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If you recently waited in a crowded doctor’s office or you’ve called to make an appointment and were told the next slot available is in several weeks or months, you’ve already experienced the effects of America’s doctor shortage.It's become more common for doctors, like New Jersey urologist Dr. Thomas Mueller, to practice with a packed patient schedule."The amount of patients we see is borderline insane," Mueller says.“I'll be the first one to say I don’t think it’s the best thing in the world," he says. "The things that I do to combat it is I just invest a lot of time beforehand.”Mueller and the team of physicians at Delaware Valley Urology each see upward of 50-60 patients a day.And that’s still not enough. "With the baby boomers becoming, you know, in their 70s, there are a lot of people to be seen," the doctor says. "The overall structure of medicine, at least as far as training is concerned, they’ve never really increased the enrollment in medical schools.”Unless significant steps are taken, the Association of American Medical Colleges predicts the shortage is only going to get worse.“I think I am at my max (amount of patients)," Mueller says. "I don’t think I can do a whole lot more."To help with the issue, legislators are proposing several bills that would raise grant money for more medical residency slots, and to make it easier for foreign doctors to practice in the U.S.In addition, medical schools have increased scholarships. Some have even created specific residency slots for those willing to practice in rural areas.“There are folks who think that there is a shortage," says Dr. Bob Motley. "I think we have as much of a problem with the maldistribution.”Motley runs Thomas Jefferson University's Physician Shortage Area Program. “We have about 50% of all physicians in Pennsylvania that are actually clustered in three counties," he says. "But 75% of Pennsylvanians actually live outside those areas.”Motley’s program has graduated roughly 400 doctors, and almost 80 percent are now practicing in rural communities hit the hardest by this doctor shortage."There's a lot to be learned in health care and we definitely have not figured it out," Mueller says. "It’s not a broken system by any stretch of the imagination but it’s things that are ever changing. And I think everyone is striving to make it better.”In addition to seeing 50 to 60 patients a day, Mueller also trains residents to handle the patient load as it is now."It's not for the faint of heart," he says. "But at the same time we do it because we love it.” 2571

INDIANAPOLIS — "I didn't know what to think. I was still in shock like how did the fire even happen?"Rachel McRee was in the restroom when she heard a loud explosion come from the kitchen where her boyfriend, Raveen Sugantheraj, had been cooking. "We didn't even realize that he had been burned," McRee said. The kitchen was on fire. So our first priority was putting that out."Once the couple finally put the fire out near the stove top, they realized that Sugantheraj had been severely burned. "It's his arms, his face, his neck, his hands, his ear," McRee said. "I feel terrible for him and the pain that he's in. I just feel horrible, you know, he's in so much pain," she said. "I've watched him get his bandage changed. He's got raw skin. It's like ten to 15 percent of his body that's just burnt off."Sugantheraj was in the hospital undergoing surgery on Friday."They're having to do skin grafts, severe ones. One is going to be pigskin, one's going to be his own skin," Sugantheraj's girlfriend said. She is not sure of his recovery time. The cause of the fire? A can of Pam cooking spray kept too close to open flames. "He's a full-time med student. He's educated. He's very smart... He had no idea - I had no idea," McRee said. "We know to keep cooking oil away, especially not on the stove top, but we had placed it far enough to where we thought it was OK."The medical director in Eskenazi's emergency department, Dr. Tyler Stepsis, said aerosol bottles like Pam make oils even more flammable. She said that this is a common occurrence. "You not only have the thing your aerosolizing but you also have the propellant. And the propellant a lot of times is what can catch fire," Dr. Stepsis said. As a warning: "When you set it down, don't put it by your stove, put it very far away because I don't want this to happen to anybody else," McRee said. Doctors say, bottom line, know what you're cooking with and keep it a safe distance from flames. RTV6 reached out to the company that makes Pam, and they told the newsroom:"Like other aerosols, PAM Cooking Sprays are flammable, and its contents are under pressure. All PAM Cooking Sprays include warnings on the front and back of the packaging warning consumers that the product is flammable."The company also added that it should not be left on a stove or near a heat source, should not be sprayed near an open flame and should not be stored above 120 degrees Fahrenheit.If you have a problem and need help getting results, connect with RTV6 by emailing us at workingforyou.com. 2549

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

KATY, Texas (AP) — Authorities say a 14-year-old boy shot and wounded his older sister and killed her boyfriend during “a house party gone bad” in a Houston suburb.Harris County Sheriff Ed Gonzalez says on 218

In a sea of young people fighting for their future, there's a 13-year-old girl named Haven Coleman.In many ways, she's just like any other teenager, but she's also the co-founder of a national organization called U.S. Youth Climate Strike. She spends every Friday striking outside the Colorado State Capitol.“So the story... involves sloths," Haven says.Inspired several years ago to save the sloths she deeply loves, Haven decided to become a climate activist."I was trying to do everything and anything, and I'm still doing that to stop climate change because this is something that's so like... big, so terrifying, and that's gonna be following me and my generation," she explains. "And it has been for our whole lives."Growing up during a time when climate change is a common topic, Haven wasn't shocked when she found out carbon dioxide has now reached a level in the atmosphere that hasn't been seen for three million years. On May 11, sensors at the Mauna Loa Observatory in Hawaii measured concentrations of the greenhouse gas to be at 415 parts per million. That means for every 1 million molecules of gas in the atmosphere, 415 were carbon dioxide. Compare that to 315 ppm 60 years ago, and 280 at the start of the industrial revolution. Without human interference, carbon in fossil fuels would leak slowly into the atmosphere through volcanic activity over millions of years. That's how the Earth has had these levels before. But a process that is normally very slow has been accelerated by the burning of coal, oil, and natural gas."Those greenhouse gases, that carbon pollution that we're putting into the atmosphere, much of that is going to stay there for a very long period of time and affect our climate for decades to come," Tony Dutzik said.Tony Dutzik with Environment America says what's most concerning about this data, is that human beings have never lived in a climate as hot as the one that existed three million years ago. Sea levels were approximately 50 feet higher than where they are today.According to Scripps Institution of Oceanography, vegetation records from that era called Pliocene show forests growing in the Canadian arctic, and savannas covering what is now known as the north African desert. The impacts of a changing climate are already evident in the United States."We're beginning to see supercharged storms -- storms that are gaining energy from our warmer oceans -- that are dumping immense amounts of rainfall. Storms like Hurricane Harvey, and Hurricane Florence in just the last few years," Dutzik says. "Sea level is rising at about a tenth of an inch per year, and that rate of rise is accelerating, and so cities like Boston and Miami increasingly have to deal with coastal flooding. And in places in the west, we're seeing larger more intense wildfires that burn hotter and are harder to control."As catastrophic as these events may seem, Dutzik says change is possible if everyone plays a part."Every day we have the opportunity when we're making energy efficiency upgrades to our homes, when we're purchasing our next car, when we're choosing where to live -- whether we live some place that's close to the places that we need to be or far away," Dutzik says.However, Dutzik notes a majority of change necessary to alter the course the earth's current projections will take a lot of political power. Power that young people like Haven are strongly pushing for."I hope that we fix this," Haven says. "We have 11 years...because 11 years is the only time we've got to fix the worst effects of climate change."Many U.S. students are pushing for 100 percent renewable energy by 2030 and want to stop any new construction on fossil fuel infrastructure, including pipelines, coal plants, and fracking facilities. *******************If you'd like to contact the journalist of this story, email elizabeth.ruiz@scripps.com 3880

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