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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

Wildfires continue to rip through the Western United States, destroying homes, businesses, and parks.“We know that they can get exponentially large very quickly,” James Marugg, division chief for San Miguel Fire and Rescue in California, said.Those on the front lines like Marugg say each year, the blazes seem to get more destructive.“Prevention is key and it’s defensible space, and the extra few minutes that defensible space gives us to be able to set up a perimeter, be able to get in and make the difference for someone's home," Marugg said.Defensible space is the area closest to a building, which is cleared of vegetation to help slow the spread of the flames.“Defensible space equals time,” Marugg said. Now, firefighters out west are getting some much-needed assistance in getting rid of some of that vegetation, from a team that’s hungry to help."Fifteen years ago, I’d say people need to wake up,” said Johnny Gonzales, the field operations manager for Environmental Land Management.Gonzales showed us a herd of almost 300 goats. It's not a petting zoo, but a work zone. “I see it as a work zone,” he said. “They’re coming in here and eating what we consider flash fuels. And that's basically broadleaf weeds, grasses, brush.”It's all that stuff you can see in between the trees in a field. The difference between before and after is noticeable.“Our goal is to bring back nature into the equation of fire control,” Gonzales said. “We’re not raising these goats to go to the market. These goats are true urban foresters if you will.”Hundreds of goats, right near the road and adjacent to homes.“Goats, depending on the time of year, can eat about 7 to 12 percent of their body weight,” Gonzales said. On this current project next to Cuyamaca College, the goats are getting through about an acre a day.“Our college actually sits on 165 acres of wildlife, and yet, you can see it’s completely overgrown. There’s non-native dry brush, and just a few weeks ago before the goats were here, we actually had a fire on campus,” Nicole Salgado, interim vice president of administrative services at Cuyamaca College, explained. “It poses a risk not only to our college but the surrounding community.”Hiring the goats just made sense for them, cost-wise.“To have the goats here, it’s 30 percent less than that of a human crew,” Salgado said.“You're as safe as your neighbor, and then it turns into you’re as safe as the block and your community. We’re now a whole state that's in need of fire fuel mitigation,” Gonzales explained.It helps out firefighters when it comes time to put out flames. Less dry brush means slower spread of flames.“You harden your house to keep a burglar from coming in, you need to do the same with wildfire. You need to look at it and think what are my vulnerabilities,” Marugg said.There’s also another trend he said is impacting the number of homes we lose to fire.“There’s more houses in the woodland area and we have to respond to them quicker, otherwise we lose more homes,” Marugg said.“Each year, the limits for the development lines still get higher and higher. More homes are being built in the mountains, Essam Heggy, a research scientist at the University of Southern California, said.“Our visual understanding of the environment we’ve been living in, in many places have been [associated] to the malls we visit and not to the environment that’s surrounding us. This disbelief in the complexity of our environment is the main driver of these hazards."As we near the end of wildfire season, Gonzales and his herders continue to clear up the spaces they can year-round, in a sustainable way.“I see this in the future becoming as common as trash pick up,” Gonzales said. “They really may be historically, and in the future, one of the greatest things of all time for fire fuel mitigation.” 3832

When adult film star Jessica Drake accused Donald Trump of sexual misconduct a month before the Presidential election, Trump said through a spokesperson that he didn't know the woman and had "no interest in ever knowing her."Less than a week later, a woman named Angel Ryan was listed in a secret settlement agreement negotiated by Trump's personal attorney as having "confidential information" about the then-Republican nominee.The two occurrences may appear unrelated. But there is a connection: Drake, the woman who accused Trump, and Ryan, the woman named in the non-disparagement agreement, are the same person, according to interviews and documents reviewed by CNN.The connection raises new questions about the circumstances surrounding the controversial agreement in which Trump attorney Michael Cohen sought to protect his longtime client and friend.The Wall Street Journal was first to report the news that Cohen paid adult film star Stephanie Clifford 0,000 to keep quiet about an alleged affair with Trump.Earlier this week, Clifford, who performs under the name Stormy Daniels, sued the President in Los Angeles Superior Court seeking to void the agreement, which she attached to her complaint.In a section dealing with "prior disclosures" of "confidential information," the agreement cites four people with whom Clifford had already shared such information.One of them was Angel Ryan.Online records reviewed by CNN show that Ryan obtained a trademark registration for the name Jessica Drake.Gloria Allred, Ryan's attorney, confirmed the link for CNN."Jessica Drake is still my client. She is Angel Ryan and the one whose name is in the settlement agreement," Allred told CNN. She said her client was never contacted about Clifford's settlement agreement.Allred would not comment on Ryan's relationship with Clifford, or the timing of her 2016 disclosure being so close to the drafting of Clifford's agreement.Both Clifford and Ryan worked for Wicked Entertainment and both said they attended a 2006 golf outing in Lake Tahoe, also attended by Trump.Clifford said in this week's court filing that she began "an intimate relationship" with Trump that summer, which continued into 2007.At the press conference in October 2016, Ryan, joined by Allred, said she was subjected to unwanted sexual advances by Trump at the golf tournament. She said he kissed her without asking and offered to pay her for sex.Trump campaign officials denied the allegations and said the candidate did not know his accuser.Six days later, Drake's real name appeared in the agreement related to Clifford.Cohen has publicly acknowledged using his own money to facilitate the payment to Clifford in the weeks before the presidential election. He said Trump had no knowledge that he was planning do so or had done so. He said Trump "vehemently denies" Clifford's allegations.The agreement specified three other people with whom Clifford had shared "confidential information." They are an ex-husband, a business manager, and a photographer.All three either declined comment or could not be reached. 3121

What’s the difference between a place with patchy shrubs and a lush, wooded forest on Google Maps? In the past, the answer was nothing, they were both the same color of green. Now, Google Maps will be using a wider color spectrum to bring out more details.Using high-definition satellite images from more than 98 percent of the world’s populated areas, Google uses a new color-mapping “algorithmic technique” to translate the information into a more vibrant map.The idea, according to a blog post from the company, is to create a map with more natural features, so users can quickly distinguish between tan beaches and deserts, or blue lakes, rivers, oceans and ravines.The team at Google Maps explains how the color-mapping works. “First, we use computer vision to identify natural features from our satellite imagery, looking specifically at arid, icy, forested, and mountainous regions. We then analyze these features and assign them a range of colors on the HSV color model.”Google Maps has undergone a handful of updates this year in conjunction with the app’s 15th year in existence, including a better sense of depth in Live View, more detailed directions for commuting, and easy-to-find contribute and explore tabs.Still to come, Google Maps is promising an update that will show more details about street width and shape. Allowing users to see exactly where sidewalks, crosswalks and pedestrian islands are. 1424

When cruise lines begin sailing again, the Centers for Disease Control and Prevention has some guidance. The health agency issued their “framework for resuming safe and responsible cruise ship” operations Friday, ahead of the no-sail order expiring Saturday.The no-sail order, which originally began in April, prohibits cruise ships from carrying 250 passengers in waters subject to US jurisdiction.The CDC said it has identified at least 3,689 coronavirus-related illnesses, and 41 associated deaths, connected to cruise ships. Although the CDC cautions these figures are likely an underestimate.The framework urges a phased approach, and applies to ships that have the capacity to carry at least 250 passengers in waters subject to U.S. jurisdiction.“A phased approach is necessary because of the continued spread of the COVID-19 pandemic worldwide, risk of resurgence in countries that have suppressed transmission, ongoing concerns related to restarting of cruising internationally, and need for additional time for the cruise industry to test the effectiveness of measures to control potential COVID-19 transmission on board cruise ships with passengers without burdening public health,” a statement from the CDC reads.During the beginning, cruise line operators will have to demonstrate adherence to testing, quarantine and isolation plans, as well as social distancing requirements for passengers and crew members.The CDC says they will help by “establishing a laboratory team dedicated to cruise ships to provide information and oversight of COVID-19 testing,” updating instructions and creating a system to track ship status and passenger cases.Meanwhile, cruise lines will need to build out the capacity and ability to test crew and passengers on a regular basis.In their framework, the CDC says there may be simulated, or mock, voyages with volunteers to test cruise ship operators’ ability to apply COVID-19 mitigation measures.Although the no-sail order will be lifted, Carnival, Royal Caribbean and other cruise lines have already cancelled sailings until 2021. 2083