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Vibrant splashes of paint embellish the walls in an otherwise ordinary building.The Nipper family is putting the finishing touches on what they hope will become a safe haven for Las Vegas teens who may need a little help.“If some teen is feeling suicidal or just needs to talk to somebody, they don't have to be put on a waiting list,” says co-administrator Nicholas Nipper. “They don't they don't have to be postponed and put off because they don't have the right insurance.”When it opens, the non-profit ‘Kyler’s Kicks Lounge’ will provide a safe space for teens with access to mental healthcare professionals, therapeutic activities and important social resources. All of it will be free of cost.“It's not just mental health care. Kids will be able to come in here and get tutoring you know get food and learn valuable life skills that they won't learn in school,” says 14-year-old Kyler Nipper.The endeavor is the next step in healing for the teen. When he was just eleven, he survived being bullied and stabbed by a classmate over his school shoes.“I never really realized that your life could end at any moment,” says Kyler. “So, I want to make sure that you have made an impact that you made other people's lives amazing”For the last three years he’s given away shoes through his non-profit ‘Kyler’s Kicks.’ For him, it was a way to help cope with PTSD after the attack and at the same time doing something to help others.“He loves doing it,” says Kyler’s father Nicholas Nipper. “He loves helping people he loves giving. This is a new venture.”It’s a new venture that Kyler says he hopes will provide access to mental healthcare for countless others like him.“My parents had to be willing to sacrifice all the money that we have to get me to see a therapist and have mental health care. But hopefully this place will prevent that for all the other kids," Kyler Nipper said. 1894

Two centuries after its invention, the stethoscope — the very symbol of the medical profession — is facing an uncertain prognosis.It is threatened by hand-held devices that are also pressed against the chest but rely on ultrasound technology, artificial intelligence and smartphone apps instead of doctors’ ears to help detect leaks, murmurs, abnormal rhythms and other problems in the heart, lungs and elsewhere. Some of these instruments can yield images of the beating heart or create electrocardiogram graphs.Dr. Eric Topol, a world-renowned cardiologist, considers the stethoscope obsolete, nothing more than a pair of “rubber tubes.”It “was OK for 200 years,” Topol said. But “we need to go beyond that. We can do better.”In a longstanding tradition, nearly every U.S. medical school presents incoming students with a white coat and stethoscope to launch their careers. It’s more than symbolic — stethoscope skills are still taught, and proficiency is required for doctors to get their licenses.Over the last decade, though, the tech industry has downsized ultrasound scanners into devices resembling TV remotes. It has also created digital stethoscopes that can be paired with smartphones to create moving pictures and readouts.Proponents say these devices are nearly as easy to use as stethoscopes and allow doctors to watch the body in motion and actually see things such as leaky valves. “There’s no reason you would listen to sounds when you can see everything,” Topol said.At many medical schools, it’s the newer devices that really get students’ hearts pumping.“Wow!” ″Whoa!” ″This is awesome,” Indiana University medical students exclaimed in a recent class as they learned how to use a hand-held ultrasound device on a classmate, watching images of his lub-dubbing heart on a tablet screen.The Butterfly iQ device, made by based by Guilford, Connecticut-based Butterfly Network Inc., went on the market last year. An update will include artificial intelligence to help users position the probe and interpret the images.Students at the Indianapolis-based medical school, one of the nation’s largest, learn stethoscope skills but also get training in hand-held ultrasound in a program launched there last year by Dr. Paul Wallach, an executive associate dean. He created a similar program five years ago at the Medical College of Georgia and predicts that within the next decade, hand-held ultrasound devices will become part of the routine physical exam, just like the reflex hammer.The devices advance “our ability to take peek under the skin into the body,” he said. But Wallach added that, unlike some of his colleagues, he isn’t ready to declare the stethoscope dead. He envisions the next generation of physicians wearing “a stethoscope around the neck and an ultrasound in the pocket.”Modern-day stethoscopes bear little resemblance to the first stethoscope, invented in the early 1800s by Frenchman Rene Laennec, but they work essentially the same way.Laennec’s creation was a hollow tube of wood, almost a foot long, that made it easier to hear heart and lung sounds than pressing an ear against the chest. Rubber tubes, earpieces and the often cold metal attachment that is placed against the chest came later, helping to amplify the sounds.When the stethoscope is pressed against the body, sound waves make the diaphragm — the flat metal disc part of the device — and the bell-shaped underside vibrate. That channels the sound waves up through the tubes to the ears. Conventional stethoscopes typically cost under 0, compared with at least a few thousand dollars for some of the high-tech devices.But picking up and interpreting body sounds is subjective and requires a sensitive ear — and a trained one.With medical advances and competing devices over the past few decades, “the old stethoscope is kind of falling on hard times in terms of rigorous training,” said Dr. James Thomas, a cardiologist at Northwestern Medicine in Chicago. “Some recent studies have shown that graduates in internal medicine and emergency medicine may miss as many of half of murmurs using a stethoscope.”Northwestern is involved in testing new technology created by Eko, a Berkeley, California-based maker of smart stethoscopes. To improve detection of heart murmurs, Eko is developing artificial intelligence algorithms for its devices, using recordings of thousands of heartbeats. The devices produce a screen message telling the doctor whether the heart sounds are normal or if murmurs are present.Dennis Callinan, a retired Chicago city employee with heart disease, is among the study participants. At age 70, he has had plenty of stethoscope exams but said he feels no nostalgia for the devices.“If they can get a better reading using the new technology, great,” Callinan said.Chicago pediatrician Dr. Dave Drelicharz has been in practice for just over a decade and knows the allure of newer devices. But until the price comes down, the old stalwart “is still your best tool,” Drelicharz said. Once you learn to use the stethoscope, he said, it “becomes second nature.”“During my work hours in my office, if I don’t have it around my shoulders,” he said, “it’s as though I was feeling almost naked.” 5223

Wayne Messam, the little-known mayor of Miramar, Florida, announced Thursday that he is running for president, launching a campaign that will look to accomplish the unlikely: Turning the mayor of the 140,000-person town into the next president of the United States.Messam, in a highly produced 306

WASHINGTON, D.C. — Lawmakers return to Washington this week with a debt limit deadline looming and no clear plan yet to deal with the issue as the clock ticks down.The federal government will once again run up against the debt limit when it comes back into effect on Saturday, March 2, at a record high of roughly trillion.That could set the stage for a clash between Democrats and Republicans along with President Donald Trump. But despite bipartisan outrage over the size of the national debt, there may not be any significant legislative action from Congress right away.That's in part because the United States isn't at risk of an immediate default. The Treasury Department can start taking steps known as "extraordinary measures" to prevent that from happening and those measures 800

US Border Patrol apprehensions along the southern border dropped in June for the first month since January, according to preliminary internal data obtained by CNN.There were nearly 95,000 apprehensions on the US-Mexico border last month, down about 28% from 132,887 in May -- the highest month in more than a decade. Despite the drop, this June was much higher than the same time last year, when there were 34,089 apprehensions.The numbers are in line with forecasts from acting Homeland Security Secretary Kevin McAleenan, who said Friday that it appeared there would be a 25% decrease in June numbers of migrants crossing at the US-Mexico border.A dip in border crossings is common during the hot summer months, though McAleenan downplayed the role of seasonal trends in migration, saying that he expects to be able to tell by late July if initiatives undertaken by the US and Mexico governments will have a sustained impact.Customs and Border Protection does not comment on unofficial numbers, according to a spokesperson. The agency generally releases final monthly numbers towards the beginning of the subsequent month.Last week, McAleenan credited Trump administration initiatives for the drop, especially the increase in interdictions by Mexico over the past three weeks and the return of some asylum seekers to Mexico for the duration of their immigration proceedings.On June 8, in the wake of a tariff treat from President Donald Trump, the US and Mexico signed a deal, which included an agreement by Mexico to take "unprecedented steps" to increase enforcement and curb irregular migration.Border Patrol officials in the Rio Grande Valley of Texas last week said Mexico's efforts were having an effect on the numbers, but were skeptical it would have lasting impact, citing previous initiatives carried out by the Mexican government.The numbers come amid public outcry over reports that migrant children were held under poor health and hygiene conditions at multiple Border Patrol locations in Texas. On Monday, members of Congress toured facilities in the El Paso region, as demonstrators and counter-demonstrators clashed outside. Many of the Democratic congressional members expressed outrage over the conditions they witnessed.The demographic shift -- from single adults from Mexico to families and children predominantly from Northern Triangle countries of Guatemala, Honduras and El Salvador -- as well as the large influx of migrants arriving over the past year, has strained facilities along the border, stretched CBP resources thin and caused low morale among agents. 2598