上海甲状腺结节看什么科挂什么号最好江苏最好治疗肿部瘤哪家医院,上海长结节不能吃的东西,上海子宫体癌专家在线,上海肺结节3-4mm严重?,上海肺节结怎么办,上海左肺下叶结节影,上海肾上腺肿瘤是大手术吗

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

Facebook users briefly reported widespread issues with the social media site Thursday afternoon, according to Down Detector, a website that crowdsources telecommunication and social media outages.Down Detector reported that it received more than 6,300 reports of problems on Facebook at about 2 p.m. Thursday. Half of those issues were reported as a "total blackout."After a short outage, it appears service was fully restored to the site.It's unclear what was causing the issues on the platform. 504

Emergency workers bring an injured person to an ambulance after a driver sped through a protest-related closure on the Interstate 5 freeway in Seattle, authorities said early Saturday, July 4, 2020. Dawit Kelete, 27, has been arrested and booked on two counts of vehicular assault. (James Anderson via AP) 313

ESPN says it has a pretty good idea of who's going to pony up .99 a month for its new streaming service.Cord cutters, it probably won't be you.The new service, dubbed ESPN+, debuts Thursday. The company gave CNNMoney a sneak peek last week — and there's a lot that it brings to the table.It offers thousands of hours of live sports that aren't available on national TV, including, soccer, boxing, golf, rugby, cricket, and a baseball and hockey game or two every day of the MLB and NHL seasons.It has a few exclusives, too, including some episodes of the lauded ESPN documentary series "30 for 30" — plus that show's entire back catalog. There's also Kobe Bryant's new basketball analysis show "Detail," which premieres just in time for the NBA playoffs.That all adds up to a ton of content, and it's hard not to feel a bit overwhelmed by the variety. ESPN executives sounded downright breathless last week as they rattled off the number of programs they are bringing to the service."I, personally, am incredibly excited about the potential," new ESPN President Jimmy Pitaro told reporters at the company's Connecticut headquarters. "We really like our hand here."Related: ESPN+ launches into hazy future with 'Last Days of Knight'But all that pomp and circumstance comes with a couple of glaring caveats.This is not the Netflix of the sporting world. You will still need a cable subscription to watch all the biggest NFL, NBA and college games featured on traditional ESPN networks.And even if you're a fan of the sports touted on ESPN+, you'll still likely need paid access to the ESPN TV channels or another season pass to watch every game.In other words: If you don't already pay for cable, an ESPN+ subscription will give you some of a lot of things, but not all of everything. And you're definitely not getting the big stuff.The Disney-owned ESPN knows this. Pitaro made it pretty clear that he didn't expect customers to treat the new service as a standalone, and described it as "complementary and additive to what you've been getting."Pitaro added that ESPN+ wasn't designed to compete with distributors like Comcast, AT&T and Dish Network's Sling TV that offer cable bundles. All of those companies sell packages that include ESPN's TV channels.All of the ESPN+ content is integrated into a newly redesigned ESPN app, which you can download for your phone or streaming device. It works on all the major platforms, including iPhone, Android, Apple TV, Roku and Amazon Fire.I tested an iPhone version that subscribed to ESPN's TV channels and ESPN+, and it was easy to pull up live games, replays and other clips playing on any of the main ESPN channels or the add-on service. A tab that features game scores for all of my favorite teams was an added bonus.The Apple TV version of the app was just as simple to use, and even allowed me to watch up to four events simultaneously. (ESPN says that function is limited to Apple TV for now.)Anything exclusive to ESPN+ was marked with an orange icon, so if you're not a subscriber, at least you'll know when you're about to hit a paywall.Related: What's behind ESPN's high-stakes morning show?So is there enough in this add-on to make it worth the extra cash you'd spend in addition to your cable bill? That depends.ESPN is marketing the new service to three types of customers. It's courting the superfans, people who watch niche sports like cricket and rugby, and fans of mid-major college teams, including those that play in the Ivy League and Missouri Valley Conference.If you're the kind of person who wants to binge watch every episode of "30 for 30" after the Columbia Lions stomp their sixth opponent in a row, maybe there's some value here.Whether you pay for ESPN+ will ultimately boil down to how much time you have to watch everything it offers, and whether you're the kind of person who loves the stuff that's not already playing in prime time.Cord cutters, though, will have to keep waiting.The-CNN-Wire 3984

ENCINITAS, Calif. (KGTV) - Members of the youth-led, anti-gun organization “Team Enough” held a forum Friday night featuring local politicians. The group is a local chapter of an organization that came out of the school shooting in Parkland, Florida. They invited Congressman Mike Levin (D), Assemblymember Todd Gloria (D), Encinitas Mayor Catherine Blakespear and Carlsbad Mayor Pro Tem, Priya Bhat-Patel. 414