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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

EDGEWOOD, Kentucky — A St. Elizabeth Healthcare thoracic surgeon is inviting the world to witness a complex lung cancer surgery via Facebook.Kentucky has the highest rate of lung cancer in the country, and Dr. Royce Calhoun is using the surgery as an educational experience by talking to viewers about lung cancer and what it takes to treat patients. 358

Doctors warn that a measles outbreak could occur following the COVID-19 pandemic due to a persistent decline in regular doctor's visits.Doctors at Nationwide Children's Hospital in Columbus, Ohio, have noticed that many families are not bringing children in for regular checkups during the pandemic. While there's a variety of vaccines that children should get, doctors are anxious about the drop in measles vaccinations."If not enough kids get enough of a vaccine, measles being one of those vaccinations, you can lose herd immunity," said Dr. Sara Bode, a pediatrician at Nationwide Children's. "That puts us all at risk of having an outbreak of that illness when we get back together again."According to the World Health Organization, at least 93% of the population needs to get the measles vaccine to reach herd immunity.Researchers have found that vaccine rates have dropped as low as 70% in some places in Ohio, which raises concern for a potential measles outbreak.Typically, kids follow a type of "vaccine schedule" throughout their childhood. But many families have put vaccines for their children off amid the COVID-19 pandemic.Doctors say it's not too late to get those shots."If you're delayed in getting the measles vaccine, that's OK," Bode said. "Still come in and get it because it will protect you from the day you start to get it. So really, the only consequence would be that time that you are unprotected."Anyone who is uncomfortable about stepping into a doctor's office should know that efforts are in place to make it a safe space for everyone. Parents can also seek out pop-up and mobile vaccination clinics as alternative places for children to catch up on vaccines. 1699

EL CAJON, Calif. (KGTV) - 10News got to ride along with the CHP Thursday in the middle of “Distracted driving awareness month.”Despite new laws, crashes attributed to distracted driving went up between 2013 and 2015 by nearly 12 percent.“It’s been a law for so long now, there’s not many people that don’t know you’re not supposed to have your cell phone in your hands,” said Officer Travis Garrow.But he said people who he pulls over are often confused if they had been using their phone at a red light. That is still illegal he says.“Our message is just to put the phones away, just turn them off. Put them in the center console, put them in the glove box,” he said. “Somewhere that won’t distract you.”The cost of a distracted driving ticket is determined by a judge, but first time offenders typically pay around 0. They are not considered moving violations however so they do not count as a point on driving records. 932

Dunkin' is permanently closing about 800 locations throughout the country — about eight percent of its restaurants in the U.S.The company detailed the changes in its quarterly earnings report on Thursday.Dunkin' described the closures as "real estate portfolio rationalizations." It also said the locations have low sales volume and represent only two percent of its U.S. sales last year.More than half of the closures are in Speedway convenience stores — a change Dunkin' previously announced in February.The company said it may permanently close about 350 locations outside of the U.S.The announcement comes a day after McDonald's said it would close around 200 locations, most of them in Walmart stores. 714