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When you're facing a medical emergency, you trust your life to the doctors at in the emergency room. Those doctors sometimes have just seconds to make life or death decisions. Four in Your Corner is giving you an inside look as to what it's like to be an ER doctor."I love the pace of things and it takes a certain person to be an ER doctor," Dr. Keith Burley, who works in Cape Coral Hospital's emergency room, said/ "Emergency medicine is a true team sport. It takes the whole department to really resuscitate someone who is very sick.""Say someone comes in in cardiac arrest. They come in right through our trauma bay doors. They're dropped into one of our resuscitation rooms. Our team organizes very quickly. Everyone knows their jobs," Dr. Burley said.\In cases like this, techs will be running IVs; nurses will be hooking up defibrillation pads. Pharmacists will be running drugs. Staff will be trying to find out a patient's name. Dr. Burley said it's all about balancing quickness with efficiency while making sure patients are safe during triage."It's very important we triage effectively, making sure we point out and pick up the really sick people early on so we dedicate most of our resources to those sick people," Dr. Burley said. "We do need to triage because we have limited resources we need to effectively implement."Dr. Burley said when he sees a patient, he's trained to think worst case-scenario first."So someone coming in with a headache, we think, could this be a stroke? Could this be a subarachnoid hemorrhage? Could this be something else going on? Before we think it's just a headache," he said.Dr. Burley has known he's wanted to be a doctor since he was four years old after he was in a life-changing, dangerous situation."Like a good Canadian, I was tobogganing down a hill. We were going down the hill and my brother bailed. We continued to go down the hill and I hit a tree with my head," he said.He had a fractured skull and lost hearing in his left ear."I was seen by ER doctors, trauma doctors, a pediatric neurologist, had multiple MRIs," he said. "From that point on, as a young child, I always wanted to be a doctor."He said one of his most bizarre cases was just hours before Hurricane Irma hit. A dog was brought into the ER with it's eye hanging out."I'm not a veterinarian and I don't pretend to be one. I have a dog but it's a little out of my realm," Dr. Burley said. "We placed a pressured dressing and one of the staff members was able to call around to get a vet to see that dog just before the storm."For that dog and family, it was a happy ending, but Dr. Burley said the hardest part about emergency medicine are the days he deals with death and dying."It takes a certain person to deal with death and dying every day and then come back. It's a resiliency characteristic that all the ER staff have," Dr. Burley said.Whether their patients survive or not, the doctors have to learn to compartmentalize -- going from patient to patient until the end of their eight to 10 hour shift."We'll see a pediatric drowning, and then the next case we'll see someone with an eyeball injury, or someone with a simple laceration, and we have to give that patient the same amount of attention we gave the other patient and reset," he said."It's a privilege to be in a discipline where you get to see someone on their worst day of their entire life, and if you can make that a little better, you've done your job," he said.Dr. Burley said to unwind, he spends a lot of time at the beach and kite surfing. 3562

When students normally head back to school, they're greeted with new teachers, classmates, and a new school picture. But professional school photos are either delayed or looking a little different this year because of the pandemic."It's very different. One of the things is we had a lot of schools that hadn't even started back yet, but a lot that have come back have pushed back their start date," explained Erin Middleton, the manager of operations for BPI Photography in Georgia.Middleton says their company is working closely with schools to safely photograph students who are back in-person in the classroom and accommodate those who aren't. BPI Photography says it first works with schools--with social distancing and masks in mind--to take photos of students who are at the school."Then, we actually create a report that is a not-photographed report, and on that not-photographed report would be your students that are face-to-face that didn’t make it on the original picture day,” Middleton explained. “But we also are capturing our virtual students on the absentee day which is like a make-up or retake day.”Middeton says sometimes the photos for virtual students take place after school hours. The company says they are doing everything they can to accommodate schools and families during this unprecedented time. A time some people are wanting to remember in their school picture. That means students and faculty taking their pictures while wearing a mask.For families who are feeling a little lost at this time, Shutterfly and Lifetouch are offering a 2020 School Picture Day guide on their website, plus a new feature for students who are remote learning from home."What we wanted to do in this crazy year of COVID is be able to provide some options for parents and we are photographing at lots of schools around the US but also where picture day isn’t taking place,” said Stephanie Schmid, vice president of marketing and merchandising for Lifetouch. “We wanted to provide a really flexible option for families and meet them where they are, and oftentimes, that's in their living room or their kitchen."Lifetouch launched a new feature through Shutterfly's app, where parents can upload a photo of their child and choose a professional background that they'd normally see in school photos. This allows them to order a school photo that looks just like the one they'd have taken at school."We know families like to have a collection, so you have that child and you want that kindergarten through 8th grade collection and sometimes families order the same background every year. What we did is we offered blue, which is the iconic Lifetouch Picture Day background along with a number of other best sellers so that families can continue their collection and not miss a beat even with a year like this, with COVID-19," said Schmid.Capturing the smiles on children's faces, even if they've had a rocky start to the school year. 2944

When it comes to eating healthy we tend to think about weight loss. But the impact on our blood pressure and cholesterol is just as important.Just ask a young woman who's survived not one, but two heart attacks. She talks about overcoming the odds, and how a heart-healthy diet is helping her fight back.In a small room, it's dinner time. But it's more than a love of food that's bringing these people together. It's a love and appreciation for life."So my name is Michelle," says one woman seated at the table. "I've had two heart attacks."Michelle Melvin and everyone at the table has had at least one close call with their hearts."What did you think when the doctor told you you'd had a heart attack?" The NOW's Kumasi Aaron asked Melvin. "It was disbelief," she responded.Melvin was 41, active and healthy overall when she felt a pain in her temples and her forearms went numb."But, did I ever think heart attack?" Melvin recalls. "No. I was 41 years old. That doesn't happen happen when you're 41." Her first thoughts? Her 8 and 10 year old sons.Melvin says, "It was just more of that sacredness of I can't, I can't die. With these babies at home still."She changed her diet and lifestyle but five years later, she had another heart attack."It wasn't supposed to happen again you know?" Melvin says. "You're not supposed to get it twice."Doctors diagnosed her with SCAD, a rare heart disease that mostly affects young women."The patients that it affects frequently are super healthy patients," says Kasier Permanente Cardiac Registered Nurse Amanda Bloom. "These are women who are out there doing marathons, they really take good care of themselves that's kind of what's so scary about it."Bloom started the support group. She wanted to make healthy eating a big part of it, because of its impact."It can really greatly reduce your risk of having another heart incident," Bloom says. "And for someone who hasn't had one it really reduces the risk of ever having one."Bloom prepares the dishes herself. Kale apple and pecan salad, and butternut squash and lentil soup. When it comes to eating heart healthy, Bloom says fruits, dark leafy greens and vegetables are key.For Melvin, the guidance she gets from Bloom about eating heart healthy is giving her important confidence."It kind of like jump starts," Melvin says. "It's like okay I can do this. I can go back and I can be strong again."Becoming stronger with each bite, for whatever life might bring.You can find more more healthy recipes from Kaiser Permanente here. If you want to try the heart healthy dishes Bloom made for her patients, the recipes are below:Kale, Apple and Pecan SaladIngredients:2 bunches laccinato Kale-tear into bite size pieces, remove ribs-Also called Dinosaur Kale2 apples, chopped into  bite size pieces.1 cup pecans, toasted, roughly chopped? cup dried Cranberries or datesScant lemon juiceDressing:? cup Dijon mustard? cup apple cider vinegar? cup honeyDirections:Place kale in a bowl and sprinkle with a pinch of salt. Drizzle with one teaspoon of olive oil. Massage kale for a couple minutes to tenderize.Sprinkle a little lemon juice over apples to keep them from browning.Mix together kale, apple, pecans, and cranberries.Toss with dressing and serve. Start with ? cup of dressing then add more as needed to taste. Butternut Squash and Lentil SoupIngredients:1?4 cup olive oil4 cloves garlic, finely chopped3 medium carrots, finely chopped2 stalks celery, finely chopped1 medium white onion, finely chopped1 tsp. ground cumin1 small butternut squash (about 1 lb.) peeled, seeded, and finely choppedKosher salt and freshly ground black pepper, to taste6 cups diluted low sodium veggie stock1 cup red lentilsFinely chopped parsley, for garnishYogurt sauce:? cup non-fat Greek yogurt? tsp smoked paprika2 TBSP of olive oilPepper, salt to tasteDirections:Heat oil in a 6-qt. saucepan over medium-high heat. Add garlic, carrots, celery, and onion; cook, stirring occasionally, until slightly caramelized, 12–14 minutes. Stir in cumin, chile flakes, squash, salt, and pepper; cook until squash is soft, about 15 minutes. Add stock and lentils; bring to a boil. Reduce heat to medium-low; cook, slightly covered, until lentils are very tender, about 20 minutes. Let soup cool slightly, then, working in batches, purée soup until smooth. Stir paprika and 2 TBSP olive oil into yogurt to make sauce. Ladle soup into bowls and garnish with parsley and paprika.  Add a dollop of yogurt sauce and swirl in.  4532

With a second surge in COVID-19 cases underway, a family from the Midwest is sharing their harrowing story about surviving the coronavirus illness.A father, mother and son were all on ventilators, on life-support at one point.Chuck Drungelo was the first to feel sick right after Easter. He stayed home from work but his family, including his 81-year-old mother-in-law, all eventually landed in the hospital with the virus.“They said it looks like you have COVID pneumonia, so by Monday I was in the hospital and I gave it to my whole family,” said the dad.“How could this happen? How could all four members of their family get this? And it just shows you how contagious it is,” said Raeann Shedd, Drungelo’s sister.Chuck got the sickest. The ventilator wasn't enough. He was moved to an ECMO machine, which is life-support for the lungs and heart, for 19 days. He eventually got virus antibody plasma treatment that helped him turn a corner.“You can still hear my trachea. I got a hole from the feeding tube,” said Drungelo.Drungelo’s sister and his sister-in-law ended up having to make all the medical decisions while they were incapacitated. He was finally able to come home from a rehabilitation facility July 1.“It’s awful because your family is struggling, and you can’t be there for them. You can’t go to the hospital. You can’t hold their hand and talk to the doctor and look them in the eye. People think it’s their right to not wear a mask. I guess in a way it is, but we should do everything we can to save each other,” said Shedd.“My wife said the other day, if you don’t like wearing a mask, you’re not going to like wearing a ventilator,” said DrungeloAs you can imagine the family is facing a massive amount of medical bills. They have a GoFundMe page for those who would like to help. 1809

With a total of six adopted and foster children, Keri Penland’s family is an exercise in planning and patience.“Trying to do school with them has been insane,” she said.All of her kids are school-aged; some have learning disabilities. When the coronavirus pandemic hit, they--along with tens of millions of other students across the country--became part of a nationwide experiment in remote learning.Her verdict?“I don't know how anybody is doing this, to be honest,” Penland said. “It's not possible.”And it turns out, she's not alone.“We found that remote learning is really failing our most vulnerable learners,” said Justin Ruben, who is with the nonprofit “ParentsTogether.” The group recently conducted a survey of more than 1,500 families across the country to see how remote learning was going.Among the findings:When compared to a family making 0,000 a year, lower-income families--making ,000 or less-- are ten times more likely to have children doing little to no remote learning.Those families are also five times more likely to attend a school not offering distance learning materials at all and 13 percent of them didn’t even have a computer device or internet access.Yet, the numbers were even worse for families of children with special needs, who usually get individualized support at school. Out of those families, 40 percent said that with remote learning, they were receiving no support at all.“A huge chunk of students are being left behind by remote learning,” Ruben said.ParentsTogether wants the federal government to step in with 5 billion more in funding for education, especially since the coronavirus pandemic slashed tax revenues for local and state budgets and, in turn, education programs.“Schools are making budgets right now and kids are falling behind right now, and schools are making plans for the fall right now,” Ruben said. “And so, there's this surreal lack of urgency in Washington, D.C., and there’s literally like a whole generation of vulnerable kids is being allowed to languish.”Back at Penland’s house, it’s been an unusual ending to the school year.“I'll tell you, if school doesn't start again, the kids are gonna be way, way behind,” she said. “It's a different time than we've ever experienced.”Given everything that happened with schools and the pandemic, experts have some suggestions for how to keep kids engaged and learning over the summer.Keep some semblance of structure. A visual schedule that everyone can see will help and make it easier for you and your kids to get back into the swing of things when summer ends.Read to your children or encourage them to read, write or draw--anything that engages their minds, as long as it does not involve a computer or phone screen.Outdoor hikes, walks or scavenger hunts can help kids get exercise and keep them engaged in discovering new things.Make sure your kids get enough sleep and proper nutrition, to keep them in top shape and ready for when it’s time to return to school. 2998

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