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WEST PALM BEACH, Fla. — Michael Womer is known as the "Gator Crusader." He posts wild videos where he gets extremely close to alligators during live shows. He said he's loved alligators since he was a child and even told his school counselor in high school he already knew he wanted to perform with gators as a teenager.He shared what he's been doing differently during the pandemic, and if he thinks alligators can sense the difference.Womer performs with a gator show in central Florida and he shares videos of his wildest antics online. He often dresses up, performs stunts and even reads to the alligators. He's perhaps most widely known for a video where he falls into a gator pit when his rope swing snaps.Womer said the alligators can tell something is different because there aren’t as many people around. 821

WEST PALM BEACH, Fla. (AP) — Unemployment benefits for millions of Americans are set to lapse at midnight unless President Donald Trump signs an end-of-year COVID relief and spending bill that had been considered a done deal before his objections. He is demanding larger COVID relief checks for Americans and complaining about "pork" spending. But Congress has already passed the package by large margins in both houses. Failing to sign it will mean pain for those struggling to make ends meet and a potential federal government shutdown in the middle of a global pandemic. 581

WHEATON, Ill. -- As the death toll from the coronavirus nears 200,000, recovery can be difficult for those who have survived the illness. But the first ever double-lung transplants for COVID-19 survivors is providing new hope for medical centers around the country and world.Brian Kuhns is at the beginning of a long and grueling road to recovery.Each day, he endures several difficult physical therapy sessions to rebuild his weakened body.“This is real tough,” said Kuhns. “All this stuff runs through my mind that I have to do and now I can't be like this.”Kuhns, who initially didn’t take the coronavirus seriously, contracted the deadly virus in early March. The illness was like nothing he’d ever felt before.“It was just like, I'm kind of walking dead. Fever, shaking so hard I can't believe it.”The virus that has now taken the lives of more than 190,000 Americans was destroying his lungs.About 100 days on life-support and isolated from his family for more than three months, the 62-year-old grandfather was near death more than once.“Yeah, I thought I was going to die for sure. I thought it was over,” said Kuhns.After 39 years at his side, Kuhns' wife Nancy couldn’t be in the hospital with him. On the phone, she pushed him to keep fighting.“I keep give him a lot of confidence even when they told me he wasn't gonna make it. I kept telling them that he was,” she said.His doctors at Northwestern Memorial Hospital determined his only chance for survival was a double-lung transplant.After 10 hours in surgery, Kuhns became only the second known coronavirus patient ever to have both lungs replaced.“I fought back, gasping for air, 24 hours a day. As hard as you could breathe,” said Kuhns.Dr. Mahesh Ramachandran, the chief medical officer at Northwestern Medicine’s Marianjoy Rehabilitation Hospital, says they’ve already discharged 125 COVID-19 patients since the pandemic began. Rehab, says Dr. Ramachandran, is essential to recovery.“They get quite deconditioned. They get quite weak. They have neurologic problems, cardiac problems that need to be managed before they can safely go home,” said Dr. Ramachandran.Two months after the revolutionary transplant, Kuhns is still getting used to his new lungs.“I could feel it all the way down,” he said with a deep breath.But he continues to fight and implores others to wear a mask and avoid others or face the consequences.“This is a crazy disease. Some people get away with it and other people it nails,” said Kuhns. “I was one of the ones it nailed. So, you want to make a choice. You know which one you want to be.”After nearly six months in the hospital, if all goes well, he could go home by the end of the month. 2692

When he was diagnosed with two autoimmune diseases, Joel Hechler knew he’d be in for a battle. He didn’t realize maybe his toughest one would be with his insurance company.“I think they put the dollars ahead of a patient’s health,” Hechler said. “I don’t think they fully understand the impact the medicine will have on my long-term health and well-being."Hechler suffers from Crohn’s disease and ulcerative colitis, diseases that attack the lining of his digestive tract. Autoimmune conditions like his can’t be cured but, with the right medication, the symptoms can be controlled.  Finding the right medicine can be hard for those suffering from autoimmune diseases. Even if there are scores of drugs on the market, some patients might only respond to one. In Joel’s case, his doctor thought he’d have a better chance trying a drug called Remicade.“I received a letter from my insurance company that denied the Remicade on the basis that I have to try a different drug before I can get to Remicade," Hechler said.Hechler's insurance company, Premera Blue Cross, wouldn’t approve the drug his doctor prescribed because they wanted him to try a cheaper one first.It’s part of a program that health insurers nationwide use called step therapy, requiring that patients try less-costly drugs before “stepping up” to more expensive ones — even if doctors believes the cheaper drug won’t work.Dr. Larry Adler is president of Huron Gastro in Ypsilanti, Michigan and says he spends virtually every day battling insurance companies over step therapy drugs.“They have to fail this medicine first before they get the new drug,” Adler said. “That doesn’t make any sense.”Adler says it's common for patients to get sicker while waiting for step therapy to run its course.In Hechler's case, it took six weeks of fighting with his insurer to convince them that the cheaper drug wouldn’t be effective. As he was waiting, he was getting worse.“It got to the point where I had to be admitted to the hospital,” Hechler said. "I was very, very sick.”Step therapies are used by insurers to try to control skyrocketing prescription medicine costs, says Glen Perry, Director of Pharmacy Contracting and Sales for Blue Cross Blue Shield of Michigan.“These drugs can cost up to 0,000 per year. These are not cheap medications,” Perry said.“It seems like you’re telling patients that, in many cases, your insurer knows what’s best for you, rather than your doctor,” Jones said.“We are trying to provide the most cost effective and safe medication use,” Perry said, adding that when a doctor and insurer disagree over a drug, they can usually resolve the case within a few days without putting a patient at serious risk.“A delay of one or two days I don’t think is really going to make that much of a difference for the medical outcome of the patient," he said.But for many patients, like Phyllis Toole, the delay is longer than a few days.Phyllis suffers from rheumatoid arthritis, a condition where her body attacks her joints. When her doctor wanted to put her on Orencia, her insurance company HAP said she needed to first try a less expensive drug, Humira.But Phyllis’ doctor was worried about possible side effects and thought Humira could be risky.After battling for months, Phyllis says the whole thing made her feel more like a number than a patient. With her doctor and insurer in a standoff, she was forced to rely on samples of the drug she got from her doctor. HAP never approved her prescription.“They’re playing doctor, is what it feels like,” Toole said. “They’re saying this is what you can have for the symptoms you have. It may make you sicker, but this is what you can have.”HAP issued the following statement to Scripps station WXYZ in Detroit: 3800

When it comes to our cars, the cost of gas, oil changes, tires, insurance, and those dreaded repairs all add up. Many drivers don't realize how much their car really costs them.Kat Coughlin knows how expensive an older car can become."The tie rod, the tires, the transmission went out," she said about her older Taurus. "I think we spent about ,000 trying to repair it."Repairs like that can blow the budget. So it helps to know the true cost of owning a car, not just the monthly cost that the salesman puts on the sales sheet.AAA adds up all the costs and feesA new study by AAA finds the average cost of owning a new car is ,469 a year for 2017, when you factor in depreciation, insurance, gas and maintenance costs.AAA says a lot of people buy a car just based on emotions, looking only at that monthly payment of, say, 0 a month. But AAA says you are really paying 0 a month, on average.The agency says drivers don't stop to think what it will cost to maintain the car over a year or two, whether or not it is off the manufacturer's warranty.Bobby Drake is the head mechanic at an AAA repair shop."Even if it's a relatively new car you still have a lot of maintenance," he said.He says many people add to those costs by postponing maintenance, to save a few bucks now.For instance, he sees them wait for the brakes to wear down to metal, and start grinding. That will require costly new rotors in most cases, he says, turning a 0 brake-pad job into a 0 brake and rotor job."Follow the manufacturer's recommended maintenance, and that will definitely save you a lot of money in the long run."Differences between vehicle typesMeantime AAA says some types of vehicles cost a lot more to operate than others.Assuming gasoline at .34 a gallon, AAA says you can expect to pay the following amounts. 1848

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