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CHICAGO, Ill. – Shortages of ventilators and personal protective equipment mean many healthcare providers are going into battle unarmed. It’s sparked a heated debate behind closed doors about balancing efforts to save patients versus exposing doctors and nurses to the virus. Who lives? Who dies? Who gets priority to a ventilator? All complex questions health providers are being confronted with. “We've never had this situation before. This is unprecedented,” said Craig Klugman a professor of bioethics at DePaul University in Chicago. Bioethicists say widespread infection, protective equipment and ventilator shortages are creating unique ethical dilemmas for healthcare workers. “We will start to care for the person who is at risk of dying first,” explained Dr. Ricardo Gonzalez-Fisher, a surgical oncologist who teaches healthcare ethics at Metropolitan State University of Denver. “But if we have more people than resources that we have to. Try to save those that are savable.” “The obligation for a healthcare provider to treat the patient doesn't necessarily have a limit,” said Klugman. In Spain, some 13,000 medical workers have been infected. In Italy, more than 60 workers have died since the outbreak began. “It's not just their life. They can assume this risk for themselves,” said Klugman. “If they don’t have the right equipment, they also have the risk of infecting other patients, other healthcare providers. Their family.” Some health systems around the country are reportedly discussing unilateral do-not-resuscitate policies. It’s something that was debated during the Ebola outbreak in 2015. Determining who gets treatment and who does not is something Klugman says is taken very seriously. “We think about it very carefully and with great deliberation.” In Italy, that meant denying some care to the elderly in favor of the young. Klugman says in Illinois, a pandemic flu plan created a decade ago includes care procedures built around ethical frameworks and algorithms that help decide who should for example, get a ventilator. “We have to consider things like what is our most important value. So, the value that we're considering is maximizing the number of years of life that we can save,” said Klugman. Ultimately, a balance must be struck. “You have to make sure that the benefit of the patient overrides the harm or the risk that you're getting in,” said Dr. Gonzalez-Fisher. Otherwise, bioethicists say there may not be enough first responders to treat the infected.“When you call 9-1-1 because your loved one can't breathe, there will be nobody coming. That's the worst-case scenario,” said Klugman. 2653
Long Island teachers did a different kind of safety dance to prepare students for the new school year. Teachers at Lenox Elementary School in the Baldwin School District filmed a parody of the Men Without Hats song and altered the lyrics to focus on coronavirus and social distancing. Music Teacher Christine Benedetti and teacher Tom Duffy lead the project. "I think showing the masks and showing us washing our hands is the way we model good behavior for the students," Benedetti said.Students watched the video Tuesday to learn about the health and safety requirements in school. They swayed in their seats and copied the dance moves from their spread-out desks. This article was written by Keith Lopez for WPIX. 739
A California man returned to the scene of the crime earlier this week to apologize for what he allegedly did. According to KOVR-TV, Derek German was charged with receiving stolen property.The outlet obtained security camera footage of German returning to a convenience store to apologize for breaking into the store a week earlier.Before the apology, German allegedly broke into the store and entered through the store’s ceiling. He then attempted to reach the safe, but was unsuccessful. The man set off the store’s alarm system, allowing for the shop’s owner to alert the police.Monitoring the incident on camera, the owner was able to help police track down the suspect.He then returned and attempted to shake the owner’s hand, but the owner refused. 777
PARADISE, Calif. – The struggle to emerge from rubble and ash now grips the town of Paradise, California. “We’ve all been through the same thing,” said Mayor Jody Jones. “So much trauma. Nobody else really knows what we’ve been through.” Last year, the Camp Fire, as it is called, destroyed 19,000 homes and killed more than 80 people killed. The recovery has been slow. Though the town issued 500 building permits after the fire, so far, only nine homes have been rebuilt. However, 3,000 people are back, along with nearly 200 small businesses that reopened, like Nic’s Restaurant. “The biggest challenge is timing,” said restaurant owner Nicky Jones, “because there’s so many people wanting to rebuild.” The challenges are staggering. Flames scorched hundreds of thousands of trees that now need to be removed because they’re in danger of falling. The fire also left behind something more ominous: contaminated soil. “For the burnt properties, more than half of them are contaminated,” Mayor Jones said. Evacuation routes there also remain woefully inadequate, potentially trapping people again, should another wildfire break out -- much like they are currently raging in other parts of California. “I think, right now, looking at the fires in California and people got to start asking those tough questions - at what point do I decide I don't want to move back out there?” said Robert Allen, an adjunct professor specializing in risk management at Tulane University. For some who call Paradise home, though, rebuilding is not so much a choice, but a calling. “My family lost 13 homes,” said April Kelly, “and for them to be able to have a place to come back to and to see me to be a part of the rebuild process personally, is just a really big accomplishment.”It’s one with many steps still to go.Correction: In a previous version of this story, we incorrectly identified the mayor of Paradise, CA as Judy Jones. The mayor of Paradise is Jody Jones. We apologize for the error. 1995
Doctors are seeing more children with an illness that can look a lot like the flu or cold. It's known as RSV. It stands for respiratory syncytial virus. It comes with the typical runny nose, cough and congestion we see in the wintertime. Adults can usually get over RSV without a problem. But it can be a lot more severe for young children.“From a newborn to a 3- or 4-year-aged child, and they go to a daycare or they're exposed to other kids who have a runny nose, cough or congestion. These kids can fall sicker much more, and will have more respiratory distress and dehydration than kids who are older,” says Dr. Purva Grover with Cleveland Clinic. Respiratory distress and dehydration are what makes RSV different from the typical cold. Doctors say some of the signs include shortness of breath and difficulty breathing. Parents may be able to tell this is happening in a child if they're heavily breathing from both their nose and chest, as well as grunting noises. It's important that families see a doctor before this becomes respiratory failure. There isn't a vaccine specifically for RSV. But some doctors say they've been able to treat it with other vaccines. “There is a vaccine which is actually an antibody treatment that we give to the most vulnerable premature infants, those that are in their first year of life and were born very prematurely,” says Dr. James Gaensbauer, a pediatrics and infectious disease specialist at Denver Health. “But it's not an ideal thing, you have to give a shot every month for every five months that is typically the season.” Doctors can also do other things to treat the symptoms, like giving kids extra oxygen.RSV usually lasts about two weeks. 1707