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Driving down a dirt logging road in rural Maine, paramedic Nathan Yerxa can’t help but take in the view most days. Looking out over the landscape here, it’s as if the sky and the land seem to merge.Yerxa is a paramedic for North East Mobile Health Services and stationed in Jackman, Maine, a small town in the northern part of this state home to about 700 people. From the edge of town, you can see the Canadian border in the distance, and on any given day, paramedics here are responsible for covering an area that’s approximately the size of the state of Rhode Island.“The remote landscape and difficult terrain make it difficult to bring resources to the area,” Yerxa said, as he drove through town in a Ford pickup truck that’s been converted to an all-terrain ambulance.Like rural communities across the country, getting patients to an emergency room in this area is a difficult, often time-consuming task. The closest ER is about 70 miles away, a trip that can sometimes take close to two hours. While Jackman does have a community health center, the facility can’t perform many emergency procedures most larger hospitals can.So, in an effort to save time and lives, the emergency room is being brought to Jackman in an innovative new way, harnessing technology and the expertise of paramedics likes Yerxa.“I think it’s one of those situations where what’s old is new again,” he said.The idea is a Critical Access Integrated Paramedic program. Paramedics here are receiving more training in critical care. While at the same time, that pickup truck Yerxa relies on is being outfitted with tools like satellite internet and a satellite phone. First responders even have heart rate monitors that can send data wirelessly to a doctor anywhere.The concept is simple. Using technology, paramedics can instantly connect to a doctor no matter where they take a call. From stitches to ultrasounds, paramedics in this region are bridging the rural healthcare gap by instantly connecting via video chat to a doctor who may be hours away.“It is in many ways like a high-tech home visit that you might have seen 60 years ago, but we’re also bringing urgent care services with us,” Yerxa explained.Finding new ways for rural communities to connect is a key component to the program's success.Nationwide 25 million people don't have access to broadband.The COVID-19 pandemic has only magnified the issue. In Maine alone, 36,000 telehealth calls were made last month up from 650 the same time last year. Many times, though, patients and doctors have trouble connecting because of poor internet connections.Town manager Victoria Forkus pushed hard for the program.“We were in a way forced to implement this new program early because of COVID,” she said while sitting inside Jackman’s town offices.The whole program is costing Jackman and surrounding communities about 0,000 a year to implement. Some of the money will come from a tax increase, which is no small feat in a town where the median income is just ,000.But out here, the program has overwhelming support.“What’s the dollar amount on one of my neighbors’ lives? What’s the cost of saving a community member? It’s priceless,” Forkus added.The concept of the program is gaining attention across the state.Jim Rogers, with Health Connect Networks based in Maine, is lobbying Congress hard to expand rural broadband connectivity. It’s something he says is now more imperative than ever given the pandemic.“People in these rural communities just don’t have adequate internet to support a telehealth consult,” he said.As for Yerxa, he sees the program as something other rural communities across the country can emulate.“Hopefully, we can now provide 24-hour coverage to patients in any of these rural locations.” 3770

EL CAJON, Calif. (KGTV) - A man fatally stabbed inside an East County condominium has been identified as an active-duty service member.Anderson Lopes, 24, was found unresponsive at his El Cajon condo just after 10:30 p.m. on March 6, according to the San Diego Sheriff's Department. Lopes's wife said her husband was injured in an assault inside the home in the 13000 block of Pinkard Way.Lopes was treated at the scene and brought to a nearby hospital, but died from his injuries. His wife, who said she was trying to break up the fight, was stabbed in the thigh and underwent surgery.RELATED: Suspect arrested in El Cajon stabbing deathSDSO said Lopes was an active-duty service member in the U.S. Navy.Deputies detained Dylan Poston, 26, at the scene. Poston has been charged with one count of murder and is being held without bail at San Diego County Jail.It's not clear what led to the reported altercation.The murder is still under investigation. Anyone with information is asked to call SDSO at 858-974-2321 or 858-565-5200, or Crime Stoppers at 888-580-8477. 1099

EL CAJON, Calif. (KGTV) - In a vigil of hope held Friday night, at least 60 people shared their homes that an El Cajon teen who is reported missing in Phoenix would soon be found. Nineteen-year-old Kiera Bergman grew up in El Cajon and went to Valhalla High School, her aunt, Mindy Tarantino told 10News. The teen moved to Phoenix earlier this year with her boyfriend. Bergman's roommate reported her missing Monday when she didn’t return home and had not shown up to work.“We were told she left her house without her purse, without her car, why would she do that,” Tarantino said. “This isn't in her character. She doesn't stop communicating with people.”Kiera’s mother and sister are in Phoenix waiting for any word from the police. Meantime, her family and friends in El Cajon lit candles and prayed for her safe return.“We haven’t slept in this whole week. It’s just horrible,” Tarantino told the crowd, reminding them to stay optimistic. “Somebody is going to crack and lead us to her.” 1014

EL CAJON, Calif. (KGTV) -- The San Diego County Sheriff's Department is looking for a man who attempted to rob a Burger King, threatening employees with a gun, in El Cajon off of Old Highway 80. Deputies say the man ordered food and when the cashier told him the amount owed, he pulled out the gun and demanded money. The employees ran to the back and the suspect shot his gun at least once before running off, according to deputies.There were no customers inside the restaurant at the time of the shooting and none of the employees were hurt. The suspect was seen taking off westbound on Old Hwy 80 in a dark-colored pick-up truck. He's described as white or Hispanic, 5'8", and about 200 pounds. Anyone with information is asked to call the San Diego Sheriff's Department. 783

Dr. Anthony Fauci said the country is at a critical place during the pandemic, and that the worst is probably still ahead. Despite warnings about traveling and getting together with people outside a household, Fauci feared another surge on top of the current surge following the Christmas holiday.“We very well might see a post-seasonal — in the sense of Christmas, New Year’s — surge, and as I’ve described it, as a surge upon a surge,” Fauci said on CNN’s “State of the Union.”“I share the concern of President-elect Biden that as we get into the next few weeks it might actually get worse,” Fauci continued.During the interview, he also expressed optimism about the speed of vaccinations happening across the country.As of Monday morning, almost 2 million Amerians have received the first dose of either Pfizer or Moderna’s two-dose COVID-19 vaccine. Nearly 10 million doses have been distributed to states, the CDC reports.Over the weekend, Fauci said he now believes the country will need to reach a 80-85% rate immunity to reach so-called herd immunity. This is an increase over earlier estimates, which were closer to 70%.On Sunday, Senator Marco Rubio called out Fauci in a tweet questioning the change.“Dr. Fauci lied about masks in March. Dr. Fauci has been distorting the level of vaccination needed for herd immunity. It isn’t just him. Many in elite bubbles believe the American public doesn’t know ‘what’s good for them’ so they need to be tricked into ‘doing the right thing,’” Rubio’s tweet says. 1520