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Images in this story may be disturbing for some viewers.PUEBLO, Colo. — If you've ever felt like playing with fireworks, and maybe doing so after a few drinks, you might want to pay attention to this man's cautionary tale. For the past six months, electricity estimator Trevor Tate has been re-learning how to use his hand.“I use my hand ten hours a day all day, every day at work,” Tate said. “I type … take notes, crunch numbers.” That's because while lighting fireworks on New Year's Eve, Tate did something he now calls stupid."I caved to peer pressure and decided that I would hold the launch tube and fire a firework from my hand out of the launch tube and up into the air, and it would be a joyous event,” he said. “Well, the joyous event turned into one of the worst nights of my entire life."Instead of launching up into the air, the explosive fired downward, and through his right hand.“I remember my hand coming all the way back like this and me telling myself, ‘wow that didn't feel right, felt like a lot of pressure.’ I felt pain in my elbow and that was it, nowhere else,” Tate said. “And then I looked down at the back of my hand and the whole back of my hand in this area was white — just like bright white. And I’m like, ‘something has happened.’ ”He soon realized his hand was barely still attached. Doctors at two different hospitals that night told him he may lose his hand. But he was soon put in touch with Dr. Benson Pulikkottil at Denver's Swedish Medical Center.“It was a pretty shocking injury,” Pulikkottil said.Shocking, but something he believed he could fix. He attached Tate's hand to the tissue on his chest so blood could flow from his chest into his hand. A piece of skin from his chest now covers the underside of his hand.The doctor's advice this holiday?“Avoid alcohol during this time,” said Pulikkottil, the medical director of Burn & Reconstructive Centers of Colorado at Swedish Medical Center. “Don't cloud your judgment. These injuries, when they happen in a millisecond, you've now changed your life forever.”"The way I feel about fireworks now is … I probably won’t go outside and enjoy our country's pastime of blowing up fireworks,” he said. “It’s done enough. Trauma, inside of my head … I don't like loud noises anymore.”Instead, the electricity estimator might work on his rehab exercise, adding to the progress he's already understandably proud of."You look them in the eye and shake with your right hand. And I can do that now,” Tate said, “where before I couldn't.” 2536

It’s hard to regard Ellie as a menace.When Greg Manteufel is frustrated or feeling down, she sits by him. At night, she sleeps under his covers. At dinner, she’s there next to him, knowing he’ll throw something her way. She belies the stereotype of the vicious pit bull.“We love her like she’s our daughter,” he said of the dog.And yet, Ellie may be the reason Manteufel nearly died.Gravely ill, he lost parts of his arms and legs, as well as the skin of his nose and part of his upper lip. The cause was capnocytophaga (cap-noh-seye-TOE’-fah-gah), a germ from Ellie’s mouth or from another dog he encountered.Capnocytophaga is commonly found in the saliva of cats and dogs and almost never leads to people getting sick, unless the person has a compromised immune system. But Manteufel was perfectly healthy. In fact, he doesn’t think he’d ever used his health insurance before he fell ill.The case is extremely rare and doctors at his hospital, Froedtert & the Medical College of Wisconsin, had no explanation for why he got so sick. But over the last 10 years there have been at least five other healthy people who have had severe reactions to the germ. A team of researchers connected with Harvard Medical School has developed a theory on why — a gene change in all the victims.And their finding means doctors can’t rule out the capnocytophaga bacteria could strike Manteufel and other victims again.___Greg Manteufel thought he was getting the flu in June of 2018. He had a fever, vomiting and diarrhea. But when he started getting confused, his family took him to the hospital.Doctors did blood cultures and found capnocytophaga, which caused sepsis, a severe blood infection that led to his blood pressure dropping and many of his organs shutting down.“Do what you have to,” he told the doctors.He had so much to live for — foremost, his wife of 16 years, Dawn, and 26-year-old son, Mike. He was just starting to get really good at his day job, painting houses. He cherished his Harley Davidson Electric Glide. He was in the middle of fixing up his ’66 El Camino. And of course there was Ellie, the pup.And so he persisted, through more than 20 surgeries, including amputations of his left and right arms just below the elbow, and legs through the middle of the knee.His wife and son stayed optimistic, because he was.“Greg said he didn’t come this far to lay down and let this beat him,” Dawn Manteufel said.He was out of the in-patient rehab unit in about two weeks, learning to move from his wheelchair to the bed, toilet and car. The usual stay is three to four weeks, said Dr. David Del Toro, medical director for the inpatient rehab unit at Froedtert.Manteufel made similar quick advances using his arm prosthetics and leg prosthetics.“He does not seem like any other patient I’ve met before,” Del Toro said. “He’s just, you know, full speed ahead.”Meanwhile, researchers at Brigham and Women’s Hospital in Boston, connected to Harvard Medical School, as well as Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center had been investigating cases like his.The team has done genetic testing on five otherwise healthy people who suffered capnocytophaga infections to see if they could find anything in common. They discovered all had a gene connected to the immune system that was working differently — a genetic variant.“It was a really thrilling moment,” said Elizabeth Fieg, a genetic counselor at Brigham and Women’s Hospital. “The stakes are so high with these cases and the patients have gone through so much.”They believe it makes those people more susceptible to developing severe medical problems from capnocytophaga. But they are also trying to determine if there are other risk factors.Of the five in the study, three survived with amputations and two did not. Fieg hopes their research can determine why some did not survive.She also hopes if their theory is confirmed, it will help diagnose cases faster, and perhaps save lives and limbs.That’s why Greg Manteufel jumped at the chance to take part when he was approached in August.Researchers need to gather more evidence, but hope to publish their study in the next year to 18 months.___Manteufel’s life now includes frequent occupational therapy appointments to perfect his use of arm prosthetics — the kind with metal moveable hooks at the end. He’s using a fork regularly and he’s now working on picking up the TV remote, opening doorknobs, cutting vegetables and doing the dishes.He’s using shortened leg prosthetics, called stubbies, to get his body conditioned to eventually use to full-sized ones. Those are expected to arrive any day.Plastic surgeons plan another surgery to perfect his nose. They’ve already moved skin from his forehead there. It looks oversized now, but it will eventually fit in with the rest of his face.He plans to get his car revamped so he can drive with prosthetics. He wants to get a special pole so he can go fishing again. He is even considering going back to work painting.He’s also become less quiet and a lot more outgoing. “Now everybody I see wants to hear something or talk to me. I tell them a 15-minute story about what happened. They probably want me to leave, you know,” he said, chuckling.Ellie’s often by his side.“She loves kids. She loves puppies. Other dogs,” Manteufel said.As harmless as she seems, she may have capnocytophaga germ.The results of Manteufel’s genetic tests are expected in three to four months. Fieg said people with the gene variant are at increased risk for recurrent capnocytophaga or other infections in the future.While Manteufel doesn’t like the sound of that, he said Ellie’s accidentally scratched him since he’s been home and even licked his mouth. He’s been fine.And even if he does have the gene variant, he said, it changes nothing.“We didn’t even bother testing her,” said Manteufel. “We weren’t going to get rid of her if it was her that caused it anyway.”“We just love her to death.” 5972

If you park your car outside, you might want to look under the hood every once in a while. You could end up with a little surprise from the critters in your yard.The squirrels around Holly and Chris Persic's home seem to be stocking up for the winter by taking walnuts from their yard in Pittsburgh and shoving them under the hood of their car.Holly was driving her car Monday when she thought it smelled like it was burning and was making a strange sound. When she popped the hood, she found more than 200 walnuts and lots of grass."They were everywhere, under the battery, near the radiator fan," Chris said. "The walnuts on the engine block were black and smelt like they were definitely roasting."Holly had her car inspected last month but hadn't looked under the hood since then, her husband Chris told CNN on Tuesday. The walnuts started falling only a few weeks ago."The squirrels worked pretty fast!" Chris said. 932

Leavenworth Police Chief Pat Kitchens says an active-duty solider at Fort Leavenworth helped stop an active shooter Wednesday on the Centennial Bridge over the Missouri River.In a news conference, Kitchens said the incident started on the Kansas side of the bridge.That's when a 34-year-old soldier from nearby Ft. Leavenworth stepped in and "saved the day" by striking the suspect with his vehicle, according to Kitchens."He saved countless people," Kitchens said.Kitchens said the suspect, described as a Platte County, Missouri man, was armed with at least a handgun and a semi-automatic rifle and was firing seemingly at random at cars on the bridge after getting out of his car.The suspect was injured in the crash with the soldier and was taken to an area hospital with non life-threatening injuries.Another active-duty solider from Fort Leavenworth, was struck by the suspect's fire.That soldier's injuries were also not life-threatening.The soldier that stopped the shooter was not injured.Initially, police responded to the bridge around 11 a.m. on a possible road rage incident.The shooting incident was contained to the bridge and all parties have been detained.The Missouri Department of Transportation said the Centennial Bridge, which connects Leavenworth with Platte City, Missouri, has been closed for the investigation. 1348

It’s April 15: tax day. By midnight, Americans have to file their taxes or apply for an extension. The Internal Revenue Service requires anyone who owes the government money in their taxes to pay by midnight, even if they file for an extension. With that rule in mind, a lead tax research analyst at Kansas City-based H&R Block said it’s easier to complete taxes today instead of pushing it back another six months. "If you're going to have to go to the trouble to actually figure out what you owe, you might as well file your return, get it over with," said Nathan Rigney, a research analyst. "And you may discover in fact you get a refund." He added most Americans are seeing a smaller tax return, or owe the government for the first time, but they received more take-home pay during the year. To avoid having to pay next year, Rigney suggested looking at your withholding. It's the amount of money your employer keeps from your paycheck to pay the government on your behalf. You can fill out a W4 to change your withholding. Depending on your changes, come this time next year, you may be getting a check instead of writing one. "[If you don't, the amount you owe] might even be a little bit worse just because of the way the withholding tables were implemented last year for only half of the year. This year, it will be for the full year," Rigney said. The stories of people receiving smaller refunds than past years is part of the reason some Americans haven't filed their taxes yet and will be rushing to tax preparers Monday."A lot of people come in, especially this year with the new tax law, with a little bit of anxiety, not sure how they're going to be impacted," Rigney said. "Being able to explain to people how they'll be impacted, answer their questions and put them at ease is what we do." Because you can file your taxes online, you have until midnight to submit the necessary documents to the IRS. — 1933