in cardiac arrest. They come in right through our trauma bay doors. They're dropped into one of our resuscitation rooms. Our team organizes very quickly. Everyone knows their jobs," Dr. Burley said.\In cases like this, techs will be running IVs; nurses will be hooking up defibrillation pads. Pharmacists will be running drugs. Staff will be trying to find out a patient's name. Dr. Burley said it's all about balancing quickness with efficiency while making sure patients are safe during triage."It's very important we triage effectively, making sure we point out and pick up the really sick people early on so we dedicate most of our resources to those sick people," Dr. Burley said. "We do need to triage because we have limited resources we need to effectively implement."Dr. Burley said when he sees a patient, he's trained to think worst case-scenario first."So someone coming in with a headache, we think, could this be a stroke? Could this be a subarachnoid hemorrhage? Could this be something else going on? Before we think it's just a headache," he said.Dr. Burley has known he's wanted to be a doctor since he was four years old after he was in a life-changing, dangerous situation."Like a good Canadian, I was tobogganing down a hill. We were going down the hill and my brother bailed. We continued to go down the hill and I hit a tree with my head," he said.He had a fractured skull and lost hearing in his left ear."I was seen by ER doctors, trauma doctors, a pediatric neurologist, had multiple MRIs," he said. "From that point on, as a young child, I always wanted to be a doctor."He said one of his most bizarre cases was just hours before Hurricane Irma hit. A dog was brought into the ER with it's eye hanging out."I'm not a veterinarian and I don't pretend to be one. I have a dog but it's a little out of my realm," Dr. Burley said. "We placed a pressured dressing and one of the staff members was able to call around to get a vet to see that dog just before the storm."For that dog and family, it was a happy ending, but Dr. Burley said the hardest part about emergency medicine are the days he deals with death and dying."It takes a certain person to deal with death and dying every day and then come back. It's a resiliency characteristic that all the ER staff have," Dr. Burley said.Whether their patients survive or not, the doctors have to learn to compartmentalize -- going from patient to patient until the end of their eight to 10 hour shift."We'll see a pediatric drowning, and then the next case we'll see someone with an eyeball injury, or someone with a simple laceration, and we have to give that patient the same amount of attention we gave the other patient and reset," he said."It's a privilege to be in a discipline where you get to see someone on their worst day of their entire life, and if you can make that a little better, you've done your job," he said.Dr. Burley said to unwind, he spends a lot of time at the beach and kite surfing. 3562

White House lawyer Ty Cobb is leaving his position, the White House said Wednesday."For several weeks Ty Cobb has been discussing his retirement and last week he let chief of staff (John) Kelly know he would retire at the end of this month," White House press secretary Sarah Sanders said in a statement.The New York Times first reported the news."It has been an honor to serve the country in this capacity at the White House," Cobb told the Times. "I wish everybody well moving forward."The Times, citing two people briefed on the matter, said attorney Emmet Flood would replace Cobb as the President continues to grapple with the special counsel investigation led by former FBI Director Robert Mueller. Flood represented then-President Bill Clinton during his impeachment process in the late 1990s.Cobb, a former federal prosecutor, joined Trump's legal team in July 2017. 882

With a population density of six people per square mile, few places are quite as suited to ride out COVID-19 as Wyoming.But in the south-central part of the state, close to the Colorado border, sits a ranch that might offer the best accommodations of all.At ,000 per night, renting out Magee Homestead might not be for everyone, but for the clients it does attract, it offers an opportunity to quarantine with family while offering the ability to vacation with fly fishing, archery, and horseback riding.“The decision was either to open or not,” said ranch proprietor Jeremy Belnap. “Then, we slowly started to get inquiries for families wanting to get away.”Like so many businesses across the country, the ranch had to answer a difficult question during the months of March and April.“We had originally chosen to close the ranch for the season and open back up for the 2021 season,” said Belnap.With 7,500 acres of land to tend to and dozens of living spaces that require electricity, the prospect of closing was daunting and carried loads of overhead.“Financially, we suffer if we close the night with two or four guests on property,” Belnap said. “We have a staff of 45 dedicated people. We spend that much on labor in a day so it can cripple you.”As it was preparing to close, however, the ranch started getting calls from families, some of whom had stayed at Magee Homestead previously, that were interested in renting the entire ranch out.After some consideration, Belnap and the staff made the decision to switch their business model to accommodate the buyouts, allowing them to stay open while offering the families a chance to stay safe away from home.“It’s like we’re quarantining together,” said Belnap. “[It was] a light bulb moment. We took enough phone calls to say this could really make sense.”At capacity, the ranch can house up to 12 couples at a time. At approximately ,000 per guest per night, it requires a sold-out crowd on each night to reach its revenue ceiling, but Belnap says the buyouts offer more revenue with fewer question marks, and it is something they plan to continue once the worst of COVID-19 passes.“It’s very efficient,” said Belnap. “It’s a lot of fun having a family here for entire week, where you really get to know the family and the kids.” 2297

With COVID-19 cases surging across most of the country, teachers are weighing whether it’s safe for them to return to the classroom while at the same time, trying to make sure their students don’t slip through the cracks because of the virus.In a virtual town hall-style meeting, four educators from across the country gathered to share their thoughts, concerns and excitement about the upcoming school year. The overriding theme: parents and students will need to be flexible.“We’re going to ask you for grace for this entire year. We want to teach your children, but when we voice concerns it’s not because we’re lazy and we don’t want to work, it’s because we want to make sure our families are safe, too,” said Rachel Sandoval, an elementary school teacher in Colorado.Sandoval’s school was forced to close back in March because of COVID-19. She knows her students have lost out on valuable in-person learning time because of the virus, but she’s also worried that gathering students back in a classroom setting this coming fall could give the virus a perfect environment to spread in.“We can’t do the same thing we did last year. The world has changed. Everything has changed,” she said.Her concern was echoed by other teachers who joined the virtual town hall.Steph MacPhail teachers 5th grade in Minnesota. As a mom, she’s struggled to juggle a full-time teaching job, while at the same time, taking care of her two young boys.“I felt really burned out this spring from a teacher perspective and from a parent perspective,” she said.While McaPhail misses her students, she worries that COVID-19 cases will continue to surge if kids go back to school.“Kids and families want to go back to normal, but this is going to be anything but normal, and that’s scary,” she said.Across the country, many school districts are choosing to start the year virtually, which brings another set of challenges. Some kids don’t have adequate internet access or access to a computer that they can use to access online classes.“We need to make sure kids are still staying engaged while at the same time dealing with these environmental factors. For a lot of students in poverty-stricken areas, having the one interaction at school is so critically important,” said Dr. Kenyae Reese, who serves as a principal in Nashville, Tennessee.Dr. Reese’s district is one of those starting the school year entirely online. She’s asked her teachers to be flexible. In some instances, she says she’s talked to students who might be embarrassed to turn on their camera during a Zoom call because of the home they live in. Other students in her high school are taking care of younger siblings, all while trying to keep up with classwork.“We’re changing the landscape of a whole generation, what they know about school and how they interact with people,” Dr. Reese said.With all the uncertainty, though, every teacher still expressed joy and excitement about whatever the upcoming school year brings, including Phillip Starostka, who teaches elementary school in Arizona.“We are working as hard as possible and will do everything we can to make it seamless,” he said. 3145

Wisconsin voters are heading to the polls on Tuesday for primary elections, and Democrat voters will select from a crowded ballot of gubernatorial candidates.A total of 10 candidates are on the Democratic primary ballot — but one of them is telling voters to skip his name."I could never imagine that I would be asking people not to vote for me," candidate Andy Gronik said.Gronik withdrew from the race last month, but not before ballots were printed. "I've already received some emails from people who have voted for me, and they were disappointed to learn I wasn't in the race," Gronik said.Dana Wachs is also still on the ballot, in the last spot, but he's also withdrawn as well.There are eight other candidates that hope to go up against Gov. Scott Walker in November: Matt Flynn, Tony Evers, Josh Pade, Mike McCabe, Paul Soglin, Kathleen Vinehout, Mahlon Mitchell and Kelda Roys.Some Wisconsinites did not even know who was running."What I had in mind is to Google it tonight for a little bit of information before I go vote tomorrow," Walker's Point voter Simon Rodrigeuz said. Others said it was hard to narrow it down."There was definitely a lot to pick from. A lot of them are good too," Lisa Vulpas saidThat's why candidates are using every second before the election. Roys went to Milwaukee Public Market this Monday afternoon as a last push before the polls opened on Tuesday."We have been communicating with voters more and for longer periods. We have been on TV for almost a month," Roys said.Mitchell rallied his volunteer door knockers in Milwaukee Monday evening."What distinguishes us is, yes we are running a statewide campaign, but we are running it like we are running a local election. And that is to get out and talk to people," Mitchell said.  1822

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