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We've heard about telehealth for people, but now it's there for animals too. According to the American Veterinary Medical Association, there's been a significant increase in telemedicine, and some veterinarians are entirely virtual.The pandemic has proven we can do almost anything from our couches, computers and phones. We've grown accustomed to all things virtual and it seems our pets are used to it too.“It really highlights the value of something like this and it also really highlights where society is living. Even before the pandemic, turned to google, turned to the internet first. It's our first step in almost everything,” says Dr. Sarah Machell.Machell is the lead veterinarian for Vetster, which provides on-demand virtual care for your pet.“Consultations, meeting pet owners in their homes, where they are with their pets, and helping to address urgent and preventive care health conversations to them,” Machell said.She says the company, which launched in October 2019, wasn’t formed because of the pandemic, but they certainly evolved at the right time."The veterinary clinics themselves are feeling a really heavy surge with the pandemic. It’s a pretty crushing situation for them. We already as a profession had some staffing challenges, not enough veterinarians for how many pets and pet owners there are,” Machell said.Pet owners, she says, often have a hard time getting an appointment. Or they have to wait in their cars with their animal outside of their clinic. And, according to Vetster, 50% of pet owners don't even have an established home clinic.“There was a poll recently that showed 37% of American households welcomed a new pet into their home during the pandemic. Pandemic puppies are a real thing,” Machell said.“I think it offers a great addition to the tools I have at my disposal. Telehealth can be used very much the same way,” said Dr. Douglass Kratt, president of the American Veterinary Medical Association. The AVMA serves roughly 96,000 veterinarians across the country. They've been through a lot this year, adjusting to new norms, like all of us. As in human medicine, they've had to perfect, or initiate virtual options.“It doesn’t replace your veterinarian. What it does is help your vet better serve you and your family member,” Kratt said.Kratt admits there are some obvious challenges.“I can’t hear if your dog is coughing, I can’t listen to the heart and lungs via telemedicine so that wouldn’t be amenable,” Kratt said.He says, however, it's effective overall, and especially worthwhile if it's with your established vet. But if you don't have one, Vetster and other businesses like it aim to help.“There are so many pets and pet owners who sometimes sit on things and aren’t sure if they need to go into a clinic, really appreciate that piece of mind in the middle of the night that no, you don’t need to pack yourself up and get into a vet clinic. This is something you’re okay to wait until the morning,” Machell said.And she says they're prepared to help all animals from pocket pets to exotic and large animals. It’s yet another adjustment and another pivot in 2020. 3131

WINDSOR, N.C. — At least six people were killed as Tropical Storm Isaias spawned tornadoes and dumped rain Tuesday along the U.S. East Coast after making landfall as a hurricane in North Carolina, where it caused floods and fires that displaced dozens of people.Two people died when Isaias spun off a tornado that struck a North Carolina mobile home park. Another person died in Pennsylvania when their vehicle was overtaken by water and swept downstream. Two others were killed by falling trees toppled by the storm in Maryland and New York City, and a sixth person died in Delaware when a tree branch fell on them, authorities said.Isaias sustained top winds of up to 65 mph more than 18 hours after coming ashore, but it was down to 45 mph max winds as of 10:50 p.m. EDT Tuesday, according to the National Hurricane Center. The storm's center was about 45 miles southeast of Montreal, moving northeast into Canada at about 38 mph.As Isaias sped northward, flooding threats followed. The Schuylkill River in Philadelphia was projected to crest early Wednesday at 15.4 feet, its highest level in more than 150 years. By Tuesday night, the river had already topped its banks in low-lying Manayunk, turning bar-lined Main Street into a coffee-colored canal.Aerial video by WRAL-TV showed fields of debris where rescue workers in brightly colored shirts picked through splintered boards and other wreckage of the Windsor, North Carolina, mobile home park where two people were killed. Emergency responders searching the area Tuesday afternoon found no other casualties, and several people initially feared missing had all been accounted for, said Ron Wesson, chairman of the Bertie County Board of Commissioners. He said about 12 people were hospitalized.“It doesn’t look real; it looks like something on TV. Nothing is there,” Bertie County Sheriff John Holley told reporters, saying 10 mobile homes had been destroyed. “All my officers are down there at this time. Pretty much the entire trailer park is gone.”In eastern Pennsylvania, a 44-year-old Allentown woman was killed after encountering high waters on a street in Upper Saucon Township that swept her vehicle downstream Tuesday afternoon, the Lehigh County coroner’s office said.While in New York City, a massive tree fell and crushed a van in the Briarwood section of Queens, killing Mario Siles, a 60-year-old construction contractor who was inside the vehicle, police said. A woman in Mechanicsville, Maryland, died when a tree crashed onto her car during stormy conditions, said Cpl. Julie Yingling of the St. Mary’s County sheriff’s office.In Delaware, authorities said a woman was outside assessing storm damage when she was hit and killed by a falling tree branch.Isaias toggled between hurricane and tropical storm strength as it churned toward the East Coast. Fueled by warm ocean waters, the storm got a late burst of strength as a rejuvenated hurricane with top sustained winds of 85 mph before coming ashore late Monday near Ocean Isle Beach, North Carolina. Its tropical storm status was sustained, but weakened, as it headed north into Canada on Tuesday night.Before making landfall late Monday, Isaias killed two people in the Caribbean and battered the Bahamas before brushing past Florida.Tornadoes were confirmed by the National Weather Service in Virginia, Maryland, Delaware and New Jersey. Power outages also spread as trees fell, with more than 3.7 million customers losing electricity across multiple states as of 10:15 p.m. EDT Tuesday, according to PowerOutage.US, which tracks utility reports. New York City's power utility said it saw more outages from Isaias than from any storm except Superstorm Sandy in 2012.In Doylestown, Pennsylvania, officials said four children were treated for minor injuries after high winds partially tore the roof off a day care center. Also in the Philadelphia suburbs, rescue workers in Delaware County were searching for a young person who fell or jumped into the fast-moving water of a swollen creek, said Timothy Boyce, the county emergency services director.In New York City, fierce wind and rain forced the Staten Island ferry and outdoor subway lines to shut down. The New Jersey Turnpike banned car-pulled trailers and motorcycles.Some of the worst damage Tuesday seemed to be east and north of where the hurricane’s eye struck land in North Carolina.“Fortunately, this storm was fast-moving and has already left our state," Gov. Roy Cooper said Tuesday afternoon.In North Myrtle Beach, South Carolina, the storm sent waves crashing over the Sea Cabin Pier late Monday, causing a big section to collapse into the water as startled bystanders taking photos from the pier scrambled back to land.“I'm shocked it's still standing,” said Dean Burris, who watched from the balcony of a vacation rental.The Hurricane Center had warned oceanside dwellers near the North Carolina-South Carolina state line to brace for storm surge up to 5 feet and up to 8 inches of rain.Eileen and David Hubler were out early Tuesday cleaning up in North Myrtle Beach, where 4 feet (1.2 meters) of storm surge flooded cars, unhinged docks and etched a water line into the side of their home.“When the water started coming, it did not stop,” Eileen Hubler said. They had moved most items of value to their second floor, but a mattress and washing machine were unexpected storm casualties.“We keep thinking we’ve learned our lesson,” she said. “And each time there’s a hurricane, we learn a new lesson.” 5507

When it comes to the classroom, it's not unusual for teachers to have assistants. But those helpers aren't always people. At one school, students are learning in a completely new way.We all know it can be fun to play with a dog. But by helping Buster get through an obstacle course, Buster's also helping elementary school student Mason Gentry in ways he hadn't planned."Definitely with focus," Gentry said. "Because sometimes I just have a hard time focusing."But how?"Because I have to help focus on what Buster is doing in order to do what I need to do with him," Gentry said.Buster is teaching schoolmates Ashton Huffman and Grant Meurer, something else."Patience," Huffman said.And it goes beyond getting Buster through the course."It teaches us that if you were to ask for something you can't just go now now I want it now," Meurer said.Once a week dogs like Buster and Mojo, come to Van Arsdale Elementary School in Colorado to work with students.They lead them through courses they've planned out using commands, which helps them develop their communication and confidence."They will get more confident each week," said Vivan Mulhern, coordinator at HABIC Denver. "They will say it louder and then you just see their skills improving and wanting to learn more so then they can connect science together and they can do things like that."Teacher Denise Gillette started the program after seeing how it impacted a student with autism."Were you surprised after that initial student had such a positive reaction from working with the dog?" Kumasi Aaron, a national reporter with The E.W. Scripps Co., asked."Yeah, I think I was surprised," Gillette said. "It was just so beneficial, just such growth."Now more students are seeing that growth, learning a variety of skills that can be challenging to teach, like patience, confidence and focus."They can work on something through the dog that you wouldn't really want to address directly with them," Gillette said. "Like I think if you put the spotlight on them and say you need to have impulse control then you get a resistance but when it's over we need to teach the dog this and then they see, 'Oh that's a valuable thing.'"Gillette writes personalized books to complement her student's work with the dogs, weaving in the lessons each one is trying to learn."Nobody wants to be told you need this you need that," Gillette said. "But when you're helping the dog get it's like, 'Oh okay now you're the helper and you're not always the student who has a problem.'"So while Coen Stevenson has taught Mojo some pretty cool tricks, Mojo's made it easier for him to learn."It makes me feel better to like do more stuff in class and like work better," Stevenson said.A change in curriculum, adding man's best friend, and much more. 2810

With election day looming, the candidates vying to replace Duncan Hunter in East County's 50th Congressional District say they are leaving no stone uncovered.The race is pitting Republican Darrell Issa against Democrat Ammar Campa-Najjar. The two want to fill the seat Hunter vacated in January, when he resigned after pleading guilty to one felony campaign fraud charge. Campa-Najjar narrowly lost to a then-indicted Hunter in 2018 and is running again in 2020."The whole district, we're just going to be traveling across town, meeting people at local diners and saying 'hey, I'm here for you,'" Campa-Najjar said Monday. Issa represented coastal North County's 49th for nearly two decades. In 2018, he decided not to run for re-election as that district shifted blue. This year, however, Issa launched a campaign for the seat in the 50th after Hunter resigned. The district comprises much of East County, and stretches into south Riverside County. It is the only district in San Diego County in which Republicans outnumber Democrats. Issa said his campaign made 10,000 calls Sunday and knocked on more than 1,500 doors. He said if he is elected to Congress, he'd use his experience to help move the country forward. "Many of my Republican and Democratic friends are coming back after two years of very little progress and a lot of hostility," he said. "I'm hoping to get past that with people I have a working relationship with and get some things done."After months of polling showing the two neck-and-neck, an Oct. 27 ABC-10 Union-Tribune poll showed Issa with an 11 point lead over Campa-Najjar. Thad Kousser, a political scientist at UC San Diego, said, however, that Tuesday's early results could show Campa-Najjar starting in the lead due to increasingly Democratic early voting."Things are going to look good for Ammar Campa-Najjar by 8:05, 8:15, the next set of returns that come in are going to be the ones between 9 and 10:30 that will come from polling places," he said. noting that could be as much as a 10 or 15 point swing for Issa, until the rest of the balance come in. 2096

White House counsel Don McGahn's final day at the White House was Wednesday, sources say.A White House official and a source with knowledge of the matter confirmed his departure to CNN.McGahn has been planning to leave the White House, but a source told CNN his departure was expedited after President Donald Trump said Tuesday he had selected Patrick Cipollone as his successor.A source said McGahn had a 20-minute farewell meeting with Trump Wednesday. The source called it a positive departure but both Trump and McGahn recognized it was time for him to go. The source said McGahn didn't want to stay on and the President didn't want him to stay.The source, "Typically you would have the incumbent stay until the successor was ready to take his place. But in this case McGahn was tired of the President and the President was tired of McGahn."McGahn leaves his post after serving as White House counsel through the tumultuous first 18 months of Trump's presidency, steering the White House's handling of the Russia investigation and responding internally to the President's mercurial moods as the investigation ballooned.His departure is another one from the handful of top aides who worked on the Trump campaign before joining the White House. McGahn served as the Trump campaign's top attorney throughout the GOP primary and 2016 presidential election, becoming a trusted adviser to the future President in the process.But McGahn immediately faced controversy in his earliest days at the White House, beginning with acting Attorney General Sally Yates' warning to McGahn that then-national security adviser Michael Flynn could be blackmailed by Russia and that he had likely lied to Vice President Mike Pence. Flynn was forced to resign after reports revealed Yates' warning to McGahn about Flynn's conduct.As the Justice Department and congressional investigations into Russian meddling in the 2016 election heated up, McGahn found himself increasingly at the center of Trump's and the White House's response to the investigation.And when Attorney General Jeff Sessions faced pressure to recuse himself, Trump enlisted McGahn to urge Sessions not to take that step. Sessions eventually did recuse himself, giving his deputy, Rod Rosenstein, the ultimate authority to appoint a special counsel.McGahn threatened to resign in the summer of 2017 after Trump ordered him to fire Robert Mueller, the special counsel investigating potential collusion between the Trump campaign and Russia's election meddling and questions of obstruction of justice.For McGahn, the President's order to fire Mueller was a bridge too far -- with the White House counsel refusing to follow through on the order, a person familiar with the matter told CNN. The New York Times first reported Trump's move to fire Mueller and McGahn's refusal to carry out the order.The slew of incidents involving the President and McGahn amid the Russia investigation made the White House counsel an important witness in Mueller's investigation, with McGahn sitting for interviews with Mueller's team in December.Before joining the Trump campaign and the White House, McGahn worked at the powerful DC law firm Jones Day and previously served as a commissioner on the Federal Election Commission. 3265

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