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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

ESCONDIDO, Calif. (KGTV) - Escondido Police announced Saturday the arrest of a 13-year-old boy in a case involving Xanax overdoses at Rincon Middle School.Six children aged 11 to 13 years were found to have taken the anti-anxiety drug at lunch time on October 25.Three of the children required emergency medical treatment.  All six have since recovered with no lasting effects.RELATED: Juveniles hospitalized after taking XanaxEscondido Police arrested the juvenile suspect Monday after an investigation. The boy is charged with selling or distributing narcotics or illegal substances. He is in the custody of his parents. 635

FALLBROOK (KGTV) - One person is dead after she was hit by a vehicle while walking along the shoulder of a road in Fallbrook with her husband.CHP officers say the 60-year-old woman was walking with her husband just after 5 p.m. northbound on the east shoulder in the 2700 block of Gird Road north of Laketree Drive. An approaching pickup truck heading northbound left the roadway and struck the woman. The truck stopped for a moment before fleeing the scene northbound on Gird Rd.North County Fire Protection District and CHP responded and crews began life saving measures at the scene, but the woman was pronounced dead. Her 60-year-old husband was not injured.The truck involved in the crash is described as an older model pickup truck that's dark in color. The truck will likely have damage to the right front side.Investigators were reviewing surveillance footage from the area to learn more about what happened.Anyone with information on the whereabouts of the suspected vehicle or information about the crash is asked to call CHP at 858-637-3800. 1060

Experts predict over billion worth of campaign political ads will be produced in 2020. So, what are the campaigns doing to influence your vote? THE EXPERTS To find out the tactics used by campaigns, we reached out to Sara Cutter, a Republican ad maker, and Julian Mulvey, a Democratic ad maker. SECRET #1: FONTPay attention to font. Mulvey says Democrats will use a lot of red lettering in commercials against President Donald Trump. That's because it instills some fear and catches your eye. "It's what I call a black, white and red ad. Which you see a lot in negative adverting. Those are sort of the primal colors and the first color you ever see in your life is red," Mulvey said. Mulvey pointed to an ad by the Lincoln Project as an example of red lettering. SECRET #2: VOICEPay attention to the voice. Sometimes, Cutter says, ad makers will use a female voice when they are worried a claim may be too over-the-top. "There can be more fear in a females voice without it seeming to be too much. There can also be more urgency in a female's voice," Cutter said. SECRET #3: JOURNALISTS Pay attention to journalists appearing in a campaign commercial. While journalists hate appearing in ads, Mulvey says they can't sue to get their face out of them. It's also become more popular in recent years as they test well in focus groups. "Local anchors are trusted individuals," Mulvey said, defending the tactic. SECRET #4: DISTORTED PHOTOSSometimes photos of candidates are altered. A recent ad by individuals trying to re-elect Senator David Perdue made Perdue's opponent's nose look bigger. 1604

ESCONDIDO, Calif. (KGTV) — One person is dead and a driver is at large following a hit-and-run collision in Escondido.A vehicle collided with a bicyclist on La Honda Road north of El Norte Parkway at about noon, according to the Escondido Police Department."The rider was wearing a helmet, and we are still investigating the cause as to what happened and how the car and bicyclist crashed," Lt. Scott Walters with the Escondido Police Department said. The cyclist was part of a larger group going southbound on La Honda Drive. Witnesses of the crash saw the 36-year-old victim from Vista fly off his mountain bike and die at the scene. Investigator said the driver of the car never stopped and continued going northbound on La Honda Drive. A short while later, investigators got a break in the case. The mangled car was spotted on the 600-block of Aster Street, just a half-mile away from the crash site. 10News spoke to neighbors watching the commotion, who said they did not recognize the sedan. The victim's identity was not immediately released.Police advised the public to avoid the area for about five hours after the crash. Access to Dixon Lake and Daley Ranch Recreation Areas was closed, but hikers and bikers were able to access Daley Ranch through Cougar Pass in north Escondido, police added. 1312