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So much has been taken from us this year, but for Jason Snider, all too familiar feelings of his first time performing at Symphony Hall in Boston suddenly came back to him."It felt like I was driving in for the audition the day that I won this job," Snider said, standing on a busy street corning outside the historic performance hall.Since March, this stage and others like it across the country have sat empty. It's still unsafe for audiences to return inside. So, Snider and three of his colleagues have been taking their performance outside."I hope we catch people’s attention, remind them that we’re here," Snider added.As some of the best French horn players in the country, a city street corner is a long way from the prestigious stages they are used to, but it is a stage, nonetheless. Over the years, these four have toured the world together. On this particular day, though, they were on a trolley, traveling the city.They stopped outside hospitals filled with COVID-19 patients, offering a crescendo of chords to remind people what's been missing since March."It’s a reminder of that visceral experience you get when you’re listening to music; it’s a physical sensation," said Leslie Wu Foley, the director of education for the Boston Symphony.It's a song being written by musicians from coast to coast as other musicians and orchestras have taken up similar ideas, bringing music to outdoor spaces where smaller crowds can gather safely to listen."There’s nothing like that in-person experience of changing the air around you," Foley added.Managing the pressure of this pandemic has been hard, it's been lonely, and it's been quiet. But finding a common chord might be the best way for us to find some common ground. 1736

Some of the COVID-19 vaccine candidates call for more than one shot, so how do we make sure patients come back?Three experts all tell us preparing people for the side effects will be critical.A nursing researcher described those side effects in a JAMA article. She suspects she had the experimental vaccine as part of Pfizer’s Phase III clinical trials.After the second shot, she said she was light-headed, nauseous, had a headache, ran a fever, and was hardly able to lift her arm from muscle aches. She wasn't warned and it scared her into thinking she might have COVID-19.“The immune system is revving up,” said LJ Tan, Chief Strategy Officer at the Immunization Action Coalition. “It's responding to that vaccine, and I think we need to tell our patients that so that they expect that. Otherwise, they're going to say, ‘wow that thing hurt, I'm not coming back for that second dose.’”For comparison, a recent shingles vaccine also requires more than one dose and can be painful. Providers and advocates lead education efforts on what to expect. The return rate after the first shot for shingles is about 80%, which is considered high.One suggestion is to put information on side effects in COVID-19 vaccine distribution kits.The Centers for Disease Control and Prevention (CDC) has already said it plans to include index cards that tell patients what they had and when their next dose is due. That's on top of electronic reminders like email or texts.The federal government has also promised to cover most costs for the vaccine.One doctor says he'd take that a step further.“I feel extremely strongly that we should do everything we can in terms of customized, personalized patient support programs, and even recommend that the federal government go beyond free and provide small rewards or incentives for people who complete the two-dose program,” said Dr. A. Mark Fendrick, Director of the University of Michigan's Center for Value-Based Insurance Design.There's some protection for people who only get one dose of the Pfizer vaccine, but nearly full protection is better. The second dose also boosts antibodies.“That's important because of waning immunity. The higher your antibodies when you start, the longer it takes for that to decrease over time, and potentially make you more susceptible,” said Dr. Gregory Poland, Director of the Mayo Clinic's Vaccine Research Group.That means the best thing is to get both doses as was tested in the study. 2463

ST. LOUIS (AP) — A grand jury has indicted the St. Louis couple who displayed guns while hundreds of racial injustice protesters marched on their private street. A lawyer for Mark McCloskey and his wife, Patricia McCloskey, confirmed the indictments Tuesday. A spokeswoman for Circuit Attorney Kim Gardner declined comment.The McCloskeys, who are both attorneys, have become folk heroes among some conservatives. They argue that they were simply exercising their Second Amendment right to bear arms, and were protected by Missouri’s castle doctrine law that allows the use of deadly force against intruders. The case has caught the attention of President Donald Trump, and Republican Missouri Gov. Mike Parson has said he will pardon the couple if they are convicted.The McCloskeys also were featured speakers on the first night of the Republican National Convention. They’ve accused the “leftist” Democratic St. Louis leadership for their plight.Gardner, a Democrat, charged the couple with felony unlawful use of a weapon. She said the display of guns risked bloodshed at what she called an otherwise peaceful protest.Watkins said that in addition to the weapons charge, the grand jury indictment includes a tampering with evidence charge. It wasn’t clear what led to that additional count, he said. 1309

Seven people, including four children, have been found dead in a rural property in Western Australia, in what's believed to be the country's worst mass shooting in more than two decades.Officers were called to a residential property in Osmington, around 170 miles (270 kilometers) south of state capital Perth, in the early hours of Friday morning, where the seven bodies were discovered, said Western Australia Police Commissioner Chris Dawson.Police arrived at the property following a call from "'male person' connected to the property" shortly after 5:00 a.m. local time (5 p.m. Thursday ET), national broadcaster ABC reported.Five bodies were found inside the house, and the other two outside, close to the property. Dawson described the incident as a "tragedy" and "horrific incident."Police were treating the incident as a murder-suicide, according to ABC."It appears that gunshot wounds are there, but I don't want to go further than that... two firearms have been located," Commissioner Dawson said, according to the ABC.The ABC is reporting that it is Australia's worst mass-shooting since 1996's Port Arthur massacre, in which a lone gunman killed 35 people with a military-style semiautomatic rifle.The massacre, in Australia's southern island state of Tasmania, was the last straw for Australians, following a decade of gun massacres which had left more than 100 people dead.Just 12 days after the Port Arthur shooting, the government of Prime Minister John Howard announced nationwide gun law reform, by far the most popular initiative of his first year as Australian leader.In Friday's incident, police statement said there were "no concerns about wider public safety."Police say they are unable to share any other details and are currently looking for next of kin and friends to notify.  1816

ST. LOUIS, Mo. – A critical care physician in St. Louis simulated what it’s like to be a coronavirus patient in his ICU in attempt to urge people to wear face coverings.Dr. Kenneth Remy tweeted a video of the simulation last Saturday and it has since gone viral. It has garnered over 2,000 retweets as of Friday and been picked up by major news outlets.“I hope that the last moments of your life don't look like this,” Remy said in his video. “Because this is what you'll see at the end of your life, if we don't start wearing masks when we're out in public, when we don't practice social distancing.”Please listen as this is dire. I don’t want to be the last person that looks in your frightened eyes. #MaskUp ?@DrKenRemy1? ?@WUSTLmed? pic.twitter.com/qwb4eERlfE— Kenneth E. Remy, MD, MHSc, FCCM (@DrKenRemy1) November 21, 2020 In the clip, Remy told KSDK that he was simulating what it would be like for a patient’s oxygen levels to drop dangerously low and have a breathing tube be put in.“I beg you, please practice the precautions to reduce transmission of COVID disease, so that we can effectively prevent disease for you and your loved ones,” Remy continued in his video.In an interview with CNN, Remy said he hopes the nation can get to a place where everyone realizes that it’s more comfortable to wear a piece of cloth on your face than it is to be intubated in the hospital.“I don't want that, I don't want to see that anymore and have to make those phone calls to the frequency that we're currently doing," he told CNN.Along with being a doctor, Remy is also a city councilman in Wildwood, Missouri, so he’s familiar with how wearing a mask has been politicized. He told KSDK that while he understands the importance of personal liberties, he’s tired of patients becoming infected because people refuse to wear face coverings.Click here for CDC guidelines on how to protect yourself and others from COVID-19. 1928

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